114488 — Guidewire Amplatz S.s. 035x145 640-104
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GUIDEWIRE AMPLATZ S.S. 035X145 640-104 (OTHER 114488) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/114488?code_type=OTHER
MLA (9th ed.)
“GUIDEWIRE AMPLATZ S.S. 035X145 640-104 (OTHER 114488) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/114488?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“GUIDEWIRE AMPLATZ S.S. 035X145 640-104 (OTHER 114488) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/114488?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $32–$76 (25th–75th percentile) across 5 hospitals · 25 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 114488 — 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 |
|---|---|---|---|---|---|---|---|
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Mvp | Medicareadvantage | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Cdphp | Commercial | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humana | Medicareadvantage | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humana | Commercial | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Fidelis | Medicareadvantage | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Martinspoint | Tricare | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Magnacare | — | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humanamilitary | Tricare | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | United | Medicareadvantage | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Choicecare | Medicareadvantage | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Choicecare | Commercial | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Aetna | Medicareadvantage | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Aetna | Commercial | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Cdphp | Medicareadvantage | — | $52.03 | $52.03 | 2026-05-09 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $17.65 | $25.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $17.65 | $25.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Commercial | $19.81 | $25.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Commercial | $19.81 | $25.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $20.45 | $25.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $20.45 | $25.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Harvardpilgrim | — | $20.76 | $25.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Emblemghi | — | $20.76 | $25.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Multiplan | — | $20.76 | $25.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Emblemghi | — | $20.76 | $25.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Magnacare | — | $20.76 | $25.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Harvardpilgrim | — | $20.76 | $25.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Multiplan | — | $20.76 | $25.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Magnacare | — | $20.76 | $25.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Threeriversprovidernetwork | — | $22.06 | $25.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Threeriversprovidernetwork | — | $22.06 | $25.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Coventry | — | $23.36 | $25.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Coventry | — | $23.36 | $25.95 | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $42.62 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $45.72 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $46.69 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $46.69 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $46.69 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $46.69 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $46.69 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $46.69 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $46.69 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $46.69 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $46.69 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $53.55 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $54.07 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $54.36 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $56.59 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $59.42 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $65.79 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $67.59 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $71.84 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $72.91 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $73.10 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $73.32 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $73.35 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $75.68 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $76.38 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $76.40 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $80.41 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $82.98 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $84.04 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $91.68 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $100.27 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $100.80 | $106.11 | $48.49 | 2026-05-23 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Both | United Healthcare | Default | $1,223.14 | $1,698.80 | $1,698.80 | 2026-05-06 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Both | Blue Cross Blue Shield Of Mn | Default | $1,251.17 | $1,698.80 | $1,698.80 | 2026-05-06 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Both | Medica | Default | $1,265.61 | $1,698.80 | $1,698.80 | 2026-05-06 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Both | Healthpartners | Default | $1,515.33 | $1,698.80 | $1,698.80 | 2026-05-06 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Security Health Advocare MCR Adv | Medicare Advantage | $1,517.60 | $3,777.01 | $2,077.36 | 2026-04-10 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of WI Anthem | Medicare Advantage | $1,517.60 | $3,777.01 | $2,077.36 | 2026-04-10 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of WI Anthem | Medicaid Replacement | — | $3,777.01 | $2,077.36 | 2026-04-10 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Medicare A WI J6 | Default | $1,517.60 | $3,777.01 | $2,077.36 | 2026-04-10 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Humana Advantage Care Plans Med Advantage | Default | $1,517.60 | $3,777.01 | $2,077.36 | 2026-04-10 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | HealthPartners | Medicare Advantage | $1,548.57 | $3,777.01 | $2,077.36 | 2026-04-10 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of MN | Default | $1,576.44 | $3,777.01 | $2,077.36 | 2026-04-10 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Humana | Default | $3,210.46 | $3,777.01 | $2,077.36 | 2026-04-10 | MRF ↗ |