16293920_1 — Ultra Porous Biofoam Shell 56mm [dsbfgf56]
Cite this view
HANK Price Transparency. (n.d.). ULTRA POROUS BIOFOAM SHELL 56MM [DSBFGF56] (CDM 16293920_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/16293920_1?code_type=CDM
“ULTRA POROUS BIOFOAM SHELL 56MM [DSBFGF56] (CDM 16293920_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/16293920_1?code_type=CDM. Accessed .
“ULTRA POROUS BIOFOAM SHELL 56MM [DSBFGF56] (CDM 16293920_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/16293920_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,785–$17,589 (25th–75th percentile) across 1 hospital · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 16293920_1 — 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 |
|---|---|---|---|---|---|---|---|
| MONROE COUNTY HOSPITAL Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $9,688.14 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | MAHP MCARE - ALL PLANS | MAHP MCARE - ALL PLANS | $9,688.14 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | UHC MCARE | UHC MCARE | $9,688.14 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $9,688.14 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | WELLMARK MCARE | WELLMARK MCARE | $9,785.02 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | HUMANA MCARE - ALL PLANS | HUMANA MCARE - ALL PLANS | $9,785.02 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | AMERIGROUP MCARE | AMERIGROUP MCARE | $9,785.02 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | AETNA/COVENTRY MCARE | AETNA/COVENTRY MCARE | $9,881.90 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | AETNA MCAID | AETNA MCAID | $11,302.83 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | IOWA TOTAL CARE MCAID - ALL PLANS | IOWA TOTAL CARE MCAID - ALL PLANS | $11,528.89 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $11,699.58 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | AMERIGROUP MCAID - ALL OTHER PLANS | AMERIGROUP MCAID - ALL OTHER PLANS | $11,867.97 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $14,532.21 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $16,146.90 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | PREFERRED HLTH - ALL PLANS | PREFERRED HLTH - ALL PLANS | $17,300.25 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | GEHA - ALL PLANS | GEHA - ALL PLANS | $18,453.60 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $20,760.30 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $21,682.98 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $21,913.65 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | INTEGRATED HP - ALL PLANS | INTEGRATED HP - ALL PLANS | $22,374.99 | $23,067.00 | $13,840.20 | 2026-05-05 | MRF ↗ |