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
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only
LOXAHATCHEE, FL
See all hospitals reporting CPT 43772 →Price type
Hca Florida Palms West Hospital’s median price of $13.1k is 203% above the median hospital's median price ($4.3k), higher than 94% of the 1,548 hospitals reporting CPT 43772. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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 | Molina mcr case rate · outpatient | $1,950 | $1,950 | $1,950 – $1,950 |
| 2 | Molina hix case rate · outpatient | $2,702 | $2,702 | $2,702 – $2,702 |
| 3 | Medica mcr case rate · outpatient | $2,750 | $2,750 | $2,750 – $2,750 |
| 4 | Aetna qhp case rate · outpatient | $9,382 | $9,382 | $9,382 – $9,382 |
| 5 | Aetna hmo case rate · outpatient | $11,456 | $11,456 | $11,456 – $11,456 |
| 6 | Oscar hix case rate · outpatient | $12,266 | $12,266 | $12,266 – $12,266 |
| 7 | Amerihealth Caritas hix case rate · outpatient | $13,128 | $13,128 | $13,128 – $13,128 |
| 8 | Aetna ppo case rate · outpatient | $13,140 | $13,140 | $13,140 – $13,140 |
| 9 | Blue Cross Blue Shield mbn case rate · outpatient | $13,571 | $13,571 | $13,571 – $13,571 |
| 10 | Blue Cross Blue Shield hmo case rate · outpatient | $16,818 | $16,818 | $16,818 – $16,818 |
| 11 | Blue Cross Blue Shield sbn case rate · outpatient | $16,818 | $16,818 | $16,818 – $16,818 |
| 12 | Blue Cross Blue Shield nwb case rate · outpatient | $17,625 | $17,625 | $17,625 – $17,625 |
| 13 | Blue Cross Blue Shield ppo case rate · outpatient | $17,625 | $17,625 | $17,625 – $17,625 |
| 14 | Blue Cross Blue Shield bslnon-par case rate · outpatient | $18,507 | $18,507 | $18,507 – $18,507 |
| 15 | Blue Cross Blue Shield phs case rate · outpatient | $18,507 | $18,507 | $18,507 – $18,507 |
| 16 | Humana hmo case rate · outpatient | $26,749 | $26,749 | $26,749 – $26,749 |
| 17 | Humana ppo case rate · outpatient | $26,749 | $26,749 | $26,749 – $26,749 |
| 18 | UnitedHealthcare allpayerappendix case rate · outpatient | $30,000 | $30,000 | $30,000 – $30,000 |
| 19 | Cigna hmo case rate · outpatient | $38,794 | $38,794 | $38,794 – $38,794 |
| 20 | Cigna ppo case rate · outpatient | $38,794 | $38,794 | $38,794 – $38,794 |
Last updated: Mar 1, 2026
See Laparoscopic removal of adjustable gastric band component pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.