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
PR Gastrectomy Partial Distal With Gastroduodenostomy|ASSISTANT AT SURGERY SERVICE
Silver Spring, MD
See all hospitals reporting CPT 43631 →Price type
Holy Cross Hospital-Silver Spring’s median price of $514 is 85% below the median hospital's median price ($3.3k), higher than 1% of the 1,322 hospitals reporting CPT 43631. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 34 payers, 41 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 | Aetna aetna medicare advantage professional · fee schedule · inpatient | $351 | $351 | $267 | 76% | — | $84 – $618 |
| 2 | Humana tricare professional · fee schedule · inpatient | $365 | $365 | $278 | 76% | — | $87 – $643 |
| 3 | Tricare tricare professional · fee schedule · inpatient | $365 | $365 | $278 | 76% | — | $87 – $643 |
| 4 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $422 | $422 | $305 | 72% | — | $116 – $727 |
| 5 | Humana tricare professional · fee schedule · outpatient | $439 | $439 | $318 | 72% | — | $121 – $756 |
| 6 | Tricare tricare professional · fee schedule · outpatient | $439 | $439 | $318 | 72% | — | $121 – $756 |
| 7 | Aetna aetna professional · fee schedule · inpatient | $524 | $524 | $399 | 76% | — | $126 – $923 |
| 8 | Aetna aetna professional · fee schedule · outpatient | $630 | $630 | $456 | 72% | — | $174 – $1.1k |
| 9 | Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 10 | Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 11 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 12 | Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 13 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 14 | Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 15 | Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 16 | Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 17 | Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 18 | Devoted pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 19 | Excellus pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 20 | First Health pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 21 | Highmark pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 22 | Humana pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 23 | Kaiser pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 24 | Magellan pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
| 25 | Medcost pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.3k | 72% | — | $514 – $3.2k |
Last updated: Mar 31, 2026
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