349404 — Cage Spn Shim 12x17x29mm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CAGE SPN SHIM 12X17X29MM (CDM 349404) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/349404?code_type=CDM
MLA (9th ed.)
“CAGE SPN SHIM 12X17X29MM (CDM 349404) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/349404?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“CAGE SPN SHIM 12X17X29MM (CDM 349404) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/349404?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,101–$77,668 (25th–75th percentile) across 3 hospitals · 39 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 349404 — 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 SUMMIT MEDICAL CENTER Outpatient | Aetna | MGMCRPPO | $1,073.85 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Aetna | MGMCRHMO | $1,073.85 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Aetna | MGMCRSNP | $1,073.85 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Aetna | MGMCRPPO | $1,175.10 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Aetna | MGMCRHMO | $1,175.10 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Aetna | MGMCRSNP | $1,175.10 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Kentucky Labor Cabinet | WORKERSCOMP | $1,317.97 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Kentucky Labor Cabinet | WORKERSCOMP | $1,442.24 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Humana | TRICARE | $1,789.75 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Ambetter | Select | $1,817.49 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Humana | TRICARE | $1,958.50 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | United | OptionsPPO | $1,997.36 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Cigna | PPO | $2,519.97 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Cigna | PPO | $2,553.88 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | United | OptionsPPO | $2,835.91 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Centurion | PRISON | $2,949.51 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $3,221.55 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $3,525.30 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | BGFH SingleSource | DIRECTNETWORK | $3,579.50 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Signature Advantage | MCR | $3,579.50 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Plumbers and Pipefitters Local 572 | COMMPPO | $3,579.50 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | BGFH SingleSource | DIRECTNETWORK | $3,917.00 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Signature Advantage | MCR | $3,917.00 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Aetna | NAP | $3,917.00 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Humana BH | COMM | $4,653.35 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Multiplan | COMM | $4,653.35 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Employers Health Network | COMM | $5,011.30 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Odom's TN Pride Sausage | WORKERSCOMP | $5,369.25 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Employers Health Network | COMM | $5,483.80 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Alive Hospice, Inc. | COMM | $5,727.20 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | ComPsych | COMM | $5,727.20 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Cigna Evernorth Behavioral Health | COMM | $5,727.20 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Odom's TN Pride Sausage | WORKERSCOMP | $5,875.50 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | BGFH SingleSource | LEASEDNETWORK | $6,085.15 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Prime Health | COMMPPO | $6,299.92 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Beech Street | COMM | $6,299.92 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Southern Benefit Admin | LOGOV | $6,443.10 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | BGFH SingleSource | LEASEDNETWORK | $6,658.90 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Multiplan | COMM | $7,050.60 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Beech Street | COMM | $7,207.28 | $7,834.00 | $7,834.00 | 2026-03-12 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | United | OptionsPPO | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Cigna | PPO | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Multiplan | COMM | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Humana | TRICARE | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Beech Street | COMM | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Aetna | MGMCRHMO | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Aetna | MGMCRSNP | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Aetna | MGMCRPPO | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Employers Health Network | COMM | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Farm Bureau | MCR | $15,000.00 | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Alive Hospice, Inc. | COMM | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | BGFH SingleSource | DIRECTNETWORK | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | BGFH SingleSource | LEASEDNETWORK | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Kentucky Labor Cabinet | WORKERSCOMP | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Odom's TN Pride Sausage | WORKERSCOMP | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Plumbers and Pipefitters Local 572 | COMMPPO | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Signature Advantage | MCR | — | $7,254.00 | $7,254.00 | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Farm Bureau | MCR | $15,000.00 | $7,159.00 | $7,159.00 | 2024-10-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $36,366.40 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $36,366.40 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | MyBlueHealth | $38,704.24 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | AmbetterHMO | $44,159.20 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | AmbetterEPO | $44,159.20 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | ValueHMO | $44,159.20 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueAdvantage | $45,458.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | United | OptionsPPO | $64,680.24 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueEssentialsAccess | $70,914.48 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueEssentials | $70,914.48 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | EPOSOA | $76,888.96 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | IMO Med - Select Network | WC | $77,928.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | Traditional | $82,863.44 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | PPO | $82,863.44 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Sendero | ACHP | $83,123.20 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Shared Health | MGMCR | $90,916.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Texas Healthcare Foundation HEB | COMM | $96,111.20 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Texas Healthcare Foundation HEB | WC | $96,111.20 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Texas Workforce Commission | WCOMP | $101,306.40 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | United | GlobalBenefitPlan | $116,892.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Averde Health | COMM | $116,892.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | NaphCare | MGMCR | $116,892.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Austin FC | WORKERSCOMP | $129,880.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Comanche County | LOCALGOV | $129,880.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | HealthSmart Preferred Care | Accel | $142,868.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Physicians Cooperative of Texas | WC | $142,868.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Independent Medical Systems | COMM | $142,868.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Prime Health | WC | $155,856.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $168,844.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | National Health Care | COMM | $168,844.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | MedCorp Southwest | COMM | $194,820.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | HealthSmart Preferred Care | COMM | $207,808.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Beech Street | COMMPPO | $233,784.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Medical Control Network Solutions | MedicalControlNetwork | $233,784.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Multiplan | COMMPPO | $233,784.00 | $259,760.00 | $259,760.00 | 2026-03-01 | MRF ↗ |