Open gastrostomy tube placement for newborn feeding at Saint Thomas West Hospital

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

GASTROSTOMY OPEN NEONATAL

Nashville, TN

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Pricing by billing methodology

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How this price compares nationally

Saint Thomas West Hospital’s median price of $898 is 25% below the median hospital's median price ($1.2k), higher than 19% of the 1,462 hospitals reporting CPT 43831. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43831 at Saint Thomas West Hospital

Negotiated rates from the hospital’s own file: 10 payers, 22 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	Tricare 1319_tricare ip 20251001 other · inpatient	$861.98	$861.98	$861.98 – $861.98
2	Tricare 291_tricare op 20160101 other · outpatient	$861.98	$861.98	$861.98 – $861.98
3	Clover 1225_medicare advantage clover outpatient 20250101 other · outpatient	$897.90	$897.90	$897.90 – $897.90
4	Clover 1331_medicare advantage clover inpatient 20251001 other · inpatient	$897.90	$897.90	$897.90 – $897.90
5	Humana 1227_medicare advantage humana outpatient 20250101 other · outpatient	$897.90	$897.90	$897.90 – $897.90
6	Humana 1329_medicare advantage humana inpatient 20251001 other · inpatient	$897.90	$897.90	$897.90 – $897.90
7	Optum 1215_medicare advantage optum va outpatient 20250101 other · outpatient	$897.90	$897.90	$897.90 – $897.90
8	Optum 1338_medicare advantage optum va inpatient 20251001 other · inpatient	$897.90	$897.90	$897.90 – $897.90
9	UnitedHealthcare 1230_medicare advantage united health care outpatient 20250101 other · outpatient	$897.90	$897.90	$897.90 – $897.90
10	UnitedHealthcare 1324_uhc medicare inpatient 20251001 other · inpatient	$897.90	$897.90	$897.90 – $897.90
11	Aetna 1231_medicare aetna outpatient 20250101 other · outpatient	$915.86	$915.86	$915.86 – $915.86
12	Aetna 1326_medicare aetna inpatient 20251001 other · inpatient	$915.86	$915.86	$915.86 – $915.86
13	Blue Cross Blue Shield 1222_medicare advantage blue cross blue shield bluecare plus outpatient 20250101 other · outpatient	$933.82	$933.82	$933.82 – $933.82
14	Blue Cross Blue Shield 1333_medicare advantage blue cross blue shield bluecare plus inpatient 20251001 other · inpatient	$933.82	$933.82	$933.82 – $933.82
15	Blue Cross Blue Shield 1223_medicare advantage blue cross blue shield outpatient 20250101 other · outpatient	$942.80	$942.80	$942.80 – $942.80
16	Blue Cross Blue Shield 1340_medicare advantage blue cross blue shield inpatient 20251001 other · inpatient	$942.80	$942.80	$942.80 – $942.80
17	Ambetter 1212_ambetter of tn outpatient 20250101 other · outpatient	$1,167	$1,167	$1,167 – $1,167
18	Ambetter 1337_ambetter of tn inpatient 20251001 other · inpatient	$1,167	$1,167	$1,167 – $1,167
19	Oscar 1213_bhtn oscar health outpatient 20250101 other · outpatient	$1,257	$1,257	$1,257 – $1,257
20	Cigna 1315_bhtn cigna localplus 20250601 fee schedule · outpatient	$2,800	$2,800	$2,800 – $2,800
21	Cigna 1314_bhtn cigna hmo 20250601 fee schedule · outpatient	$3,083	$3,083	$3,083 – $3,083
22	Cigna 1314_bhtn cigna hmo 20250601 fee schedule · both	$6,165	$6,165	$6,165 – $6,165

Last updated: Jan 1, 2026

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