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 Regence 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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85 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · outpatient | 1 | $135.93 | $135.93 – $135.93 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · both | 2 | $216.54 | $112.08 – $268.77 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 2 | $1,353 | $700.52 – $1,680 |
| 4 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 2 | $1,353 | $700.52 – $1,680 |
| 5 | HARRISON MEDICAL CENTER Silverdale, WA percent of total billed charges · outpatientfrom % of charges | 1 | $19,672 | $19,672 – $19,672 |
| 6 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $2,186 | $603.04 – $3,769 |
| 7 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · case rate · outpatient | 1 | $14,666 | $14,666 – $14,666 |
| 8 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT professional · fee schedule · outpatient | 1 | $817.22 | $269.60 – $1,365 |
| 9 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · case rate · outpatient | 1 | $14,948 | $14,948 – $14,948 |
| 10 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT professional · fee schedule · outpatient | 1 | $817.22 | $269.60 – $1,365 |
| 11 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID professional · fee schedule · outpatient | 1 | $817.22 | $269.60 – $1,365 |
| 12 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT facility · case rate · outpatient | 1 | $16,009 | $16,009 – $16,009 |
| 13 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT professional · fee schedule · outpatient | 1 | $817.22 | $269.60 – $1,365 |
| 14 | IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital Delta, UT professional · fee schedule · outpatient | 1 | $817.22 | $269.60 – $1,365 |
| 15 | IHC Health Services Inc., DBA Intermountain Health Fillmore Community Hospital Fillmore, UT professional · fee schedule · outpatient | 2 | $817.22 | $269.60 – $1,365 |
| 16 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · case rate · outpatient | 1 | $14,102 | $14,102 – $14,102 |
| 17 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT professional · fee schedule · outpatient | 1 | $817.22 | $269.60 – $1,365 |
| 18 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · case rate · outpatient | 1 | $14,666 | $14,666 – $14,666 |
| 19 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT professional · fee schedule · outpatient | 1 | $817.22 | $269.60 – $1,365 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT facility · case rate · outpatient | 1 | $14,666 | $14,666 – $14,666 |
| 21 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT professional · fee schedule · outpatient | 1 | $817.22 | $269.60 – $1,365 |
| 22 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT facility · case rate · outpatient | 1 | $14,948 | $14,948 – $14,948 |
| 23 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT professional · fee schedule · outpatient | 1 | $817.22 | $269.60 – $1,365 |
| 24 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT facility · case rate · outpatient | 1 | $14,666 | $14,666 – $14,666 |
| 25 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT professional · fee schedule · outpatient | 1 | $817.22 | $269.60 – $1,365 |
← Payers reporting CPT 43644 · Snapshot 20261108T203506Z-bb90dbab