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 Lap Surg Gstr Restrictive Proc Rem of Adjst Gstr Dev & Subq Port Compon
Silver Spring, MD
See all hospitals reporting CPT 43774 →Price type
Holy Cross Hospital-Silver Spring’s median price of $2.1k is 52% below the median hospital's median price ($4.4k), higher than 16% of the 1,704 hospitals reporting CPT 43774. 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, 45 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 | $236 | $236 | $179 | 76% | — | $56 – $415 |
| 2 | Humana tricare professional · fee schedule · inpatient | $243 | $243 | $185 | 76% | — | $58 – $428 |
| 3 | Tricare tricare professional · fee schedule · inpatient | $243 | $243 | $185 | 76% | — | $58 – $428 |
| 4 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $283 | $283 | $205 | 72% | — | $78 – $488 |
| 5 | Humana tricare professional · fee schedule · outpatient | $292 | $292 | $212 | 72% | — | $81 – $504 |
| 6 | Tricare tricare professional · fee schedule · outpatient | $292 | $292 | $212 | 72% | — | $81 – $504 |
| 7 | Aetna aetna professional · fee schedule · inpatient | $349 | $349 | $266 | 76% | — | $84 – $615 |
| 8 | Aetna aetna professional · fee schedule · outpatient | $420 | $420 | $304 | 72% | — | $116 – $724 |
| 9 | Aetna aetna medicare advantage professional · fee schedule · both | $488 | $488 | — | — | — | $488 – $488 |
| 10 | Humana tricare professional · fee schedule · both | $504 | $504 | — | — | — | $504 – $504 |
| 11 | Tricare tricare professional · fee schedule · both | $504 | $504 | — | — | — | $504 – $504 |
| 12 | Aetna aetna professional · fee schedule · both | $724 | $724 | — | — | — | $724 – $724 |
| 13 | Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $2.1k | $1.5k | $832 | 55% | — | $336 – $2.1k |
| 14 | Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $2.1k | $1.5k | $832 | 55% | — | $336 – $2.1k |
| 15 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $2.1k | $1.5k | $832 | 55% | — | $336 – $2.1k |
| 16 | Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $2.1k | $1.5k | $832 | 55% | — | $336 – $2.1k |
| 17 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $2.1k | $1.5k | $832 | 55% | — | $336 – $2.1k |
| 18 | Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $2.1k | $1.5k | $832 | 55% | — | $336 – $2.1k |
| 19 | Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $2.1k | $1.5k | $832 | 55% | — | $336 – $2.1k |
| 20 | Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $2.1k | $1.5k | $832 | 55% | — | $336 – $2.1k |
| 21 | Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $2.1k | $1.5k | $832 | 55% | — | $336 – $2.1k |
| 22 | Devoted pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $2.1k | $1.5k | $832 | 55% | — | $336 – $2.1k |
| 23 | Excellus pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $2.1k | $1.5k | $832 | 55% | — | $336 – $2.1k |
| 24 | First Health pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $2.1k | $1.5k | $832 | 55% | — | $336 – $2.1k |
| 25 | Highmark pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $2.1k | $1.5k | $832 | 55% | — | $336 – $2.1k |
Last updated: Mar 31, 2026
See Removal of adjustable gastric band and port pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.