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 Impltj/Rplcmt Gastric Nstim Eltrd Antrum
The hospitals that file a Tricare 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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64 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $11,335 | $11,335 – $11,335 |
| 2 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50,000 | $50,000 – $50,000 |
| 3 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $5,067 | $5,067 – $5,067 |
| 4 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $5,067 | $5,067 – $5,067 |
| 5 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $5,067 | $5,067 – $5,067 |
| 6 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $5,067 | $5,067 – $5,067 |
| 7 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $5,067 | $5,067 – $5,067 |
| 8 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $5,067 | $5,067 – $5,067 |
| 9 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $5,067 | $5,067 – $5,067 |
| 10 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $5,067 | $5,067 – $5,067 |
| 11 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $5,067 | $5,067 – $5,067 |
| 12 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS fee schedule · both | 1 | $6,792 | $6,792 – $6,792 |
| 13 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $12,288 | $12,288 – $12,288 |
| 14 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $50,000 | $50,000 – $50,000 |
| 15 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $11,997 | $11,997 – $11,997 |
| 16 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $10,827 | $10,827 – $10,827 |
| 17 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $10,827 | $10,827 – $10,827 |
| 18 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $11,997 | $11,997 – $11,997 |
| 19 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $11,466 | $11,466 – $11,466 |
| 20 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $10,109 | $10,109 – $10,109 |
| 21 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $10,109 | $10,109 – $10,109 |
| 22 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 5 | $12,979 | $12,979 – $12,979 |
| 23 | Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient | 1 | $50,000 | $50,000 – $50,000 |
| 24 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient | 1 | $7,683 | $4,489 – $10,877 |
| 25 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA other · outpatient | 1 | $10,877 | $10,877 – $10,877 |
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