Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (CPT 43772)
43772 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
90 of 2110 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $3,322.84 | 0.0× |
| Unity Health - White County Medical Center | Searcy, AR | $480.50 | $1,922 | $3,510.50 | 0.1× |
| Unity Health - Jacksonville | Jacksonville, AR | $480.50 | $1,922 | $3,622.52 | 0.1× |
| Unity Health - Newport | Newport, AR | $480.50 | $1,922 | $3,510.50 | 0.1× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $521 | $1,738 | $3,873.04 | 0.1× |
| Memorial Medical Center | Port Lavaca, TX | $649.10 | $927.29 | $3,873.04 | 0.2× |
| Sugar Land Surgical Hospital Llp | Sugar Land, TX | $666 | $1,110 | $3,873.04 | 0.2× |
| East Carroll Parish Hospital | Lake Providence, LA | $718.50 | $958 | $3,510.26 | 0.2× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $888.27 | $3,063 | $3,681.61 | 0.2× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $888.27 | $3,063 | $3,660.10 | 0.2× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $888.27 | $3,063 | $3,698.86 | 0.2× |
| Foothills Hospital | Boulder, CO | $932.50 | $1,865 | $4,112.22 | 0.2× |
| Kingman Regional Medical Center | Kingman, AZ | $1,011.50 | $2,890 | $4,114.11 | 0.2× |
| Ozarks Healthcare | West Plains, MO | $1,017.50 | $2,035 | $3,861.70 | 0.3× |
| St. Bernards Medical Center | Jonesboro, AR | $1,079 | $1,660 | $3,615.20 | 0.3× |
| Baylor Scott and White Surgical Hospital Las Colin | Irving, TX | $1,293.60 | $2,156 | $3,873.04 | 0.3× |
| North Central Surgical Center Llp | Dallas, TX | $1,315.20 | $2,192 | $3,873.04‡ | 0.3× |
| Tops Surgical Specialty Hospital | Houston, TX | $1,343.30 | $3,838 | $3,873.04 | 0.3× |
| Boone Hospital Center | Columbia, MO | $1,368 | $2,280 | $3,861.70 | 0.4× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $1,456.20 | $1,618 | $4,067.08 | 0.4× |
| T.J. Samson Community Hospital | Glasgow, KY | $1,467.70 | $2,258 | $3,660.10 | 0.4× |
| Pratt Regional Medical Center | Pratt, KS | $1,484 | $2,120 | $3,545.71 | 0.4× |
| Vanderbilt University Hospital | Nashville, TN | $1,654.02 | $3,063 | $3,784.65 | 0.4× |
| Nebraska Medical Center | Omaha, NE | $1,654.38 | $2,545.20 | $4,003.50 | 0.4× |
| Bellevue Medical Center | Bellevue, NE | $1,654.38 | $2,545.20 | $4,003.50 | 0.4× |
| DeSoto Regional Health System | Mansfield, LA | $1,697.50 | $2,425 | $3,491.12 | 0.5× |
| Caldwell Medical Center | Princeton, KY | $1,771.29 | $2,361.72 | $3,617.56 | 0.5× |
| Titus Regional Medical Center | Mount Pleasant, TX | $1,972.20 | $3,287 | $3,873.04 | 0.5× |
| Baylor Scott and White Medical Center Uptown | Dallas, TX | $2,078.40 | $3,464 | $3,873.04 | 0.5× |
| Jefferson Regional | Pine Bluff, AR | $2,114 | $2,114 | $3,587.54 | 0.6× |
| St. John's Medical Center | Jackson, WY | $2,464 | $2,464 | $3,938.98 | 0.6× |
| Baylor Scott and White Surgical Hospital Fortworth | Fort Worth, TX | $2,531.40 | $4,219 | $3,879.42 | 0.7× |
| Baylor Medical Center at Trophy Club | Trophy Club, TX | $2,658 | $4,430 | $3,873.04 | 0.7× |
| Baptist Health Medical Center-North Little Rock | North Little Rock, AR | $2,753.40 | $11,013.60 | $3,622.52 | 0.8× |
| USA Health Providence Hospital | Mobile, AL | $2,894 | $2,894 | $3,480.96 | 0.8× |
| Unity Medical Center | Manchester, TN | $3,008 | $3,760 | $3,525.15 | 0.9× |
| Lakeside Medical Center | Belle Glade, FL | $3,818.91 | — | $4,026.19 | 0.9× |
| Harlingen Medical Center | Harlingen, TX | $3,854 | $10,444.08 | $3,873.04 | 1.0× |
| Hardtner Medical Center | Olla, LA | $3,978.40 | $4,973 | $3,491.12 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $4,177.56 | — | $3,501.28 | 1.2× |
| Colquitt Regional Medical Center | Moultrie, GA | $4,340 | $4,340 | $3,491.59 | 1.2× |
| Hilton Head Medical Center | Hilton Head Island, SC | $4,415.37 | — | $3,585.89 | 1.2× |
| East Cooper Medical Center | Mount Pleasant, SC | $4,415.37 | — | $3,585.89 | 1.2× |
| Coastal Carolina Medical Center | Hardeeville, SC | $4,415.37 | — | $3,585.89 | 1.2× |
| Summit Medical Center, LLC | Edmond, OK | $4,433.13 | — | $3,708.08 | 1.2× |
| Griffin Hospital | Derby, CT | $4,548.24 | — | $4,622 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $4,731.22 | — | $4,114.11 | 1.1× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $4,820.50 | — | $3,698.86 | 1.3× |
| Sheridan Memorial Hospital | Sheridan, WY | $5,173.60 | $6,467 | $3,938.98 | 1.3× |
| Baptist Health Medical Center-Little Rock | Little Rock, AR | $5,286.06 | $21,144.24 | $3,622.52 | 1.5× |
| Cody Regional Health | Cody, WY | $5,321.85 | $6,261 | $3,938.98 | 1.4× |
| Monroe Regional Hospital | Aberdeen, MS | $5,391.75 | $5,391.75 | $3,324.03 | 1.6× |
| Oklahoma Center for Orthopaedic & Multi-Specialty Surgery | Oklahoma City, OK | $6,674.94 | $24,722 | $3,708.08 | 1.8× |
| SCK Health | Arkansas City, KS | $6,745.54 | $6,745.54 | $3,545.71 | 1.9× |
| Jackson Hospital | Montgomery, AL | $7,360.42 | $38,739.05 | $3,458.03‡ | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $7,756.66 | — | $3,708.08 | 2.1× |
| Vanderbilt Clarksville Hospital | Clarksville, TN | $8,053.14 | $41,511 | $3,784.65 | 2.1× |
| Crescent Medical Center Lancaster | Lancaster, TX | $8,916 | $13,717 | $3,873.04 | 2.3× |
| Highpoint Health – Sumner with Ascension Saint Thomas | Gallatin, TN | $9,419.36 | $40,426.45 | $3,698.86 | 2.5× |
| Crockett Medical Center | Crockett, TX | $9,914.70 | $16,524.50 | $3,873.04 | 2.6× |
| Baylor Scott and White Medical Center Sunnyvale | Sunnyvale, TX | $10,045.20 | $16,742 | $3,873.04 | 2.6× |
| White Rock Medical Center | Dallas, TX | $10,348.32 | $15,218.12 | $3,873.04 | 2.7× |
| Northwest Surgical Hospital | Oklahoma City, OK | $11,124.24 | — | $3,708.08 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $11,124.24 | — | $3,708.08 | 3.0× |
| Lake Regional Hospital | Osage Beach, MO | $11,774.78 | $39,249.25 | $3,861.70‡ | 3.0× |
| Newman Regional Health | Emporia, KS | $12,455.16 | $15,568.95 | $3,545.71‡ | 3.5× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $13,322.23 | $13,322.23 | $3,873.04 | 3.4× |
| Southwest Mississippi Regional Medical Center | McComb, MS | $13,772.65 | $22,954.42 | $3,324.03‡ | 4.1× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $13,912.65 | $63,239.32 | $3,618.98 | 3.8× |
| Lake Cumberland Regional Hospital | Somerset, KY | $14,945.67 | $37,364.17 | $3,732.18 | 4.0× |
| UMMC Greenwood | Greenwood, MS | $15,038.62 | $18,798.27 | $3,324.03‡ | 4.5× |
| Tallahassee Memorial Hospital | Tallahassee, FL | $16,002.14 | $22,860.20 | $4,026.19 | 4.0× |
| Mercy Hospital Springfield | Springfield, MO | $16,150.08 | $24,846.27 | $3,861.70 | 4.2× |
| Lee Memorial Hospital | Fort Myers, FL | $16,357.34 | $81,786.72 | $4,026.19 | 4.1× |
| Gulf Coast Medical Center | Fort Myers, FL | $16,357.34 | $81,786.72 | $4,026.19 | 4.1× |
| Cape Coral Hospital | Cape Coral, FL | $16,357.34 | $81,786.72 | $4,026.19 | 4.1× |
| Lake Granbury Medical Center | Granbury, TX | $18,094.28 | $100,523.76 | $3,943 | 4.6× |
| Western Missouri Medical Center | Warrensburg, MO | — | $1,936.40 | $3,861.70 | — |
| Cobre Valley Regional Medical Center | Globe, AZ | — | $3,360 | $4,114.11 | — |
| Scott County Hospital | Scott City, KS | — | $5,931 | $3,545.71 | — |
| Oklahoma Surgical Hospital, LLC | Tulsa, OK | — | $8,505 | $3,708.08 | — |
| La Paz Regional Hospital | Parker, AZ | — | $19,119.82 | $4,114.11‡ | — |
| Lawrence County Hospital | Monticello, MS | — | $22,954.42 | $3,324.03‡ | — |
| Delta Health System – The Medical Center | Greenville, MS | — | $29,765.98 | $3,427.78‡ | — |
| North Alabama Shoals Hospital | Muscle Shoals, AL | — | $30,923.85 | $3,515.22 | — |
| North Alabama Medical Center | Florence, AL | — | $40,637.78 | $3,491.83‡ | — |
| Saline Memorial Hospital | Benton, AR | — | $43,486.29 | $3,622.52 | — |
| Canyon Vista Medical Center | Sierra Vista, AZ | — | $69,314.67 | $4,114.11‡ | — |
| Saint Mary's Regional Medical Center | Russellville, AR | — | $108,500.42 | $3,634.81‡ | — |
| National Park Medical Center | Hot Springs, AR | — | $146,929.72 | $3,687.28‡ | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.