1260864 — Lithotripsy
Cite this view
HANK Price Transparency. (n.d.). LITHOTRIPSY (CDM 1260864) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1260864?code_type=CDM
“LITHOTRIPSY (CDM 1260864) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1260864?code_type=CDM. Accessed .
“LITHOTRIPSY (CDM 1260864) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1260864?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $28,982–$37,263 (25th–75th percentile) across 1 hospital · 15 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 1260864 — 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 |
|---|---|---|---|---|---|---|---|
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Aetna Medicare Advantage | Aetna Medicare Advantage | $12,420.88 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Cigna | Commercial POS | $20,701.46 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | NovaSys-Centene Qualchoice | NovaSys-Centene Qualchoice | $26,911.90 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Multiplan | Multiplan | $28,982.04 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Employer's Health Choice | Employer's Health Choice | $28,982.04 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Workers Compensation | PPO Plus Workers Compensation | $31,052.19 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Aetna | Commercial PPO | $33,122.34 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Primary | PPO Plus Primary | $33,122.34 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Secondary | PPO Plus Secondary | $35,192.48 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Corvel | Corvel | $35,192.48 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | MunicipalHealthBenefitProgram - Commercial-Mut Defined | Municipal Health Benefit Fund | $35,192.48 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Arkansas Managed Care Organization-Southern | Arkansas Managed Care Organization-Southern | $37,262.63 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Mercy Health Plan | Mercy Health Plan | $37,262.63 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | HUMANA INC. - Medicare Part A | Humana Medicare | $41,402.92 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | CareSource MCD | CareSource MCD | $41,402.92 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | ARKANSAS BLUE CROSS BLUE SHIELD - Medicare-HMO | BCBS-USAble HMO | $41,402.92 | $41,402.92 | $41,402.92 | 2026-01-08 | MRF ↗ |