32001109 — Semi/private Room Icf
Cite this view
HANK Price Transparency. (n.d.). SEMI/PRIVATE ROOM ICF (CDM 32001109) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/32001109?code_type=CDM
“SEMI/PRIVATE ROOM ICF (CDM 32001109) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/32001109?code_type=CDM. Accessed .
“SEMI/PRIVATE ROOM ICF (CDM 32001109) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/32001109?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,616–$2,088 (25th–75th percentile) across 3 hospitals · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 32001109 — 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 |
|---|---|---|---|---|---|---|---|
| WEEKS MEDICAL CENTER InpatientFacility | AETNA - Commercial-POS | Aetna | $204.00 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | NEW HAMPSHIRE HEALTHY FAMILIES - Medicaid | Medicaid Managed Care | $361.06 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| ANDROSCOGGIN VALLEY HOSPITAL InpatientFacility | ANTHEM HEALTH PLANS OF NH - Commercial-POS | Anthem Health Plans | $405.35 | $500.00 | $315.00 | 2025-11-05 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | AmeriHealth Caritas New Hampshire - Medicaid | Medicaid Managed Care | $722.59 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| UPPER CONNECTICUT VALLEY HOSPITAL InpatientFacility | ANTHEM HEALTH PLANS OF NH - Commercial-PPO | Anthem | $886.08 | $500.00 | $277.50 | 2025-11-05 | MRF ↗ |
| UPPER CONNECTICUT VALLEY HOSPITAL InpatientFacility | ANTHEM HEALTH PLANS OF NH - Commercial-PPO | Anthem | $886.08 | $500.00 | $277.50 | 2025-11-05 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO | UnitedHealthcare | $1,200.00 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| ANDROSCOGGIN VALLEY HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTH CARE - Commercial-HMO | Harvard Pilgrim Health Care | $1,589.00 | $500.00 | $315.00 | 2025-11-05 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | HARVARD PILGRIM HEALTH CARE - Commercial-HMO | Harvard Pilgrim Healthcare | $1,624.50 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | ANTHEM HEALTH PLANS OF NH - Commercial-HMO | Anthem Health | $1,681.75 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | ANTHEM HEALTH PLANS, INC (CT) - Commercial-HMO | Anthem Health | $1,681.75 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | ANTHEM HEALTH PLANS OF NH - Commercial-PPO | Anthem Health | $1,681.75 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | ANTHEM HEALTH PLANS OF NH - Commercial-Indemnity | Anthem Health | $1,681.75 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| UPPER CONNECTICUT VALLEY HOSPITAL InpatientFacility | ANTHEM HEALTH PLANS OF NH - Commercial-HMO | Anthem | $1,846.00 | $500.00 | $277.50 | 2025-11-05 | MRF ↗ |
| UPPER CONNECTICUT VALLEY HOSPITAL InpatientFacility | ANTHEM HEALTH PLANS OF NH - Commercial-HMO | Anthem | $1,846.00 | $500.00 | $277.50 | 2025-11-05 | MRF ↗ |
| UPPER CONNECTICUT VALLEY HOSPITAL InpatientFacility | CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS | Cigna | $1,907.50 | $500.00 | $277.50 | 2025-11-05 | MRF ↗ |
| UPPER CONNECTICUT VALLEY HOSPITAL InpatientFacility | CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS | Cigna | $1,907.50 | $500.00 | $277.50 | 2025-11-05 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | BCBS FEP - Commercial-PPO | Anthem Health | $1,925.25 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| ANDROSCOGGIN VALLEY HOSPITAL InpatientFacility | NEW HAMPSHIRE HEALTHY FAMILIES - Medicaid | Medicaid Managed Care | $1,998.36 | $500.00 | $315.00 | 2025-11-05 | MRF ↗ |
| ANDROSCOGGIN VALLEY HOSPITAL InpatientFacility | ANTHEM HEALTH PLANS OF NH - Commercial-PPO | Anthem Health Plans | $1,999.25 | $500.00 | $315.00 | 2025-11-05 | MRF ↗ |
| ANDROSCOGGIN VALLEY HOSPITAL InpatientFacility | ANTHEM HEALTH PLANS OF NH - Commercial-Indemnity | Anthem Health Plans | $1,999.25 | $500.00 | $315.00 | 2025-11-05 | MRF ↗ |
| ANDROSCOGGIN VALLEY HOSPITAL InpatientFacility | ANTHEM HEALTH PLANS OF NH - Commercial-HMO | Anthem Health Plans | $2,026.75 | $500.00 | $315.00 | 2025-11-05 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | BLUE CROSS BLUE SHIELD OF VERMONT - Commercial-POS | Anthem Health | $2,087.50 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | GreatWestHealthcare-CIGNA - Commercial-POS | Cigna | $2,087.50 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | Cigna Health and Life Insurance Company - Commercial-POS | Cigna | $2,087.50 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS | UnitedHealthcare | $2,409.79 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $2,453.11 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |
| ANDROSCOGGIN VALLEY HOSPITAL InpatientFacility | AmeriHealth Caritas New Hampshire - Medicaid | Medicaid Managed Care | $2,497.96 | $500.00 | $315.00 | 2025-11-05 | MRF ↗ |
| ANDROSCOGGIN VALLEY HOSPITAL InpatientFacility | AMBETTER - Medicaid | Medicaid Managed Care | $2,500.00 | $500.00 | $315.00 | 2025-11-05 | MRF ↗ |
| UPPER CONNECTICUT VALLEY HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTH CARE - Commercial-HMO | Harvard Pilgrim | $2,508.00 | $500.00 | $277.50 | 2025-11-05 | MRF ↗ |
| UPPER CONNECTICUT VALLEY HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTH CARE - Commercial-HMO | Harvard Pilgrim | $2,508.00 | $500.00 | $277.50 | 2025-11-05 | MRF ↗ |
| WEEKS MEDICAL CENTER InpatientFacility | AETNA - Commercial-PPO | Aetna | $4,332.28 | $500.00 | $280.00 | 2025-11-12 | MRF ↗ |