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 Caresource 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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103 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $3,988 | $3,988 – $3,988 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $1,078 | $1,078 – $1,078 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $3,170 | $3,170 – $3,170 |
| 4 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $2,393 | $1,617 – $3,170 |
| 5 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $4,141 | $4,141 – $4,141 |
| 6 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $7,472 | $7,472 – $7,472 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $4,589 | $4,589 – $4,589 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $4,689 | $4,689 – $4,689 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $4,886 | $4,886 – $4,886 |
| 10 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · both | 2 | $106.76 | $79.93 – $122.96 |
| 11 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 2 | $734.52 | $700.52 – $768.52 |
| 12 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 2 | $734.52 | $700.52 – $768.52 |
| 13 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $1,698 | $1,698 – $1,698 |
| 14 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $1,698 | $1,698 – $1,698 |
| 15 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $2,512 | $2,512 – $2,512 |
| 16 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $2,513 | $2,513 – $2,513 |
| 17 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $4,009 | $4,009 – $4,009 |
| 18 | Cleveland Clinic Mercy Hospital Canton, OH professional · fee schedule · outpatient | 1 | $1,058 | $1,058 – $1,058 |
| 19 | Columbus Regional Hospital Columbus, IN fee schedule · outpatient | 1 | $1,530 | $1,530 – $1,530 |
| 20 | Columbus Regional Hospital Columbus, IN per diem · outpatient | 2 | $757.73 | $757.73 – $757.73 |
| 21 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $4,405 | $4,405 – $4,405 |
| 22 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 2 | $7,808 | $2,940 – $12,675 |
| 23 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 2 | $2,081 | $1,665 – $2,497 |
| 24 | Grady Memorial Hospital Atlanta, GA facility · case rate · outpatient | 1 | $21,512 | $21,512 – $21,512 |
| 25 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 2 | $899.70 | $138.31 – $2,233 |
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