304353 — Ins/repl Sq Icd With Elec
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INS/REPL SQ ICD W/ ELEC (CDM 304353) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/304353?code_type=CDM
MLA (9th ed.)
“INS/REPL SQ ICD W/ ELEC (CDM 304353) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/304353?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“INS/REPL SQ ICD W/ ELEC (CDM 304353) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/304353?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $17–$154,208 (25th–75th percentile) across 2 hospitals · 23 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 304353 — 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 |
|---|---|---|---|---|---|---|---|
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Molina | MCD | $4.27 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Molina | MCD | $4.58 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Aetna | MGMCRPPO | $9.15 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Aetna | MGMCRSNP | $9.15 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Aetna | MGMCRHMO | $9.15 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Bright Health | HIX | $9.15 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Aetna | MGMCRSNP | $9.82 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Bright Health | HIX | $9.82 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Aetna | MGMCRHMO | $9.82 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Aetna | MGMCRPPO | $9.82 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Oscar | HIX | $9.88 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Oscar | HIX | $10.28 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | NHC Advantage, Inc. | MCRHMO | $11.59 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Ambetter | Select | $12.20 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | NHC Advantage, Inc. | MCRHMO | $12.45 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Ambetter | CORE | $12.64 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Bright Health | SmallGroup | $12.81 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Ambetter | Select | $13.10 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Ambetter | CORE | $13.54 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Bright Health | SmallGroup | $13.76 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | United | OptionsPPO | $14.40 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | United | OptionsPPO | $14.48 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | BCBS | NetworkP | $15.25 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Aetna | NewBusiness | $15.72 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | BCBS | NetworkP | $16.38 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Cigna | NewBusiness | $16.51 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Aetna | NewBusiness | $17.69 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Aetna | COMM | $17.69 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Aetna | COMM | $18.34 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Cigna | OAP | $18.73 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Cigna | OAP | $18.85 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Cigna | PPO | $19.19 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Cigna | PPO | $19.28 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $27.45 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $29.48 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Aetna | NAP | $32.75 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | City of Springfield | COMM | $39.65 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | City of Springfield | COMM | $42.58 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Multiplan | ComplementaryNetwork | $47.58 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Multiplan | PrimaryNetwork | $50.02 | $61.00 | $61.00 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Multiplan | ComplementaryNetwork | $51.09 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Multiplan | PrimaryNetwork | $53.71 | $65.50 | $65.50 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Aetna | ASD | $57,102.91 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Union Coalition | PPO | $60,162.00 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Union Coalition Cement Masons | PPO | $62,405.33 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Moda Health | Pioneer | $65,056.53 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Aetna | SOA | $69,339.25 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Moda Health | EndeavorSelect | $70,155.01 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | SelectPayerAppendix | $75,457.42 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Aetna | ASD | $83,413.20 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Union Coalition | PPO | $87,881.77 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Union Coalition Cement Masons | PPO | $91,158.72 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | GlobalBenefitPlan | $91,772.54 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Moda Health | Pioneer | $95,031.47 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Moda Health | EndeavorProvidence | $95,851.32 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | PremeraFirst | COMM | $100,949.80 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Aetna | SOA | $101,287.46 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Moda Health | EndeavorSelect | $102,479.08 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | GEHA PPO USA | SELECT | $105,232.51 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Aetna | PPO | $106,048.27 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $106,864.03 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | SelectPayerAppendix | $110,224.59 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Cigna | COMM | $110,534.93 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | PRIMARYMPI | $122,363.39 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | PRIMARYBEECHSTREET | $122,363.39 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | CorePayerAppendix | $128,481.56 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Coventry Healthcare | COMM | $128,481.56 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | GlobalBenefitPlan | $134,056.93 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Moda Health | EndeavorProvidence | $140,015.02 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | First Health | WCOMP | $142,757.29 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | First Health | COMM | $142,757.29 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | PremeraFirst | COMM | $147,462.63 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | GEHA PPO USA | COMM | $148,875.46 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Risk & Benefit Management | COMM | $152,954.23 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Bering Strait School District | COMM | $152,954.23 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | NRECA Group Benefit Trust | COMM | $152,954.23 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | GEHA PPO USA | SELECT | $153,718.62 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $153,973.93 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Aetna | PPO | $154,910.24 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $156,101.85 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Cigna | COMM | $161,464.13 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | COMPLEMENTARYMPI | $163,151.18 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | TriWest Healthcare Alliance | Veterans | $163,151.18 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Matanuska Telephone | COMM | $163,151.18 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | COMPLEMENTARYBEECHSTREET | $163,151.18 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Banner Health | COMM | $163,151.18 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | GEHA PPO USA | CORE | $178,650.55 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | CorePayerAppendix | $187,679.71 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Coventry Healthcare | COMM | $187,679.71 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | COMPLEMENTARYAETNA | $189,663.25 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | PRIMARY | $189,663.25 | $203,938.98 | $203,938.98 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | PRIMARYBEECHSTREET | $202,574.92 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | First Health | WCOMP | $208,533.01 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | First Health | COMM | $208,533.01 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | BeechLogo | $217,470.14 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | GEHA PPO USA | COMM | $217,470.14 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | NonLogo | $217,470.14 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Risk & Benefit Management | COMM | $223,428.23 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Bering Strait School District | COMM | $223,428.23 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $224,917.75 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Banner Health | COMM | $238,323.44 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Matanuska Telephone | COMM | $238,323.44 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | TriWest Healthcare Alliance | Veterans | $238,323.44 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | GEHA PPO USA | CORE | $260,964.17 | $297,904.30 | $297,904.30 | 2026-09-01 | MRF ↗ |