1910000000 — Hc (h)rb Acuity Level IV
Cite this view
HANK Price Transparency. (n.d.). HC (H)RB ACUITY LEVEL IV (CDM 1910000000) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1910000000?code_type=CDM
“HC (H)RB ACUITY LEVEL IV (CDM 1910000000) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1910000000?code_type=CDM. Accessed .
“HC (H)RB ACUITY LEVEL IV (CDM 1910000000) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1910000000?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $581–$5,638 (25th–75th percentile) across 3 hospitals · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 1910000000 — 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 |
|---|---|---|---|---|---|---|---|
| WITHAM HEALTH SERVICES Inpatient | ANTHEM MEDICAID | ANTHEM MEDICAID | $177.18 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | ANTHEM MEDICAID | ANTHEM MEDICAID | $177.18 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | MDWISE HEALTH IN-ALL PLANS | MDWISE HEALTH IN-ALL PLANS | $230.33 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | MDWISE HEALTH IN-ALL PLANS | MDWISE HEALTH IN-ALL PLANS | $230.33 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $457.32 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $457.32 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | PHCS/MULTIPLAN-ALL PLANS | PHCS/MULTIPLAN-ALL PLANS | $562.38 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | PHCS/MULTIPLAN-ALL PLANS | PHCS/MULTIPLAN-ALL PLANS | $562.38 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | SAGAMORE-ALL PLANS | SAGAMORE-ALL PLANS | $568.56 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | SAGAMORE-ALL PLANS | SAGAMORE-ALL PLANS | $568.56 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | HUMANA CHOICE CARE-ALL PLANS | HUMANA CHOICE CARE-ALL PLANS | $574.74 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | HUMANA CHOICE CARE-ALL PLANS | HUMANA CHOICE CARE-ALL PLANS | $574.74 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $580.92 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $580.92 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | ENCORE-ALL PLANS | ENCORE-ALL PLANS | $587.10 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Inpatient | ENCORE-ALL PLANS | ENCORE-ALL PLANS | $587.10 | $618.00 | $432.60 | 2026-03-31 | MRF ↗ |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL Inpatient | Cigna | Commercial|All Other Plans | $1,246.84 | $1,708.00 | $724.68 | 2026-02-28 | MRF ↗ |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL Inpatient | Cigna | Commercial|PPO | $1,246.84 | $1,708.00 | $724.68 | 2026-02-28 | MRF ↗ |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL Inpatient | Aetna | Commercial|PPO | $1,315.16 | $1,708.00 | $724.68 | 2026-02-28 | MRF ↗ |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL Inpatient | Aetna | Commercial|All Other Plans | $1,315.16 | $1,708.00 | $724.68 | 2026-02-28 | MRF ↗ |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL Inpatient | Aetna | Commercial|HMO | $1,315.16 | $1,708.00 | $724.68 | 2026-02-28 | MRF ↗ |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL Inpatient | Multiplan | Commercial|All Plans | $1,554.28 | $1,708.00 | $724.68 | 2026-02-28 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | United Healthcare | Commercial | $2,399.20 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | United Healthcare | Commercial | $2,399.20 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | United Healthcare | Commercial | $2,399.20 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | MODA Health Plan | Medicaid Managed Care | $5,038.32 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | MODA Health Plan | Medicaid Managed Care | $5,038.32 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | MODA Health Plan | Medicaid Managed Care | $5,038.32 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Pacific Source Smart | Commercial | $5,098.30 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Pacific Source Smart | Commercial | $5,098.30 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Pacific Source Smart | Commercial | $5,098.30 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | MODA Health Plan | Commercial | $5,518.16 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | MODA Health Plan | Commercial | $5,518.16 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | MODA Health Plan | Commercial | $5,518.16 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Cigna | Commercial | $5,638.12 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Pacific Source | Commercial | $5,638.12 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Cigna | Commercial | $5,638.12 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Cigna | Commercial | $5,638.12 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Pacific Source | Commercial | $5,638.12 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Pacific Source | Commercial | $5,638.12 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Providence Health Plan | Commercial | $5,698.10 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | HealthNet | Commercial | $5,698.10 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Providence Health Plan | Commercial | $5,698.10 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | HealthNet | Commercial | $5,698.10 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Providence Health Plan | Commercial | $5,698.10 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | HealthNet | Commercial | $5,698.10 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Regence BCBS | Commercial | $5,998.00 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Regence BCBS | Commercial | $5,998.00 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |
| HARNEY DISTRICT HOSPITAL InpatientFacility | Regence BCBS | Commercial | $5,998.00 | $5,998.00 | $4,798.40 | 2026-03-20 | MRF ↗ |