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 Carefirst 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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46 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · outpatient | 1 | $135.93 | $135.93 – $135.93 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · both | 3 | $186.88 | $79.93 – $268.77 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 3 | $1,213 | $700.52 – $1,680 |
| 4 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 3 | $1,213 | $700.52 – $1,680 |
| 5 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $1,777 | $1,681 – $1,921 |
| 6 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 3 | $2,131 | $1,870 – $2,343 |
| 7 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $2,186 | $603.04 – $3,769 |
| 8 | Inova Fair Oaks Hospital Fairfax, VA other · both | 1 | $24,781 | $24,781 – $24,781 |
| 9 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · both | 3 | $354.22 | $100.00 – $978.71 |
| 10 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 3 | $794.94 | $500.00 – $978.71 |
| 11 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 3 | $794.94 | $500.00 – $978.71 |
| 12 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $2,240 | $603.04 – $3,986 |
| 13 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $3,349 | $560.32 – $7,450 |
| 14 | Mount Carmel Grove City Grove City, OH facility · fee schedule · outpatient | 1 | $21,745 | $21,745 – $21,745 |
| 15 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 3 | $688.59 | $113.76 – $1,685 |
| 16 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 3 | $638.70 | $82.19 – $1,685 |
| 17 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 3 | $688.59 | $113.76 – $1,685 |
| 18 | Saint Francis Hospital and Medical Center Hartford, CT facility · fee schedule · outpatient | 1 | $25,188 | $25,188 – $25,188 |
| 19 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 3 | $191.89 | $93.61 – $294.79 |
| 20 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · inpatient | 3 | $1,218 | $468.03 – $1,842 |
| 21 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 3 | $1,218 | $468.03 – $1,842 |
| 22 | Saint Marys Hospital Waterbury, CT facility · fee schedule · outpatient | 1 | $21,496 | $21,496 – $21,496 |
| 23 | Saint Marys Hospital Waterbury, CT professional · fee schedule · both | 3 | $533.87 | $93.61 – $1,842 |
| 24 | Saint Marys Hospital Waterbury, CT professional · fee schedule · inpatient | 3 | $1,218 | $468.03 – $1,842 |
| 25 | Saint Marys Hospital Waterbury, CT professional · fee schedule · outpatient | 3 | $1,218 | $468.03 – $1,842 |
← Payers reporting CPT 43644 · Snapshot 20261108T203506Z-bb90dbab