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
Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy
Utica, NY
See all hospitals reporting CPT 43775 →Price type
MVHS, Inc.’s median price of $173 is 97% below the median hospital's median price ($5.9k), higher than 1% of the 1,561 hospitals reporting CPT 43775. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 15 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 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 2 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $357 | $357 | — | — | — | $357 – $357 |
| 3 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $651 | $651 | — | — | — | $651 – $651 |
| 4 | Excellus excellus bcbs medicare advantage fee schedule · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 5 | Humana humana medicare advantage fee schedule · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 6 | Medicare medicare fee schedule · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 7 | Optum vaccn optum fee schedule · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 8 | UnitedHealthcare uhc medicare advantage fee schedule · outpatient | $949 | $949 | — | — | — | $949 – $949 |
| 9 | Aetna aetna medicare advantage fee schedule · outpatient | $959 | $959 | — | — | — | $959 – $959 |
| 10 | WellCare wellcare medicare advantage fee schedule · outpatient | $968 | $968 | — | — | — | $968 – $968 |
| 11 | Humana humana military fee schedule · outpatient | $988 | $988 | — | — | — | $988 – $988 |
| 12 | Tricare humana military fee schedule · outpatient | $988 | $988 | — | — | — | $988 – $988 |
| 13 | WellCare hb mvhs wellcare medicaid case rate · outpatient | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 14 | UnitedHealthcare uhc commercial fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 15 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges | $18.3k | $18.3k | — | — | 1–10 | $18.3k – $18.3k |
Last updated: Aug 7, 2026
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