204838 — Syn 3.5mm Cortex Sel 0204838
Cite this view
HANK Price Transparency. (n.d.). SYN 3.5MM CORTEX SEL 0204838 (CDM 204838) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/204838?code_type=CDM
“SYN 3.5MM CORTEX SEL 0204838 (CDM 204838) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/204838?code_type=CDM. Accessed .
“SYN 3.5MM CORTEX SEL 0204838 (CDM 204838) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/204838?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $59–$2,982 (25th–75th percentile) across 2 hospitals · 12 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 204838 — 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 |
|---|---|---|---|---|---|---|---|
| FORT MEMORIAL HOSPITAL BothFacility | Aetna | Medicare Advantage | $34.71 | $87.00 | $27.84 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Anthem | Blue Priority WI | $36.54 | $87.00 | $27.84 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Anthem | All Products | $40.89 | $87.00 | $27.84 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative | All Products | $55.68 | $87.00 | $27.84 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | All Products | $56.36 | $87.00 | $27.84 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | All Products | $60.90 | $87.00 | $27.84 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Alliance | All Products | $61.77 | $87.00 | $27.84 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | MercyCare | All Products | $64.08 | $87.00 | $27.84 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Aetna | All Products | $64.55 | $87.00 | $27.84 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Products Facility | $65.25 | $87.00 | $27.84 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Trilogy | All Products | $75.69 | $87.00 | $27.84 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Cigna | All Products | $81.78 | $87.00 | $27.84 | 2025-07-22 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Humana (Choice Care) | Commercial | $2,683.00 | $3,833.00 | $2,491.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $2,898.00 | $3,833.00 | $2,491.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | HMO | $3,066.00 | $3,833.00 | $2,491.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | Traditional | $3,066.00 | $3,833.00 | $2,491.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO | $3,066.00 | $3,833.00 | $2,491.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $3,089.00 | $3,833.00 | $2,491.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $3,258.00 | $3,833.00 | $2,491.00 | 2025-06-26 | MRF ↗ |