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 Roux-en-Y Reconstruction
Silver Spring, MD
See all hospitals reporting CPT 43633 →Price type
Holy Cross Hospital-Silver Spring’s median price of $705 is 80% below the median hospital's median price ($3.6k), higher than 1% of the 1,323 hospitals reporting CPT 43633. 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, 70 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 | Humana tricare professional · fee schedule · inpatient | $483 | $483 | $367 | 76% | — | $116 – $850 |
| 2 | Tricare tricare professional · fee schedule · inpatient | $483 | $483 | $367 | 76% | — | $116 – $850 |
| 3 | Humana tricare professional · fee schedule · outpatient | $580 | $580 | $420 | 72% | — | $160 – $999 |
| 4 | Tricare tricare professional · fee schedule · outpatient | $580 | $580 | $420 | 72% | — | $160 – $999 |
| 5 | Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 6 | Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 7 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 8 | Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 9 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 10 | Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 11 | Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 12 | Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 13 | Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 14 | Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 15 | Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 16 | First Health pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 17 | Highmark pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 18 | Humana pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 19 | Kaiser pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 20 | Magellan pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 21 | Medcost pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 22 | Medica pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 23 | Medicaid pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 24 | Medical Mutual pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
| 25 | Medicare pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.7k | 72% | — | $666 – $4.2k |
Last updated: Mar 31, 2026
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