0D16474 — Bypass Stomach To Cutaneous With Autologous Tissue Substitute Percutaneous Endoscopic Approach
Cite this view
HANK Price Transparency. (n.d.). Bypass Stomach to Cutaneous with Autologous Tissue Substitute Percutaneous Endoscopic Approach (OTHER 0D16474) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0D16474?code_type=OTHER
“Bypass Stomach to Cutaneous with Autologous Tissue Substitute Percutaneous Endoscopic Approach (OTHER 0D16474) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0D16474?code_type=OTHER. Accessed .
“Bypass Stomach to Cutaneous with Autologous Tissue Substitute Percutaneous Endoscopic Approach (OTHER 0D16474) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0D16474?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19,410–$26,200 (25th–75th percentile) across 7 hospitals · 2 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0D16474 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| FOOTHILL REGIONAL MEDICAL CENTER InpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $19,410.00 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER InpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $19,410.00 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD InpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $19,410.00 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD InpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $19,410.00 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City InpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $19,410.00 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City InpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $19,410.00 | — | — | 2026-03-18 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $26,200.00 | — | — | 2026-07-15 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $26,200.00 | — | — | 2026-07-15 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $26,200.00 | — | — | 2026-07-15 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Blue Cross of California d/b/a Anthem Blue Cross | EPO | $31,036.00 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | $31,036.00 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | $31,036.00 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | $31,036.00 | — | — | 2025-11-26 | MRF ↗ |