Stomach incision for exploration or foreign body removal at Mayo Clinic

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR GASTROTOMY W EXPLR/RMVL FB

Rochester, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Mayo Clinic’s median price of $4.4k is 67% above the median hospital's median price ($2.6k), higher than 63% of the 1,297 hospitals reporting CPT 43500. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43500 at Mayo Clinic

Negotiated rates from the hospital’s own file: 16 payers, 54 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	Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient	$278	$278	—	—	—	$278 – $278
2	Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient	$300	$300	—	—	—	$300 – $300
3	Optum veteran affairs optum [1054] professional · fee schedule · outpatient	$341	$341	—	—	—	$341 – $341
4	Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient	$348	$348	—	—	—	$348 – $348
5	Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient	$348	$348	—	—	—	$348 – $348
6	Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient	$351	$351	—	—	—	$351 – $351
7	Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient	$358	$358	—	—	—	$358 – $358
8	Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient	$358	$358	—	—	—	$358 – $358
9	Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient	$365	$365	—	—	—	$365 – $365
10	Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient	$392	$392	—	—	—	$392 – $392
11	Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient	$392	$392	—	—	—	$392 – $392
12	Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient	$512	$512	—	—	—	$512 – $512
13	Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient	$682	$682	—	—	—	$682 – $682
14	Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges	$4.1k	$4.1k	—	—	—	$4.1k – $4.1k
15	Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges	$4.1k	$4.1k	—	—	—	$4.1k – $4.1k
16	Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges	$4.1k	$4.1k	—	—	—	$4.1k – $4.1k
17	Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges	$4.2k	$4.2k	—	—	—	$4.2k – $4.2k
18	Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges	$4.2k	$4.2k	—	—	—	$4.2k – $4.2k
19	Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges	$4.2k	$4.2k	—	—	—	$4.2k – $4.2k
20	Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges	$4.2k	$4.2k	—	—	—	$4.2k – $4.2k
21	Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges	$4.2k	$4.2k	—	—	—	$4.2k – $4.2k
22	Medica deanhp by medica west mc hmo [1263] professional · percent of total billed charges · outpatientfrom % of charges	$4.2k	$4.2k	—	—	—	$4.2k – $4.2k
23	Medica medica engage [666] professional · percent of total billed charges · outpatientfrom % of charges	$4.2k	$4.2k	—	—	—	$4.2k – $4.2k
24	Medica medica ifb midlands choice ia and ne [48] professional · percent of total billed charges · outpatientfrom % of charges	$4.2k	$4.2k	—	—	—	$4.2k – $4.2k
25	Medica medica non mayo employees group [755] professional · percent of total billed charges · outpatientfrom % of charges	$4.2k	$4.2k	—	—	—	$4.2k – $4.2k

Page 1 of 3 · 54 rates

Last updated: Aug 14, 2026

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