3701239 — Foam Dressing Kit W Soft Port Med 800
Cite this view
HANK Price Transparency. (n.d.). Foam Dressing Kit W Soft Port Med 800 (CDM 3701239) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3701239?code_type=CDM
“Foam Dressing Kit W Soft Port Med 800 (CDM 3701239) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3701239?code_type=CDM. Accessed .
“Foam Dressing Kit W Soft Port Med 800 (CDM 3701239) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3701239?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $230–$416 (25th–75th percentile) across 2 hospitals · 18 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3701239 — 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 |
|---|---|---|---|---|---|---|---|
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $157.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Medicare Advantage | $157.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Anthem Exchange | $157.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Medicare Advantage | $157.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Medicare Advantage | $157.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Medicare Advantage | $158.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | WellCare | Medicare Advantage | $161.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Tufts Health Plan | Commercial | $253.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Commercial | $276.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Cigna | Commercial | $289.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Commercial | $317.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Commercial | $341.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MultiPlan | Commercial | $342.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Commercial | $371.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Coventry | Commercial | $391.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Aetna | Commercial | $391.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Martin's Point Healthcare | Tricare | $412.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Blue Cross Blue Shield | Medicare Advantage | $412.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Beacon Health | Commercial | $412.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Commercial | $412.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Manage Behavioral Health | Commercial | $412.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Cigna | Medicare Advantage | $428.00 | $412.00 | $309.00 | 2026-08-27 | MRF ↗ |
| SYRACUSE AREA HEALTH Both | Medica | Commercial | $10,199.00 | $11,590.00 | $11,590.00 | 2025-10-03 | MRF ↗ |
| SYRACUSE AREA HEALTH Both | United Healthcare | Commercial | $11,011.00 | $11,590.00 | $11,590.00 | 2025-10-03 | MRF ↗ |
| SYRACUSE AREA HEALTH Both | Midlands Choice | Commercial | $11,126.00 | $11,590.00 | $11,590.00 | 2025-10-03 | MRF ↗ |
| SYRACUSE AREA HEALTH Both | Blue Cross and Blue Shield | Commercial | $11,126.00 | $11,590.00 | $11,590.00 | 2025-10-03 | MRF ↗ |
| SYRACUSE AREA HEALTH Both | Aetna | PPO | $11,242.00 | $11,590.00 | $11,590.00 | 2025-10-03 | MRF ↗ |
| SYRACUSE AREA HEALTH Both | First Health Network | Commercial | $11,358.00 | $11,590.00 | $11,590.00 | 2025-10-03 | MRF ↗ |