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 Superior Healthplan 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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37 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Granbury Hospital Corporation Granbury, TX facility · other · outpatient | 2 | $30,629 | $30,629 – $30,629 |
| 2 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 3 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 4 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 5 | HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 6 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 7 | HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 8 | HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 9 | HCA HOUSTON HEALTHCARE TOMBALL Tomball, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 10 | HCA HOUSTON HEALTHCARE WEST STAFFORD, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 11 | HCA HOUSTON MAINLAND Texas City, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 12 | HCA Houston Healthcare North Cypress CYPRESS, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 13 | HCA Houston Rehabilitation Hospital Southeast Pasadena, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 14 | HEART HOSP OF AUSTIN Austin, TX case rate · outpatient | 4 | $929.00 | $929.00 – $929.00 |
| 15 | HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX case rate · outpatient | 4 | $929.00 | $929.00 – $929.00 |
| 16 | Laredo Texas Hospital Company LP Laredo, TX facility · other · outpatient | 2 | $10,531 | $10,365 – $10,698 |
| 17 | MED CITY HEART HOSPITAL Dallas, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 18 | MED CITY SPINE HOSPITAL DALLAS, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 19 | MEDICAL CITY ARLINGTON GRAND PRAIRIE, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 20 | MEDICAL CITY DALLAS GARLAND, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 21 | MEDICAL CITY DECATUR DECATUR, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 22 | MEDICAL CITY DENTON Denton, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 23 | MEDICAL CITY LAS COLINAS Irving, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 24 | MEDICAL CITY MCKINNEY MCKINNEY, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
| 25 | MEDICAL CITY NORTH HILLS North Richland Hills, TX case rate · outpatient | 5 | $948.00 | $948.00 – $948.00 |
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