Repair of stomach or duodenal perforation at Mount Carmel East

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 Gastrorrhaphy Suture Perforated Duodenal or Gastric Ulcer/Wound/ Injury|ASSISTANT SURGEON

Columbus, OH

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How this price compares nationally

Mount Carmel East’s median price of $543 is 87% below the median hospital's median price ($4.1k), higher than 2% of the 1,511 hospitals reporting CPT 43840. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43840 at Mount Carmel East

Negotiated rates from the hospital’s own file: 32 payers, 82 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 professional · fee schedule · inpatient	$163	$163	—	—	—	$163 – $163
2	Aetna aetna professional · fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
3	Aetna aetna medicare advantage professional · fee schedule · inpatient	$98	$268	$242	90%	—	$98 – $610
4	Aetna aetna medicare advantage professional · fee schedule · outpatient	$98	$268	$242	90%	—	$98 – $610
5	Highmark medicare professional · fee schedule · inpatient	$98	$268	$242	90%	—	$98 – $610
6	Highmark medicare professional · fee schedule · outpatient	$98	$268	$242	90%	—	$98 – $610
7	Oscar medicare professional · fee schedule · inpatient	$98	$268	$242	90%	—	$98 – $610
8	Oscar medicare professional · fee schedule · outpatient	$98	$268	$242	90%	—	$98 – $610
9	Humana tricare professional · fee schedule · inpatient	$104	$285	$257	90%	—	$104 – $649
10	Humana tricare professional · fee schedule · outpatient	$104	$285	$257	90%	—	$104 – $649
11	Tricare tricare professional · fee schedule · inpatient	$104	$285	$257	90%	—	$104 – $649
12	Tricare tricare professional · fee schedule · outpatient	$104	$285	$257	90%	—	$104 – $649
13	Oscar oscar professional · fee schedule · outpatient	$124	$342	$308	90%	—	$124 – $778
14	Humana choicecare humana ppo professional · fee schedule · inpatient	$131	$361	$325	90%	—	$131 – $822
15	Humana choicecare humana ppo professional · fee schedule · outpatient	$131	$361	$325	90%	—	$131 – $822
16	Phcs multiplan phcs professional · fee schedule · inpatient	$134	$370	$333	90%	—	$134 – $840
17	Phcs multiplan phcs professional · fee schedule · outpatient	$134	$370	$333	90%	—	$134 – $840
18	Oscar oscar professional · fee schedule · inpatient	$124	$373	$352	94%	—	$124 – $871
19	Humana humana professional · fee schedule · inpatient	$153	$420	$378	90%	—	$153 – $955
20	Humana humana professional · fee schedule · outpatient	$153	$420	$378	90%	—	$153 – $955
21	UnitedHealthcare united healthcare professional · fee schedule · inpatient	$194	$534	$481	90%	—	$194 – $1.2k
22	UnitedHealthcare united healthcare professional · fee schedule · outpatient	$194	$534	$481	90%	—	$194 – $1.2k
23	Cigna cigna professional · fee schedule · inpatient	$226	$621	$559	90%	—	$226 – $1.4k
24	Cigna cigna professional · fee schedule · outpatient	$226	$621	$559	90%	—	$226 – $1.4k
25	Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$473	$1.4k	$1.2k	92%	—	$473 – $3.1k

Page 1 of 4 · 82 rates

Last updated: Mar 31, 2026

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