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
LAP RMVL GASTR ADJ DEVICE
Livingston, TX
See all hospitals reporting CPT 43772 →Price type
Memorial Hospital Of Polk County’s median price of $4.0k is 8% below the median hospital's median price ($4.3k), higher than 40% 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: 6 payers, 11 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 | Blue Cross Blue Shield commercial|blue advantage hmo case rate · outpatient | $1,979 | $1,979 | $1,979 – $1,979 |
| 2 | Cigna commercial|all plans case rate · outpatient | $3,326 | $3,326 | $3,326 – $3,326 |
| 3 | Aetna medicare|all plans case rate · outpatient | $3,811 | $3,811 | $3,811 – $3,811 |
| 4 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $3,811 | $3,811 | $3,811 – $3,811 |
| 5 | Cigna Healthspring medicare|all other plans case rate · outpatient | $3,811 | $3,811 | $3,811 – $3,811 |
| 6 | Humana medicare|all plans case rate · outpatient | $3,811 | $3,811 | $3,811 – $3,811 |
| 7 | UnitedHealthcare medicare|all plans case rate · outpatient | $3,811 | $3,811 | $3,811 – $3,811 |
| 8 | Cigna Healthspring medicare|ppo case rate · outpatient | $3,849 | $3,849 | $3,849 – $3,849 |
| 9 | Blue Cross Blue Shield commercial|blue premier case rate · outpatient | $4,409 | $4,409 | $4,409 – $4,409 |
| 10 | Blue Cross Blue Shield commercial|hmo case rate · outpatient | $4,499 | $4,499 | $4,499 – $4,499 |
| 11 | Blue Cross Blue Shield commercial|ppo case rate · outpatient | $4,948 | $4,948 | $4,948 – $4,948 |
Last updated: Feb 28, 2026
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