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 Magellan 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.
Filter by billing methodology
Filter by billing class
34 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · both | 1 | $101.45 | $79.93 – $122.96 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 1 | $768.52 | $768.52 – $768.52 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 1 | $768.52 | $768.52 – $768.52 |
| 4 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $2,186 | $603.04 – $3,769 |
| 5 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $1,839 | $1,839 – $1,839 |
| 6 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · both | 1 | $233.33 | $100.00 – $500.00 |
| 7 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 1 | $500.00 | $500.00 – $500.00 |
| 8 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 1 | $500.00 | $500.00 – $500.00 |
| 9 | Morristown Medical Center Morristown, NJ fee schedule · outpatient | 1 | $7,744 | $7,744 – $7,744 |
| 10 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $2,240 | $603.04 – $3,986 |
| 11 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $3,349 | $560.32 – $7,450 |
| 12 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $24,127 | $24,127 – $24,127 |
| 13 | Northwestern Medicine Central DuPage Hospital Winfield, IL case rate · outpatient | 1 | $695.00 | $695.00 – $695.00 |
| 14 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 1 | $93.61 | $93.61 – $93.61 |
| 15 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · inpatient | 1 | $468.03 | $468.03 – $468.03 |
| 16 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $468.03 | $468.03 – $468.03 |
| 17 | Saint Marys Hospital Waterbury, CT professional · fee schedule · both | 1 | $218.42 | $93.61 – $468.03 |
| 18 | Saint Marys Hospital Waterbury, CT professional · fee schedule · inpatient | 1 | $468.03 | $468.03 – $468.03 |
| 19 | Saint Marys Hospital Waterbury, CT professional · fee schedule · outpatient | 1 | $468.03 | $468.03 – $468.03 |
| 20 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI professional · fee schedule · inpatient | 1 | $320.02 | $75.82 – $557.53 |
| 21 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI professional · fee schedule · outpatient | 1 | $323.37 | $89.20 – $557.53 |
| 22 | St Joseph Mercy Oakland Pontiac, MI professional · fee schedule · both | 1 | $245.31 | $89.20 – $557.53 |
| 23 | St Joseph Mercy Oakland Pontiac, MI professional · fee schedule · inpatient | 1 | $557.53 | $557.53 – $557.53 |
| 24 | St Joseph Mercy Oakland Pontiac, MI professional · fee schedule · outpatient | 1 | $557.53 | $557.53 – $557.53 |
| 25 | St Mary Medical Center Langhorne, PA professional · fee schedule · both | 1 | $300.00 | $100.00 – $500.00 |
← Payers reporting CPT 43644 · Snapshot 20261108T203506Z-bb90dbab