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
Dulles, VA
See all hospitals reporting CPT 43772 →Price type
Stonesprings Hospital Center’s median price of $8.9k is 104% above the median hospital's median price ($4.3k), higher than 86% 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: 5 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 | Carefirst hmo case rate · outpatient | $7,126 | $7,126 | $7,126 – $7,126 |
| 2 | Carefirst rpn case rate · outpatient | $7,126 | $7,126 | $7,126 – $7,126 |
| 3 | Anthem hix case rate · outpatient | $8,213 | $8,213 | $8,213 – $8,213 |
| 4 | Anthem hpn case rate · outpatient | $8,297 | $8,297 | $8,297 – $8,297 |
| 5 | Cigna ifp case rate · outpatient | $8,856 | $8,856 | $8,856 – $8,856 |
| 6 | Anthem hmo case rate · outpatient | $8,899 | $8,899 | $8,899 – $8,899 |
| 7 | Anthem ppo case rate · outpatient | $8,899 | $8,899 | $8,899 – $8,899 |
| 8 | Aetna broad case rate · outpatient | $8,900 | $8,900 | $8,900 – $8,900 |
| 9 | Cigna hmo case rate · outpatient | $14,285 | $14,285 | $14,285 – $14,285 |
| 10 | Cigna ppo case rate · outpatient | $14,285 | $14,285 | $14,285 – $14,285 |
| 11 | UnitedHealthcare allpayerappendix case rate · outpatient | $18,962 | $18,962 | $18,962 – $18,962 |
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.