16293992_1 — Tl Plsma Var8 Lng Size 4 [prtlel24wd]
Cite this view
HANK Price Transparency. (n.d.). TL PLSMA VAR8 LNG SIZE 4 [PRTLEL24WD] (CDM 16293992_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/16293992_1?code_type=CDM
“TL PLSMA VAR8 LNG SIZE 4 [PRTLEL24WD] (CDM 16293992_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/16293992_1?code_type=CDM. Accessed .
“TL PLSMA VAR8 LNG SIZE 4 [PRTLEL24WD] (CDM 16293992_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/16293992_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,449–$16,985 (25th–75th percentile) across 1 hospital · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 16293992_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 | $9,355.50 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | MAHP MCARE - ALL PLANS | MAHP MCARE - ALL PLANS | $9,355.50 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | UHC MCARE | UHC MCARE | $9,355.50 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $9,355.50 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | WELLMARK MCARE | WELLMARK MCARE | $9,449.06 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | HUMANA MCARE - ALL PLANS | HUMANA MCARE - ALL PLANS | $9,449.06 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | AMERIGROUP MCARE | AMERIGROUP MCARE | $9,449.06 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | AETNA/COVENTRY MCARE | AETNA/COVENTRY MCARE | $9,542.61 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | AETNA MCAID | AETNA MCAID | $10,914.75 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | IOWA TOTAL CARE MCAID - ALL PLANS | IOWA TOTAL CARE MCAID - ALL PLANS | $11,133.05 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $11,297.88 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | AMERIGROUP MCAID - ALL OTHER PLANS | AMERIGROUP MCAID - ALL OTHER PLANS | $11,460.49 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $14,033.25 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $15,592.50 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | PREFERRED HLTH - ALL PLANS | PREFERRED HLTH - ALL PLANS | $16,706.25 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | GEHA - ALL PLANS | GEHA - ALL PLANS | $17,820.00 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $20,047.50 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $20,938.50 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $21,161.25 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | INTEGRATED HP - ALL PLANS | INTEGRATED HP - ALL PLANS | $21,606.75 | $22,275.00 | $13,365.00 | 2026-05-05 | MRF ↗ |