3004694 — Lateral Ev Humeral Stem Small Std Rt
Cite this view
HANK Price Transparency. (n.d.). LATERAL EV HUMERAL STEM SMALL STD RT (CDM 3004694) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3004694?code_type=CDM
“LATERAL EV HUMERAL STEM SMALL STD RT (CDM 3004694) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3004694?code_type=CDM. Accessed .
“LATERAL EV HUMERAL STEM SMALL STD RT (CDM 3004694) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3004694?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,084–$23,986 (25th–75th percentile) across 1 hospital · 20 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3004694 — 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 |
|---|---|---|---|---|---|---|---|
| STAR VALLEY MEDICAL CENTER OutpatientFacility | Multiplan | Medicare/VA | $13,389.94 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | TriWest | Veterans Administration | $14,094.68 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | Government Employees Health Association (GEHA) | Medicare | $14,094.68 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare | $14,094.68 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Multiplan | Medicare/VA | $14,329.59 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare | $15,083.78 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | TriWest | Veterans Administration | $15,083.78 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Government Employees Health Association (GEHA) | Medicare | $15,083.78 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Aetna of WY | Medicare | $15,825.60 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | Aetna of WY | Medicare | $16,320.15 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Three Rivers | PPO | $18,545.62 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | PacificSource | Commercial | $22,254.75 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | WINHealth Partners | Commercial | $23,491.12 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Entrust | Commercial | $23,491.12 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | First Choice Health | Commercial | $23,491.12 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Wise Provider Network | Commercial | $23,491.12 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Government Employees Health Association (GEHA) | Commercial | $23,491.12 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $23,614.76 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Altius | Commercial | $23,738.40 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Wyoming | Commercial | $23,985.68 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Idaho Integrated Healthcare | Commercial | $23,985.68 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | ChoiceCare Network | Commercial | $23,985.68 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | One Health Plan of WY | PPO | $24,232.95 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | WINHealth Partners | Commercial | $24,232.95 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Aetna of WY | Commercial/Medical Rental | $24,232.95 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Cigna of WY | Commercial | $24,232.95 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Beech Street | Commercial | $24,232.95 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | PHCS | PPO | $24,232.95 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | HealthUtah | PPO | $24,727.50 | $24,727.50 | $17,309.25 | 2024-11-12 | MRF ↗ |