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 Cigna 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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819 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1,806 | $1,806 – $1,806 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $1,949 | $1,949 – $1,949 |
| 3 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $1,555 | $1,555 – $1,555 |
| 4 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $2,095 | $2,095 – $2,095 |
| 5 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $2,671 | $2,417 – $2,925 |
| 6 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $2,768 | $2,768 – $2,768 |
| 7 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $2,768 | $2,768 – $2,768 |
| 8 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA case rate · outpatient | 1 | $1,061 | $1,061 – $1,061 |
| 9 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 2 | $4,163 | $4,012 – $4,314 |
| 10 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 2 | $4,163 | $4,012 – $4,314 |
| 11 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 2 | $4,163 | $4,012 – $4,314 |
| 12 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 2 | $4,163 | $4,012 – $4,314 |
| 13 | AdventHealth Porter Denver, CO fee schedule · outpatient | 2 | $4,163 | $4,012 – $4,314 |
| 14 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 2 | $15,932 | $15,137 – $16,726 |
| 15 | Adventhealth Shawnee Mission Lenexa, KS fee schedule · outpatient | 2 | $15,932 | $15,137 – $16,726 |
| 16 | Adventhealth South Overland Park Overland Park, KS fee schedule · outpatient | 2 | $15,932 | $15,137 – $16,726 |
| 17 | Alexian Brothers Behavioral Health Hospital Estates, IL fee schedule · outpatient | 1 | $6,130 | $6,130 – $6,130 |
| 18 | Alexian Brothers Medical Center Village, IL fee schedule · outpatient | 1 | $6,130 | $6,130 – $6,130 |
| 19 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $4,050 | $4,050 – $4,050 |
| 20 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $5,487 | $5,487 – $5,487 |
| 21 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 2 | $2,053 | $1,626 – $2,905 |
| 22 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 2 | $2,053 | $1,626 – $2,905 |
| 23 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $6.04 | $6.04 – $6.04 |
| 24 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 2 | $2,053 | $1,626 – $2,905 |
| 25 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 2 | $2,053 | $1,626 – $2,905 |
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