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
DALLAS, TX
See all hospitals reporting CPT 43772 →Price type
Med City Spine Hospital’s median price of $7.1k is 63% above the median hospital's median price ($4.3k), higher than 75% 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: 8 payers, 29 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 | Superior Healthplan chip case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 2 | Superior Healthplan mcdstar case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 3 | Superior Healthplan starhealth case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 4 | Superior Healthplan starkids case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 5 | Superior Healthplan starplus case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 6 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $3,899 | $3,899 | $3,899 – $3,899 |
| 7 | Aetna qhphix case rate · outpatient | $4,845 | $4,845 | $4,845 – $4,845 |
| 8 | Healthcare Highways narrownetwork case rate · outpatient | $5,264 | $5,264 | $5,264 – $5,264 |
| 9 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $5,938 | $5,938 | $5,938 – $5,938 |
| 10 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $5,938 | $5,938 | $5,938 – $5,938 |
| 11 | Aetna newbusiness case rate · outpatient | $6,639 | $6,639 | $6,639 – $6,639 |
| 12 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $6,748 | $6,748 | $6,748 – $6,748 |
| 13 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $6,748 | $6,748 | $6,748 – $6,748 |
| 14 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $7,078 | $7,078 | $7,078 – $7,078 |
| 15 | Aetna comm case rate · outpatient | $7,094 | $7,094 | $7,094 – $7,094 |
| 16 | Aetna meritain case rate · outpatient | $7,094 | $7,094 | $7,094 – $7,094 |
| 17 | Humana comm case rate · outpatient | $7,113 | $7,113 | $7,113 – $7,113 |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $7,408 | $7,408 | $7,408 – $7,408 |
| 19 | Aetna oon case rate · outpatient | $8,345 | $8,345 | $8,345 – $8,345 |
| 20 | Oscar hix case rate · outpatient | $12,488 | $12,488 | $12,488 – $12,488 |
| 21 | UnitedHealthcare narrownetworkindivexchange case rate · outpatient | $19,689 | $19,689 | $19,689 – $19,689 |
| 22 | Cigna localplus case rate · outpatient | $22,823 | $22,823 | $22,823 – $22,823 |
| 23 | Cigna newbusiness case rate · outpatient | $22,845 | $22,845 | $22,845 – $22,845 |
| 24 | UnitedHealthcare smallgroup case rate · outpatient | $25,186 | $25,186 | $25,186 – $25,186 |
| 25 | Cigna hmo case rate · outpatient | $25,500 | $25,500 | $25,500 – $25,500 |
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.