03028054 — Prosthesis Penile 12mm X 18cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PROSTHESIS PENILE 12MM x 18CM (CDM 03028054) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/03028054?code_type=CDM
MLA (9th ed.)
“PROSTHESIS PENILE 12MM x 18CM (CDM 03028054) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/03028054?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“PROSTHESIS PENILE 12MM x 18CM (CDM 03028054) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/03028054?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,164–$13,159 (25th–75th percentile) across 1 hospital · 18 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 03028054 — 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 |
|---|---|---|---|---|---|---|---|
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCAID HIP | MHS MCAID HIP | $4,663.90 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $4,663.90 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE MEDSELECT | ANTHEM MCARE MEDSELECT | $4,663.90 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCARE HMO | CARESOURCE MCARE HMO | $4,663.90 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID HIP | CARESOURCE MCAID HIP | $4,663.90 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCAID HIP | ANTHEM MCAID HIP | $4,663.90 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CENPATICO MCAID HIP | CENPATICO MCAID HIP | $4,663.90 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | $4,663.90 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MDWISE MCAID HIP - ALL OTHER PLANS | MDWISE MCAID HIP - ALL OTHER PLANS | $4,663.90 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCARE ALLWELL | MHS MCARE ALLWELL | $4,710.54 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE MCARE | HUMANA CHOICECARE MCARE | $4,710.54 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MDWISE MCAID HIP - ALL OTHER PLANS | MDWISE MCAID HIP - ALL OTHER PLANS | $5,163.61 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $5,163.61 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID HIP | CARESOURCE MCAID HIP | $5,163.61 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CENPATICO MCAID HIP | CENPATICO MCAID HIP | $5,163.61 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | $5,163.61 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCAID HIP | MHS MCAID HIP | $5,163.61 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCAID HIP | ANTHEM MCAID HIP | $5,163.61 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE MEDSELECT | ANTHEM MCARE MEDSELECT | $5,163.61 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCARE HMO | CARESOURCE MCARE HMO | $5,163.61 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCARE ALLWELL | MHS MCARE ALLWELL | $5,215.24 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE MCARE | HUMANA CHOICECARE MCARE | $5,215.24 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE HMO/PPO | ANTHEM MCARE HMO/PPO | $5,663.31 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE HMO/PPO | ANTHEM MCARE HMO/PPO | $5,663.31 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | $5,829.88 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | AETNA MCARE - ALL PLANS | AETNA MCARE - ALL PLANS | $5,996.45 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | AETNA MCARE - ALL PLANS | AETNA MCARE - ALL PLANS | $5,996.45 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | $6,454.51 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM HMO - ALL OTHER PLANS | ANTHEM HMO - ALL OTHER PLANS | $9,692.59 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM HMO - ALL OTHER PLANS | ANTHEM HMO - ALL OTHER PLANS | $9,692.59 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM PPO/EXCHANGE | ANTHEM PPO/EXCHANGE | $10,385.51 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM PPO/EXCHANGE | ANTHEM PPO/EXCHANGE | $10,385.51 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ANTHEM | SAGAMORE ANTHEM | $10,693.67 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ANTHEM | SAGAMORE ANTHEM | $10,693.67 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM WORKERS COMP | ANTHEM WORKERS COMP | $10,716.99 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM WORKERS COMP | ANTHEM WORKERS COMP | $10,716.99 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL | $11,078.44 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL | $11,078.44 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ROSE ACRE | SAGAMORE ROSE ACRE | $12,409.32 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ROSE ACRE | SAGAMORE ROSE ACRE | $12,409.32 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE - ALL OTHER PLANS | SAGAMORE - ALL OTHER PLANS | $12,592.54 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE - ALL OTHER PLANS | SAGAMORE - ALL OTHER PLANS | $12,592.54 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UMR - ALL PLANS | UMR - ALL PLANS | $13,158.87 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE - ALL OTHER PLANS | UNITED HEALTHCARE - ALL OTHER PLANS | $13,158.87 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UMR - ALL PLANS | UMR - ALL PLANS | $13,158.87 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE - ALL OTHER PLANS | UNITED HEALTHCARE - ALL OTHER PLANS | $13,158.87 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE PPO - ALL OTHER PLANS | HUMANA CHOICECARE PPO - ALL OTHER PLANS | $13,392.07 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE PPO - ALL OTHER PLANS | HUMANA CHOICECARE PPO - ALL OTHER PLANS | $13,392.07 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $14,158.28 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $14,158.28 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | COMMUNITY HEALTH ALLIANCE - ALL PLANS | COMMUNITY HEALTH ALLIANCE - ALL PLANS | $14,824.55 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | COMMUNITY HEALTH ALLIANCE - ALL PLANS | COMMUNITY HEALTH ALLIANCE - ALL PLANS | $14,824.55 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $14,991.12 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $14,991.12 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE WORKERS COMP | ENCORE WORKERS COMP | $14,991.12 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE WORKERS COMP | ENCORE WORKERS COMP | $14,991.12 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $15,823.96 | $16,656.80 | $11,659.76 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $15,823.96 | $16,656.80 | $11,659.76 | 2026-07-07 | MRF ↗ |