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 ADJ GASTRICBAND VIA SUBPORT
Low
$55
Average
$1.2k
Median
$86
High
$5.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 87.9× 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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28 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 5 | Boston Medical Center Boston, MA other · both | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 7 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $289 | $328 | $56 | 17% | — | $289 – $407 |
| 8 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 9 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 10 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $105 | $105 | $31 | 29% | — | $75 – $136 |
| 11 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 5 | $59 | $59 | — | — | — | $59 – $59 |
| 12 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 13 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 14 | IOM Health System LP Fort Wayne, IN facility · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 15 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 16 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 17 | Monument Health Rapid City Hospital Inc City, SD fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 18 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 19 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 20 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 21 | Nationwide Children's Hospital Columbus, OH professional · fee schedule · outpatient | 1 | $428 | $428 | — | — | — | $428 – $428 |
| 22 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 23 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 24 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 25 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
← Payers reporting HCPCS S2083 · Snapshot 20261111T120946Z-9134e7f7