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
HC REPLC GASTROSTOMY TUBE, INCL REM, W/O IMG GUID, W REV GASTROST TRACT
Low
$1
Average
$550
Median
$266
High
$8.2k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
655 hospitals; the 90th percentile is 15.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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907 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $299 | $299 | $108 | 36% | 1–10 | $191 – $408 |
| 2 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $102 | $102 | $49 | 48% | 1–10 | $53 – $151 |
| 3 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $388 | $388 | — | — | 1–10 | $388 – $388 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 6 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $255 | $255 | — | — | — | $255 – $255 |
| 7 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $264 | $264 | — | — | — | $264 – $264 |
| 8 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 9 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 10 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $383 | $383 | $0 | 0% | — | $383 – $384 |
| 11 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $288 | $298 | $37 | 12% | — | $264 – $352 |
| 12 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $523 | $523 | — | — | — | $523 – $523 |
| 13 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $364 | $364 | $125 | 34% | — | $239 – $489 |
| 14 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 15 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 16 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 17 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 18 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 19 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 20 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 21 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 22 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 23 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 24 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 25 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $185 | $185 | — | — | — | $185 – $185 |
← Payers reporting CPT 43763 · Snapshot 20261112T181611Z-3fa9fb76