1604 — Major Cardiothoracic Repair Of Heart Anomaly
Cite this view
HANK Price Transparency. (n.d.). MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY (CPT 1604) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1604?code_type=CPT
“MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY (CPT 1604) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1604?code_type=CPT. Accessed .
“MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY (CPT 1604) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1604?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $919–$161,186 (25th–75th percentile) across 10 hospitals · 18 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 1604 — 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 |
|---|---|---|---|---|---|---|---|
| ST MARYS MEDICAL CENTER Inpatient | Peak Health | Commercial | $81.55 | $108.74 | $108.74 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Commercial | $92.43 | $108.74 | $108.74 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Aetna | Commercial | $97.87 | $108.74 | $108.74 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Cigna | Commercial | $98.95 | $108.74 | $108.74 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | United Healthcare | Commercial | $102.87 | $108.74 | $108.74 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Healthsmart | Commercial | $103.30 | $108.74 | $108.74 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Zelis Network | Commercial | $103.30 | $108.74 | $108.74 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Caresource | Wv Marketplace | $103.30 | $108.74 | $108.74 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Firsthealth | Commercial | $103.30 | $108.74 | $108.74 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Phcs Multiplan | Commercial | $103.30 | $108.74 | $108.74 | 2026-05-06 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Uhc | Hmo Ppo | — | $1,531.95 | $765.98 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $1,531.95 | $765.98 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $1,531.95 | $765.98 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $1,531.95 | $765.98 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $1,531.95 | $765.98 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $1,531.95 | $765.98 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $1,531.95 | $765.98 | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $47,466.56 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $47,466.56 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Min | $50,537.08 | — | — | 2026-05-09 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $75,769.59 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $75,769.59 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $75,769.59 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $75,769.59 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $75,769.59 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $75,769.59 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Cook Childrens | Medicaid | $77,061.91 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Bh | $77,061.91 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Cook Childrens | Medicaid | $77,061.91 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $77,061.91 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $77,061.91 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Bh | $77,061.91 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Molina | Medicaid | $81,831.16 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Molina | Medicaid | $81,831.16 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Molina | Medicaid | $83,226.86 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Molina | Medicaid | $83,226.86 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Aetna | Medicaid | $84,768.10 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Aetna | Medicaid | $84,768.10 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Medicaid | $103,804.34 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Medicaid | $103,804.34 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Medicaid | $105,574.82 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Medicaid | $105,574.82 | — | — | 2026-05-08 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Min | $129,527.10 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Min | $129,527.10 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Awa | $161,185.53 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Awa | $161,185.53 | — | — | 2026-05-23 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Awa | $173,923.14 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Awa | $173,923.14 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Awa | $186,188.36 | — | — | 2026-05-09 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $228,759.52 | — | — | 2026-05-14 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $228,759.52 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Ppo | $229,934.11 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Ppo | $229,934.11 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Hmo | $229,934.11 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Hmo | $229,934.11 | — | — | 2026-05-22 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Ppo | $240,696.70 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Hmo | $240,696.70 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Ppo | $240,696.70 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Hmo | $240,696.70 | — | — | 2026-05-23 | MRF ↗ |
| AVERA QUEEN OF PEACE Inpatient | Wellmark Insurance | Ppo | $279,390.09 | — | — | 2026-05-09 | MRF ↗ |
| AVERA ST LUKES Inpatient | Wellmark Insurance | Ppo | $289,524.40 | — | — | 2026-05-09 | MRF ↗ |