43501 — Gastrotomy; With Suture Repair Of Bleeding Ulcer
Cite this view
HANK Price Transparency. (n.d.). GASTROTOMY; WITH SUTURE REPAIR OF BLEEDING ULCER (CDM 43501) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43501?code_type=CDM
“GASTROTOMY; WITH SUTURE REPAIR OF BLEEDING ULCER (CDM 43501) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43501?code_type=CDM. Accessed .
“GASTROTOMY; WITH SUTURE REPAIR OF BLEEDING ULCER (CDM 43501) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43501?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $488–$5,616 (25th–75th percentile) across 3 hospitals · 20 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 43501 — 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 |
|---|---|---|---|---|---|---|---|
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $359.35 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $359.35 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $395.28 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $395.28 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $415.05 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $415.05 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $431.22 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $431.22 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $431.22 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $431.22 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $443.19 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $443.19 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $443.19 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $443.19 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $452.78 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $452.78 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $487.51 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $487.51 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|Federal Plans | $670.78 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|Federal Plans | $670.78 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|All Other Plans | $682.76 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|All Other Plans | $682.76 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Health Partners | Commercial|All Plans | $718.69 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Health Partners | Commercial|All Plans | $718.69 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|New Business | $874.41 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|New Business | $874.41 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|All Other Plans | $958.25 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|All Other Plans | $958.25 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Ucare | Commercial|All Plans | $1,054.08 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Ucare | Commercial|All Plans | $1,054.08 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $1,137.92 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Sanford Health Plan | Commercial|All Plans | $1,137.92 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Sanford Health Plan | Commercial|All Plans | $1,137.92 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $1,137.92 | $1,197.81 | $694.73 | 2026-02-28 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | OptionsPPO | $1,431.77 | $8,893.00 | $8,893.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | CignaLocalPlusNetwork | $1,662.99 | $8,893.00 | $8,893.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $2,169.89 | $8,893.00 | $8,893.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $2,667.90 | $8,893.00 | $8,893.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Spirit Aerosystems | COMMOON | $3,005.83 | $8,893.00 | $8,893.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $4,001.85 | $8,893.00 | $8,893.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | First Health | PPO | $4,313.10 | $8,893.00 | $8,893.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Humana | $4,446.50 | $8,893.00 | $8,893.00 | 2024-10-01 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC COMMUNITY PLAN NE | MANAGED MEDICAID | $5,616.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC COMMUNITY PLAN NE | MANAGED MEDICAID | $5,616.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NEBRASKA TOTAL CARE | MANAGED MEDICAID | $5,616.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | LAW ENFORCEMENT | MANAGED MEDICAID | $5,616.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | HEALTHY BLUE | MANAGED MEDICAID | $5,616.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NEBRASKA TOTAL CARE | MANAGED MEDICAID | $5,616.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | LAW ENFORCEMENT | MANAGED MEDICAID | $5,616.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | HEALTHY BLUE | MANAGED MEDICAID | $5,616.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Triwest Healthcare Alliance | Tricare | $5,780.45 | $8,893.00 | $8,893.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $6,225.10 | $8,893.00 | $8,893.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $7,559.05 | $8,893.00 | $8,893.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | USA Managed Care | COMM | $7,559.05 | $8,893.00 | $8,893.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | BeechStreetCOMMPPO | $8,003.70 | $8,893.00 | $8,893.00 | 2024-10-01 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | BLUE CROSS | PPO | $10,260.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | BLUE CROSS | PPO | $10,260.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | NE WORKERS COMP | NE WORKERS COMP | $10,368.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | AETNA | PPO | $10,368.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | MIDLANDS CHOICE | PPO | $10,368.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | MIDLANDS CHOICE | PPO | $10,368.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | UHC | PPO | $10,368.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | AETNA | PPO | $10,368.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | NE WORKERS COMP | NE WORKERS COMP | $10,368.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | UHC | PPO | $10,368.00 | $10,800.00 | $9,720.00 | 2025-12-27 | MRF ↗ |