36064629 — Desctruct Basivert Addl
Cite this view
HANK Price Transparency. (n.d.). Desctruct basivert addl (CDM 36064629) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/36064629?code_type=CDM
“Desctruct basivert addl (CDM 36064629) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/36064629?code_type=CDM. Accessed .
“Desctruct basivert addl (CDM 36064629) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/36064629?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,288–$16,288 (25th–75th percentile) across 1 hospital · 38 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 36064629 — 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 |
|---|---|---|---|---|---|---|---|
| LORETTO HOSPITAL Both | AMBETTER | AMBETTER | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | United Healthcare | UHC | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | MEDICARE | MCR | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | CIGNA | CIG | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | CIGNA | CIGNA | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | CIGNA | CIGNA OTH | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | CIGNA | CIGNA ST | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | HUMANA HMO | HUMANA | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | HUMANA PPO | HUMANA PPO | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | VETERANS ADMINISTRATION | VA | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | WELLCARE MEDICARE | WELCAREMCR | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | BEACON HEALTH STRATEGIES | BEACON | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | BLUE CROSS BLUE SHIELD | BC BS OTH | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | Self Pay | SP | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | CIGNA HEALTHSPRINGS MEDICARE | CI-HLT MCR | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | OSCAR INSURANCE | OSCAR | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | HARMONY HEALTH PLAN | HARMONY | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | Medicare B | MCRB | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | AETNA INSURANCE | AETNA OTH | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | MOLINA HEALTHCARE OF ILLINOIS | MOLINA | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | COMMERCIAL OTHER | COM | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | AETNA BH/ICP | AETNA BH | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | AETNA BH/MMAI | AETNA MMAI | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | AETNA HEALTH PLANS | ATH | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | AETNA US HEALTHCARE OF IL | ATU | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | BC BS EMPLOYEE | BC BS EMP | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | BCBS HMO ILLINOIS | HMO IL | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | BC BS MCR MMAI | BC BS MCR | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | BC BS PA ICP | BC BS PA | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | BC Medicare Advantage | BC MCR ADV | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | BETTER HEALTH NETWORK | BETTER HLT | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | BLUE CROSS BLUE SHIELD PPO | BC BS PPO | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | CIGNA HEALTHSPRINGS ICP | CIG-HS PA | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | HEALTHSPRING OF ILLINOIS | HEALTHSPRI | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | ILLINOIS MEDICAID | PA | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | MERIDIAN HEALTH PLAN PA ICP | MERIDIAN | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | MERIDIAN MCR MMAI | MERIDIAN M | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | MOLINA HEALTHCARE MMP | MOLINA MM | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | United Healthcare Comprehensiv | UHC CC | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | UNITED HEALTHCARE MEDICARE ADV | UHCMCR | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | VALENCE COUNTYCARE | VALENC CCH | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | WELLCARE HARMONY HMO | WELLCARE | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | YouthCare HealthChoice Illinoi | YOUTHCARE | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |
| LORETTO HOSPITAL Both | ZING HEALTH | ZING | — | $20,359.50 | $12,215.70 | 2026-11-05 | MRF ↗ |