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
RPL GASTRO TUBE WO IM W /REV
Carmel, IN
See all hospitals reporting CPT 43763 →Price type
Carmel AmbSurg’s median price of $126 is 70% below the median hospital's median price ($421), higher than 4% of the 1,932 hospitals reporting CPT 43763. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both | $23 | $71 | $68 | 95% | — | $23 – $167 |
| 2 | Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 3 | Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 4 | Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 5 | Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 6 | Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 7 | Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 8 | Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 9 | Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 10 | UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both | $95 | $95 | $72 | 75% | — | $23 – $167 |
| 11 | Aetna 8946_aetna medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 12 | Aetna 8955_aetna choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 13 | Ambetter 9036_mhs cenpatico ambetter medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 14 | Anthem 8964_anthem medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 15 | Caresource 8973_caresource hmo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 16 | Caresource 9054_caresource marketplace medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 17 | Humana 8982_humana ppo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 18 | Humana 8991_humana choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 19 | Humana 9000_humana gold choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 20 | UnitedHealthcare 9009_united healthcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 21 | WellCare 9018_wellcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 22 | UnitedHealthcare 6790_united healthcare new business outpatient asin 20230101 fee schedule · outpatient | $130 | $130 | $98 | 75% | — | $32 – $228 |
| 23 | Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 other · outpatient | $443 | $443 | — | — | — | $443 – $443 |
| 24 | Anthem 7373_anthem medicaid replacement outpatient 20230101 other · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 25 | Anthem 8255_anthem connect medicaid replacement outpatient 20240101 other · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Jan 1, 2026
See Gastrostomy tube replacement pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.