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 GASTRIC RESTRICTIVE PX REMOVE DEVICE
Dallas, TX
See all hospitals reporting CPT 43772 →Price type
The University of Texas Southwestern Medical Center at Dallas’s median price of $2.9k is 34% below the median hospital's median price ($4.3k), higher than 18% 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: 10 payers, 30 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 | Molina managed medicaid fee schedule · both | $763.69 | $763.69 | $763.69 – $763.69 |
| 2 | UnitedHealthcare managed medicaid fee schedule · both | $763.69 | $763.69 | $763.69 – $763.69 |
| 3 | Aetna Better Health managed medicaid fee schedule · both | $878.24 | $878.24 | $878.24 – $878.24 |
| 4 | Ambetter commercial fee schedule · both | $942.42 | $942.42 | $942.42 – $942.42 |
| 5 | Blue Cross Blue Shield medicare advantage fee schedule · both | $968.51 | $968.51 | $968.51 – $968.51 |
| 6 | Humana medicare advantage fee schedule · both | $968.51 | $968.51 | $968.51 – $968.51 |
| 7 | UnitedHealthcare medicare advantage ppo fee schedule · both | $976.80 | $976.80 | $976.80 – $976.80 |
| 8 | UnitedHealthcare medicare advantage hmo fee schedule · both | $1,070 | $1,070 | $1,070 – $1,070 |
| 9 | Molina medicare advantage fee schedule · both | $1,079 | $1,079 | $1,079 – $1,079 |
| 10 | Blue Cross Blue Shield traditional fee schedule · both | $1,550 | $1,550 | $1,550 – $1,550 |
| 11 | Blue Cross Blue Shield mybluehealth fee schedule · both | $1,596 | $1,596 | $1,596 – $1,596 |
| 12 | Blue Cross Blue Shield hmo fee schedule · both | $2,210 | $2,210 | $2,210 – $2,210 |
| 13 | Blue Cross Blue Shield ppo fee schedule · both | $2,226 | $2,226 | $2,226 – $2,226 |
| 14 | UnitedHealthcare commercial fee schedule · both | $2,763 | $2,763 | $2,763 – $2,763 |
| 15 | Cigna hmo-ppo fee schedule · both | $2,908 | $2,908 | $2,908 – $2,908 |
| 16 | Phcs commercial fee schedule · both | $2,948 | $2,948 | $2,948 – $2,948 |
| 17 | Aetna hmo/pos/epo/ppo fee schedule · both | $3,525 | $3,525 | $3,525 – $3,525 |
| 18 | Aetna whole health fee schedule · both | $3,525 | $3,525 | $3,525 – $3,525 |
| 19 | MultiPlan commercial percent of total billed charges · bothfrom % of charges | $3,707 | $3,707 | $3,707 – $3,707 |
| 20 | Humana medicare advantage fee schedule · outpatient | $3,957 | $3,957 | $3,957 – $3,957 |
| 21 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $3,995 | $3,995 | $3,995 – $3,995 |
| 22 | Molina medicare advantage fee schedule · outpatient | $3,995 | $3,995 | $3,995 – $3,995 |
| 23 | UnitedHealthcare medicare advantage ppo fee schedule · outpatient | $4,223 | $4,223 | $4,223 – $4,223 |
| 24 | UnitedHealthcare medicare advantage hmo fee schedule · outpatient | $4,299 | $4,299 | $4,299 – $4,299 |
| 25 | Blue Cross Blue Shield mybluehealth case rate · outpatient | $10,822 | $10,822 | $10,822 – $10,822 |
Last updated: Mar 10, 2026
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