114490 — Hchg Endo Level 4 (+setup)
Cite this view
HANK Price Transparency. (n.d.). HCHG ENDO LEVEL 4 (+SETUP) (OTHER 114490) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/114490?code_type=OTHER
“HCHG ENDO LEVEL 4 (+SETUP) (OTHER 114490) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/114490?code_type=OTHER. Accessed .
“HCHG ENDO LEVEL 4 (+SETUP) (OTHER 114490) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/114490?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,883–$2,029 (25th–75th percentile) across 2 hospitals · 8 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 114490 — 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 |
|---|---|---|---|---|---|---|---|
| GLENCOE REGIONAL HEALTH Both | United Healthcare | Default | $1,781.01 | $2,473.63 | $2,473.63 | 2026-05-06 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Both | Blue Cross Blue Shield Of Mn | Default | $1,821.83 | $2,473.63 | $2,473.63 | 2026-05-06 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Both | Medica | Default | $1,842.85 | $2,473.63 | $2,473.63 | 2026-05-06 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of WI Anthem | Medicare Advantage | $1,896.28 | $4,719.46 | $2,595.70 | 2026-04-10 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Security Health Advocare MCR Adv | Medicare Advantage | $1,896.28 | $4,719.46 | $2,595.70 | 2026-04-10 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Humana Advantage Care Plans Med Advantage | Default | $1,896.28 | $4,719.46 | $2,595.70 | 2026-04-10 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of WI Anthem | Medicaid Replacement | — | $4,719.46 | $2,595.70 | 2026-04-10 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Medicare A WI J6 | Default | $1,896.28 | $4,719.46 | $2,595.70 | 2026-04-10 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | HealthPartners | Medicare Advantage | $1,934.98 | $4,719.46 | $2,595.70 | 2026-04-10 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of MN | Default | $1,969.81 | $4,719.46 | $2,595.70 | 2026-04-10 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Both | Healthpartners | Default | $2,206.48 | $2,473.63 | $2,473.63 | 2026-05-06 | MRF ↗ |
| ST CROIX REGIONAL MEDICAL CENTER Both | Humana | Default | $4,011.54 | $4,719.46 | $2,595.70 | 2026-04-10 | MRF ↗ |