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 Clover 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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59 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $12,432 | $12,432 – $12,432 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · both | 1 | $112.08 | $112.08 – $112.08 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 1 | $700.52 | $700.52 – $700.52 |
| 4 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 1 | $700.52 | $700.52 – $700.52 |
| 5 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $1,698 | $1,698 – $1,698 |
| 6 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $1,698 | $1,698 – $1,698 |
| 7 | Conway Hospital, Inc. Conway, SC facility · case rate · outpatient | 1 | $12,594 | $12,594 – $12,594 |
| 8 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $1,606 | $1,606 – $1,606 |
| 9 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $1,715 | $1,715 – $1,715 |
| 10 | Grady Memorial Hospital Atlanta, GA facility · case rate · outpatient | 1 | $14,117 | $14,117 – $14,117 |
| 11 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $877.26 | $289.40 – $1,465 |
| 12 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $947.88 | $947.88 – $947.88 |
| 13 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $947.88 | $947.88 – $947.88 |
| 14 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $947.88 | $947.88 – $947.88 |
| 15 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $947.88 | $947.88 – $947.88 |
| 16 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $947.88 | $947.88 – $947.88 |
| 17 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $947.88 | $947.88 – $947.88 |
| 18 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $947.88 | $947.88 – $947.88 |
| 19 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $947.88 | $947.88 – $947.88 |
| 20 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $947.88 | $947.88 – $947.88 |
| 21 | HMH HOSPITALS CORPORATION Perth Amboy, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $947.88 | $947.88 – $947.88 |
| 22 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $2,186 | $603.04 – $3,769 |
| 23 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $1,719 | $1,719 – $1,719 |
| 24 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $1,719 | $1,719 – $1,719 |
| 25 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · both | 1 | $366.74 | $133.36 – $833.51 |
← Payers reporting CPT 43644 · Snapshot 20261108T203506Z-bb90dbab