1100026 — Or Level 4
Cite this view
HANK Price Transparency. (n.d.). OR LEVEL 4 (CPT 1100026) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1100026?code_type=CPT
“OR LEVEL 4 (CPT 1100026) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1100026?code_type=CPT. Accessed .
“OR LEVEL 4 (CPT 1100026) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1100026?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,756–$8,616 (25th–75th percentile) across 2 hospitals · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 1100026 — 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 |
|---|---|---|---|---|---|---|---|
| Wyoming County Community Hospital Outpatient | Fidelis | Managed Medicaid | — | $148.60 | $104.02 | 2026-05-23 | MRF ↗ |
| Wyoming County Community Hospital Outpatient | Amerigroup | Managed Medicaid | — | $148.60 | $104.02 | 2026-05-23 | MRF ↗ |
| Wyoming County Community Hospital Outpatient | Molina Healthcare | Medicaid | — | $148.60 | $104.02 | 2026-05-23 | MRF ↗ |
| Wyoming County Community Hospital Outpatient | Univera | Commercial | — | $148.60 | $104.02 | 2026-05-23 | MRF ↗ |
| Wyoming County Community Hospital Outpatient | Independent Health | Commercial | — | $148.60 | $104.02 | 2026-05-23 | MRF ↗ |
| Wyoming County Community Hospital Outpatient | Excellus Health | Medicaid Managed | — | $148.60 | $104.02 | 2026-05-23 | MRF ↗ |
| Wyoming County Community Hospital Outpatient | United Healthcare Empire | Commercial | — | $148.60 | $104.02 | 2026-05-23 | MRF ↗ |
| BIG SOUTH FORK MEDICAL CENTER Both | Uhctenncare | — | $8,616.00 | $8,616.00 | $2,584.85 | 2026-05-06 | MRF ↗ |
| BIG SOUTH FORK MEDICAL CENTER Both | Amerigroup | Medicaid | $8,616.00 | $8,616.00 | $2,584.85 | 2026-05-06 | MRF ↗ |
| BIG SOUTH FORK MEDICAL CENTER Both | Uhcveterans | — | $8,616.00 | $8,616.00 | $2,584.85 | 2026-05-06 | MRF ↗ |
| BIG SOUTH FORK MEDICAL CENTER Both | Amerigroup | — | $8,616.00 | $8,616.00 | $2,584.85 | 2026-05-06 | MRF ↗ |
| BIG SOUTH FORK MEDICAL CENTER Both | Aetna | Ppo | $8,616.00 | $8,616.00 | $2,584.85 | 2026-05-06 | MRF ↗ |
| BIG SOUTH FORK MEDICAL CENTER Both | Bcbs | — | $8,616.00 | $8,616.00 | $2,584.85 | 2026-05-06 | MRF ↗ |
| BIG SOUTH FORK MEDICAL CENTER Both | Celtic | — | $8,616.00 | $8,616.00 | $2,584.85 | 2026-05-06 | MRF ↗ |
| BIG SOUTH FORK MEDICAL CENTER Both | Cignahealthsprings | — | $8,616.00 | $8,616.00 | $2,584.85 | 2026-05-06 | MRF ↗ |
| BIG SOUTH FORK MEDICAL CENTER Both | Farmbureau | — | $8,616.00 | $8,616.00 | $2,584.85 | 2026-05-06 | MRF ↗ |