Gastrostomy tube replacement

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC REPLC GASTROSTOMY TUBE, INCL REM, W/O IMG GUID, W REV GASTROST TRACT

Payers reporting CPT 43763

Payer pricing summary

Low

$108

Average

$850

Median

$610

High

$5.3k

Payer rate distribution

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#
1	Anthem fee schedule · outpatient · +28 other terms	129	$332	$351	$589	168%	2–20	$57 – $6.3k
2	Molina fee schedule · outpatient · +31 other terms	225	$248	$224	$164	73%	1–10	$1 – $1.6k
3	UnitedHealthcare fee schedule · outpatient · +36 other terms	550	$272	$666	$1.1k	171%	—	$1 – $10.5k
4	Aetna fee schedule · outpatient · +35 other terms	482	$282	$1.1k	$2.0k	193%	—	$1 – $21.3k
5	Blue Cross Blue Shield fee schedule · outpatient · +36 other terms	378	$483	$948	$1.7k	178%	—	$1 – $18.0k
6	Humana fee schedule · outpatient · +31 other terms	363	$243	$371	$649	175%	—	$1 – $4.4k
7	Cigna case rate · outpatient · +31 other terms	314	$3.0k	$4.9k	$6.2k	126%	—	$1 – $40.7k
8	WellCare fee schedule · outpatient · +22 other terms	163	$259	$338	$524	155%	—	$95 – $4.3k
9	Kaiser fee schedule · outpatient · +23 other terms	107	$363	$472	$582	123%	—	$35 – $4.3k
10	Ambetter facility · fee schedule · outpatient · +17 other terms	92	$453	$580	$974	168%	—	$106 – $8.2k
11	MultiPlan fee schedule · outpatient · +21 other terms	81	$631	$526	$329	63%	—	$60 – $2.1k
12	Aetna Better Health fee schedule · outpatient · +21 other terms	77	$139	$152	$56	37%	—	$66 – $489
13	Devoted facility · fee schedule · outpatient · +15 other terms	67	$236	$360	$722	201%	—	$79 – $4.9k
14	Oscar case rate · outpatient · +21 other terms	65	$3.6k	$4.6k	$1.7k	38%	—	$380 – $7.3k
15	Caresource fee schedule · outpatient · +17 other terms	62	$264	$442	$626	142%	—	$1 – $4.3k
16	Optum fee schedule · outpatient · +25 other terms	56	$227	$263	$159	61%	—	$84 – $922
17	First Health fee schedule · outpatient · +23 other terms	50	$391	$933	$1.8k	195%	—	$99 – $7.2k
18	Highmark facility · fee schedule · outpatient · +17 other terms	50	$405	$477	$380	80%	—	$72 – $1.8k
19	Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms	41	$95	$399	$1.2k	313%	—	$75 – $9.5k
20	Tricare fee schedule · outpatient · +20 other terms	40	$250	$667	$1.3k	200%	—	$223 – $5.1k
21	Healthcare Highways case rate · outpatient · +4 other terms	39	$5.8k	$6.6k	$5.1k	77%	—	$2.1k – $14.6k
22	Superior Healthplan case rate · outpatient · +6 other terms	38	$948	$934	$80	9%	—	$365 – $948
23	Medica fee schedule · outpatient · +21 other terms	34	$251	$294	$190	64%	—	$75 – $731
24	Cigna Healthspring fee schedule · outpatient · +9 other terms	32	$231	$206	$61	29%	—	$116 – $266
25	Clover fee schedule · outpatient · +10 other terms	32	$272	$722	$1.2k	172%	—	$226 – $4.4k

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