22004 — CPT 22004
Cite this view
HANK Price Transparency. (n.d.). CPT 22004 (HCPCS 22004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/22004?code_type=HCPCS
“CPT 22004 (HCPCS 22004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/22004?code_type=HCPCS. Accessed .
“CPT 22004 (HCPCS 22004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/22004?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9–$21 (25th–75th percentile) across 3 hospitals · 10 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 22004 — 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 |
|---|---|---|---|---|---|---|---|
| CAPE CANAVERAL HOSPITAL Outpatient | Corizon Health | Yescare | $4.67 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Nhp | $6.89 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Health First Health Plan | Hfhp Individual Ppo/Marketplace | $6.96 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Florida Healthcare Plans | Florida Healthcare Plans Bnn | $7.45 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Cigna | Cigna | $9.62 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 1 | $11.72 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 2 | $11.72 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Aetna | Aetna Commercial | $13.31 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Disney Cruise Line | Disney Cruise Line | $14.01 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Prime Heath Services, Inc. | Prime Heath Services Inc | $17.51 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Multiplan | Multiplan | $18.68 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Choicecare | Choicecare | $21.02 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Aetna | Aetna Coventry First Health Facility Rental | $22.18 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $74.35 | $23.35 | $5.84 | 2026-05-08 | MRF ↗ |
| Rush County Memorial Hospital Inpatient | MULTIPLAN MEDICAID - ALL PLANS | MULTIPLAN MEDICAID - ALL PLANS | $1,000.00 | $1,000.00 | $900.00 | 2025-04-25 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | United Healthcare | HMO/POS/PPO | $4,344.00 | — | — | 2026-04-30 | MRF ↗ |