Price Checker / CPT 43644
How much does Lap Gastric Bypass/roux-en-y cost?
CPT 43644 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 26x the fair price — among the most extreme markups. Dispute this.
Fair price
$2,450–$4,850
What this should cost
With insurance
~$4,400
Typical out-of-pocket
Overcharged if over
$6,050
Push back above this
The average hospital charge of $93,951 is $90,301 over the fair price (about 26x the fair rate).
What hospitals charge for Lap Gastric Bypass/roux-en-y
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Lake Granbury Medical Center Granbury, TX | $303,378 | — | 17710% |
| Physicians Regional Healthcare System - Collier Boulevard Naples, FL | $278,533 | — | 12809% |
| Highpoint Health - Sumner with Ascension Saint Thomas , TN | $147,541 | — | 9017% |
| Memorial Hermann-Texas Medical Center HOUSTON, TX | $145,579 | — | 8896% |
| Memorial Medical Center PORT LAVACA, NM | $85,278 | — | 5170% |
| ST VINCENT MEDICAL CENTER Toledo, OH | $216,831 | — | 4456% |
| Conemaugh Memorial Medical Center JOHNSTOWN, PA | $70,280 | — | 4243% |
| The University of Kansas Health System Olathe Hospital/Olathe Medical Center , KS | $46,994 | — | 2310% |
| Cookeville Regional Medical Center COOKEVILLE, CO | $37,132 | — | 2195% |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) , IL | — | — | 1185% |
| Kona Community Hospital KEALAKEKUA, HI | — | — | 1175% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE Temple, TX | — | — | 1011% |
| Baylor Scott & White Medical Center Uptown Dallas, TX | $4,084 | — | 787% |
| Baylor Scott & White Surgical Hospital - Fort Worth Fort Worth, TX | $6,512 | — | 787% |
| Reedsburg Area Medical Center Reedsburg, WI | $7,730 | — | 132% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Lap Gastric Bypass/roux-en-y
CPT code 43644 refers to lap gastric bypass/roux-en-y (billing description: "Lap gastric bypass/roux-en-y"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,618 in a facility (hospital or surgery center) and $1,618 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.