2004494 — Hydroset Xt 15cc
Cite this view
HANK Price Transparency. (n.d.). HYDROSET XT 15CC (OTHER 2004494) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2004494?code_type=OTHER
“HYDROSET XT 15CC (OTHER 2004494) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2004494?code_type=OTHER. Accessed .
“HYDROSET XT 15CC (OTHER 2004494) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2004494?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,544–$15,620 (25th–75th percentile) across 1 hospital · 13 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 2004494 — 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 |
|---|---|---|---|---|---|---|---|
| PRESTON MEMORIAL HOSPITAL Outpatient | Blue Cross Highmark Medicare | Medicare | $10,413.45 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Humana | Medicare | $10,413.45 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Uhc Va | Medicare | $10,413.45 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | $10,413.45 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Health Plan Medicare | Medicare | $10,413.45 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Advantra | Medicare | $10,413.45 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Upmc | Medicare | $10,934.12 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Health Plan Medicaid | Medicaid | $11,281.24 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Caresource Medicaid | Medicaid | $11,506.86 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Blue Cross Highmark Medicaid | Medicaid | $11,845.30 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Blue Cross Highmark Aca | Commercial | $12,628.04 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Blue Cross Highmark Ppo | Commercial | $14,009.56 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Blue Cross Highmark Pos | Commercial | $14,009.56 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Caresource Medicare | Medicare | $14,058.16 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Blue Cross Highmark Traditional | Commercial | $15,378.93 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Uhc | Commercial | $15,620.18 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Aetna Medical Rental | Commercial | $15,620.18 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Aetna Auto | Commercial | $15,620.18 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $15,967.29 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Geha | Commercial | $16,487.96 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Health | Commercial | $16,835.08 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | 4 Most | Commercial | $16,835.08 | $17,355.75 | $8,677.88 | 2026-05-06 | MRF ↗ |