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 Molina 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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344 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $4,188 | $4,188 – $4,188 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $1,130 | $1,130 – $1,130 |
| 3 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $1,651 | $1,651 – $1,651 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $3,249 | $3,249 – $3,249 |
| 5 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $2,417 | $1,585 – $3,249 |
| 6 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $1,549 | $1,549 – $1,549 |
| 7 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 3 | $1,687 | $1,206 – $2,290 |
| 8 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 3 | $1,687 | $1,206 – $2,290 |
| 9 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 3 | $1,687 | $1,206 – $2,290 |
| 10 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 3 | $1,687 | $1,206 – $2,290 |
| 11 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 3 | $1,687 | $1,206 – $2,290 |
| 12 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 3 | $1,687 | $1,206 – $2,290 |
| 13 | Aurora BayCare Medical Center Green Bay, WI case rate · outpatient | 1 | $17,293 | $17,293 – $17,293 |
| 14 | Aurora Lakeland Medical Center Elkhorn, WI case rate · outpatient | 1 | $17,293 | $17,293 – $17,293 |
| 15 | Aurora Medical Center Bay Area Marinette, WI case rate · outpatient | 1 | $17,293 | $17,293 – $17,293 |
| 16 | Aurora Medical Center Burlington Burlington, WI case rate · outpatient | 1 | $17,293 | $17,293 – $17,293 |
| 17 | Aurora Medical Center Fond du Lac Fond Du Lac, WI case rate · outpatient | 1 | $17,293 | $17,293 – $17,293 |
| 18 | Aurora Medical Center Grafton Grafton, WI case rate · outpatient | 1 | $17,293 | $17,293 – $17,293 |
| 19 | Aurora Medical Center Kenosha Kenosha, WI case rate · outpatient | 1 | $17,293 | $17,293 – $17,293 |
| 20 | Aurora Medical Center Manitowoc Two Rivers, WI case rate · outpatient | 1 | $17,293 | $17,293 – $17,293 |
| 21 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI case rate · outpatient | 1 | $17,293 | $17,293 – $17,293 |
| 22 | Aurora Medical Center Oshkosh Oshkosh, WI case rate · outpatient | 1 | $17,293 | $17,293 – $17,293 |
| 23 | Aurora Medical Center Sheboygan County Sheboygan, WI case rate · outpatient | 1 | $17,293 | $17,293 – $17,293 |
| 24 | Aurora Medical Center Summit Summit, WI case rate · outpatient | 1 | $17,293 | $17,293 – $17,293 |
| 25 | Aurora Medical Center Washington County Hartford, WI case rate · outpatient | 1 | $17,293 | $17,293 – $17,293 |
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