2800442 — Vis Cut Guide V0100022
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Vis Cut Guide V0100022 (CDM 2800442) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2800442?code_type=CDM
MLA (9th ed.)
“Vis Cut Guide V0100022 (CDM 2800442) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2800442?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“Vis Cut Guide V0100022 (CDM 2800442) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2800442?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $677–$74,812 (25th–75th percentile) across 3 hospitals · 24 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 2800442 — 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 |
|---|---|---|---|---|---|---|---|
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Cigna | HMO | $388.29 | $1,290.00 | $245.10 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $447.63 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $447.63 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | $549.54 | $1,290.00 | $245.10 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Choice | $566.31 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Choice | $566.31 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Products | $567.60 | $1,290.00 | $245.10 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | Blue Choice | $595.98 | $1,290.00 | $245.10 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Humana | All Products | $645.00 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Humana | All Products | $645.00 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | UHC | All Products | $645.00 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | UHC | Navigate Core | $645.00 | $1,290.00 | $245.10 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | UHC | All Products | $645.00 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | UHC | All Products | $670.80 | $1,290.00 | $245.10 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | PPO | $677.25 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | PPO | $677.25 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | PPO | $741.75 | $1,290.00 | $245.10 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $794.64 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $794.64 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | Aetna | FH-Medical Rental | $838.50 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | Aetna | FH-Medical Rental | $838.50 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | HMO | $864.30 | $1,290.00 | $245.10 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | Blue Precision | $897.84 | $1,290.00 | $245.10 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | Aetna | ASA | $922.35 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | Aetna | ASA | $922.35 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | Aetna | FH-Medical Rental | $941.70 | $1,290.00 | $245.10 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $1,081.02 | $1,290.00 | $245.10 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Precision | $1,359.66 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Precision | $1,359.66 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | HMO | $1,359.66 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | HMO | $1,359.66 | $1,290.00 | $296.70 | 2026-03-31 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | Multiplan | Medicare/VA | $42,643.12 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | Government Employees Health Association (GEHA) | Medicare | $44,887.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | TriWest | Veterans Administration | $44,887.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare | $44,887.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Multiplan | Medicare/VA | $45,635.62 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | TriWest | Veterans Administration | $48,037.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Government Employees Health Association (GEHA) | Medicare | $48,037.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare | $48,037.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Aetna of WY | Medicare | $50,400.00 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | Aetna of WY | Medicare | $51,975.00 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Three Rivers | PPO | $59,062.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | PacificSource | Commercial | $70,875.00 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | First Choice Health | Commercial | $74,812.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Wise Provider Network | Commercial | $74,812.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Government Employees Health Association (GEHA) | Commercial | $74,812.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | WINHealth Partners | Commercial | $74,812.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Entrust | Commercial | $74,812.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $75,206.25 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Altius | Commercial | $75,600.00 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | ChoiceCare Network | Commercial | $76,387.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Wyoming | Commercial | $76,387.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Idaho Integrated Healthcare | Commercial | $76,387.50 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Aetna of WY | Commercial/Medical Rental | $77,175.00 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | One Health Plan of WY | PPO | $77,175.00 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | WINHealth Partners | Commercial | $77,175.00 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Beech Street | Commercial | $77,175.00 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | PHCS | PPO | $77,175.00 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Cigna of WY | Commercial | $77,175.00 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | HealthUtah | PPO | $78,750.00 | $78,750.00 | $55,125.00 | 2024-11-12 | MRF ↗ |