03140 — Lithrotripsy
Cite this view
HANK Price Transparency. (n.d.). LITHROTRIPSY (CDM 03140) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/03140?code_type=CDM
“LITHROTRIPSY (CDM 03140) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/03140?code_type=CDM. Accessed .
“LITHROTRIPSY (CDM 03140) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/03140?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,637–$15,944 (25th–75th percentile) across 1 hospital · 9 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 03140 — 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 |
|---|---|---|---|---|---|---|---|
| COMMUNITY HOSPITAL OutpatientFacility | LAW ENFORCEMENT | MANAGED MEDICAID | $8,636.55 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | HEALTHY BLUE | MANAGED MEDICAID | $8,636.55 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NEBRASKA TOTAL CARE | MANAGED MEDICAID | $8,636.55 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC COMMUNITY PLAN NE | MANAGED MEDICAID | $8,636.55 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | HEALTHY BLUE | MANAGED MEDICAID | $8,636.55 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | LAW ENFORCEMENT | MANAGED MEDICAID | $8,636.55 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NEBRASKA TOTAL CARE | MANAGED MEDICAID | $8,636.55 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC COMMUNITY PLAN NE | MANAGED MEDICAID | $8,636.55 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | BLUE CROSS | PPO | $15,778.31 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | BLUE CROSS | PPO | $15,778.31 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC | PPO | $15,944.40 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NE WORKERS COMP | NE WORKERS COMP | $15,944.40 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | MIDLANDS CHOICE | PPO | $15,944.40 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | MIDLANDS CHOICE | PPO | $15,944.40 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC | PPO | $15,944.40 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NE WORKERS COMP | NE WORKERS COMP | $15,944.40 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | AETNA | PPO | $15,944.40 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | AETNA | PPO | $15,944.40 | $16,608.75 | $14,947.88 | 2025-12-27 | MRF ↗ |