Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm
The hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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425 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $4,188 | $4,188 – $4,188 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $4,032 | $1,593 – $5,967 |
| 3 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $13,078 | $13,078 – $13,078 |
| 4 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $1,021 | $250.47 – $2,143 |
| 5 | Adena Health System Chillicothe, OH facility · case rate · outpatient | 4 | $18,607 | $16,021 – $21,917 |
| 6 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $1,647 | $1,647 – $1,647 |
| 7 | Anderson Hospital Maryville, IL facility · case rate · outpatient | 1 | $6,640 | $6,640 – $6,640 |
| 8 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $1,729 | $1,729 – $1,729 |
| 9 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $1,729 | $1,729 – $1,729 |
| 10 | Ascension NE Wisconsin, Inc. Oshkosh, WI fee schedule · outpatient | 4 | $1,729 | $1,729 – $1,729 |
| 11 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 3 | $1,198 | $1,198 – $1,198 |
| 12 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $1,978 | $1,978 – $1,978 |
| 13 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 2 | $8,885 | $8,158 – $9,613 |
| 14 | Aspirus Wausau Hospital Wausau, WI fee schedule · outpatient | 5 | $16,339 | $9,995 – $20,568 |
| 15 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $1,252 | $1,252 – $1,252 |
| 16 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · case rate · outpatient | 4 | $12,373 | $12,373 – $12,373 |
| 17 | Banner Fort Collins Medical Center Fort Collins, CO facility · case rate · outpatient | 1 | $23,951 | $23,951 – $23,951 |
| 18 | Blue Hill Memorial Hospital Hill, ME facility · case rate · outpatient | 3 | $37,531 | $1,854 – $62,212 |
| 19 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 3 | $2,022 | $250.47 – $3,285 |
| 20 | Bluffton Health System LLC Bluffton, IN facility · other · outpatient | 3 | $22,956 | $21,028 – $26,286 |
| 21 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $1,600 | $1,600 – $1,600 |
| 22 | Boulder Community Health Lafayette, CO facility · fee schedule · outpatient | 2 | $2,150 | $1,536 – $4,600 |
| 23 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 3 | $2,306 | $1,600 – $2,854 |
| 24 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 2 | $6,381 | $1,652 – $11,111 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 2 | $7,920 | $1,652 – $14,189 |
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