33047 — Suspensory Sm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SUSPENSORY SM (CDM 33047) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/33047?code_type=CDM
MLA (9th ed.)
“SUSPENSORY SM (CDM 33047) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/33047?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SUSPENSORY SM (CDM 33047) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/33047?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $74–$388 (25th–75th percentile) across 4 hospitals · 49 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 33047 — 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 |
|---|---|---|---|---|---|---|---|
| LEWISGALE HOSPITAL PULASKI Outpatient | Aetna | MGMCR | $13.95 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Lifeworks | MCR | $17.67 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Universal Healthcare Group | MCR | $20.46 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Virginia Health Network | ULTRA | $32.55 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | United | OptionsPPO | $34.22 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Cigna | HMO | $40.83 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Cigna | PPO | $40.83 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | United | GlobalBenefitPlan | $41.85 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Aetna | BroadPOC | $43.71 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Greenvbrier Sporting Club | COMM | $55.80 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Virginia Health Network | COMM | $66.96 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | CorVel | WorkersComp | $66.96 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Virginia Health Network | WC | $66.96 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Richfield Nursing Center | COMM | $69.75 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | GM Southwest | COMM | $69.75 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Richfield Retirement Community | COMM | $69.75 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | $71.14 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Multiplan | PHCS | $71.61 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Graham-White Manufacturing | COMM | $74.40 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | One Health Plan | POS | $74.40 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | OccuNet Workers Comp | WorkersComp | $74.40 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Community Care Network | COMM | $74.40 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | One Health Plan | PPO | $74.40 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | John W Hancock | COMM | $74.40 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Patients Choice | COMM | $81.84 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Corizon Health | LOCALGOV | $82.51 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Star Transportation | COMM | $83.70 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | American Postal Workers Union | COMM | $83.70 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | 4Most | COMM | $83.70 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | PHCS | COMM | $83.70 | $93.00 | $93.00 | 2024-10-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | True Blue | MCRHMO | $88.08 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | POS | $115.74 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | PPO | $115.74 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | TRAD | $115.74 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Cigna | PPO | $124.88 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | United | OptionsPPO | $133.13 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | PacificSource Health | PPO | $133.13 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Moda | COMM | $138.93 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | St Luke's Health Partners | MCR | $144.95 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | St Luke's Health Partners | LARGEGROUP | $144.95 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | St Luke's Health Partners | QHP | $144.95 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 794_MHKS SMARTHEALTH INPATIENT 20241001 | $163.80 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 655_MHKS SMARTHEALTH OUTPATIENT 20230101 | $163.80 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Aetna | COMM | $176.39 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Multiplan | PRIMARY | $178.40 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Four Rivers Hospice | MCR | $178.40 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | $178.40 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Humana ChoiceCare | COMM | $187.32 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | $189.55 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Coventry First Health | COMM | $200.70 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | St Alphonsus Health | COMM | $200.70 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | St Alphonsus Health | PPO | $200.70 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | $200.70 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | QEP | $211.85 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | $211.85 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | QHP | $211.85 | $223.00 | $223.00 | 2026-03-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | AETNA | 780_MHKS AETNA 20240701 | $226.80 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | FIRST HEALTH | 115_FIRST HEALTH 20130101 | $231.00 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CORE SOURCE | 283_CORE SOURCE 20180101 | $231.00 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | COVENTRY | 669_MHKS COVENTRY 20170101 | $231.00 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MEDICA | 799_MEDICA HEALTHIER YOU 20241001 | $268.80 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | PROVIDRS CARE | 867_MHKS PROVIDRS CARE 20250701 | $285.60 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | UHC | 844_MHKS UNITED HEALTH CARE 20250101 | $306.60 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MULTIPLAN | 106_MULTIPLAN PHCS MHKS 20180601 | $336.00 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CENTURY | 668_CENTURY 20130101 | $369.60 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CIGNA | 778_MHKS CIGNA 20240701 | $373.80 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CHOICE | 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101 | $378.00 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CAP | 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101 | $378.00 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | HUMANA | 870_HUMANA 20250101 | $378.00 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $420.00 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | NON-CONTRACTED | 275_NON-CONTRACTED 20170101 | $420.00 | $420.00 | $168.00 | 2026-01-01 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS PPO | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS TRADITIONAL | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE VA COMMUNITY CARE NETWORK | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE HMO & PPO | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | SIHO | SIHO COMMERCIAL PPO | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | SIHO | SIHO MEDICARE ADVANTAGE | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | MULTIPLAN | MULTIPLAN | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA GOLD INTEGRATED PLUS (MMAI) | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA MEDICARE ADVANTAGE | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA COMMERCIAL HMO, PPO, POS, EPO | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | CIGNA | CIGNA HMO & PPO PLANS | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | MOLINA | MOLINA DUAL OPTIONS (MMAI) | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | AETNA | AETNA COMMERCIAL | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | AETNA | AETNA COVENTRY | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH LINK | HEALTH LINK ALL PPO | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | ZELIS | ZELIS | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE | HEALTH ALLIANCE MEDICARE ADVANTAGE | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE | HEALTH ALLIANCE HMO & PPO | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS MEDICARE ADVANTAGE | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BLUE CROSS COMMUNITY (MMAI) | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS BLUE CHOICE | — | $23,864.80 | — | 2025-02-07 | MRF ↗ |