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 First Health 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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135 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $2,418 | $2,418 – $2,418 |
| 2 | Bexar County Hospital District San Antonio, TX case rate · outpatient | 1 | $899.00 | $899.00 – $899.00 |
| 3 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2,523 | $1,892 – $3,784 |
| 4 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2,523 | $1,892 – $3,784 |
| 5 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $1,966 | $1,966 – $1,966 |
| 6 | CASTLE MEDICAL CENTER Kailua, HI percent of total billed charges · outpatientfrom % of charges | 1 | $3,926 | $3,926 – $3,926 |
| 7 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · both | 1 | $101.45 | $79.93 – $122.96 |
| 8 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 1 | $768.52 | $768.52 – $768.52 |
| 9 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 1 | $768.52 | $768.52 – $768.52 |
| 10 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $11,137 | $11,137 – $11,137 |
| 11 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 1 | $1,646 | $1,646 – $1,646 |
| 12 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $1,966 | $1,966 – $1,966 |
| 13 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $3,551 | $3,551 – $3,551 |
| 14 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2,347 | $1,760 – $3,520 |
| 15 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2,347 | $1,760 – $3,520 |
| 16 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $5,622 | $5,622 – $5,622 |
| 17 | Fairview Health Services Edina, MN percent of total billed charges · bothfrom % of charges | 1 | $2,700 | $39.39 – $6,439 |
| 18 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $2,432 | $2,432 – $2,432 |
| 19 | HOLLAND COMMUNITY HOSPITAL Holland, MI fee schedule · outpatient | 1 | $2,101 | $2,101 – $2,101 |
| 20 | HealthAlliance Hospital Kingston, NY facility · other · outpatient | 1 | $35,000 | $35,000 – $35,000 |
| 21 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · bothfrom % of charges | 1 | $2,290 | $108.37 – $5,410 |
| 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 | Jane Phillips Memorial Medical Center Bartlesville, OK fee schedule · both | 1 | $1,894 | $1,894 – $1,894 |
| 24 | Jane Phillips Nowata Hospital, Inc. Nowata, OK fee schedule · both | 1 | $1,894 | $1,894 – $1,894 |
| 25 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $1,866 | $1,866 – $1,866 |
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