3722850 — Tib Pero Initl W Pta Bilateral
Cite this view
HANK Price Transparency. (n.d.). TIB PERO INITL W PTA BILATERAL (CPT 3722850) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3722850?code_type=CPT
“TIB PERO INITL W PTA BILATERAL (CPT 3722850) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3722850?code_type=CPT. Accessed .
“TIB PERO INITL W PTA BILATERAL (CPT 3722850) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3722850?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11,095–$37,151 (25th–75th percentile) across 9 hospitals · 27 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 3722850 — 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 |
|---|---|---|---|---|---|---|---|
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $471.30 | — | — | 2026-03-27 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Coventry First Health | — | $666.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Aetna | — | $4,449.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Medicare | — | $5,160.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Hmo | — | $6,050.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Ppo | — | $6,406.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Indemnity | — | $7,118.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $7,221.07 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $7,221.07 | — | — | 2025-06-27 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Cigna | — | $8,025.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $9,842.16 | — | $3,450.75 | 2025-08-06 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | INDIVIDUAL EXCHANGE | $10,315.50 | — | — | 2025-06-28 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $13,432.09 | — | — | 2025-09-16 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Home State Health | MANAGED MEDICAID | $13,432.09 | — | — | 2025-07-01 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Multiplan | — | $14,235.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | HomeState | Managed Medicaid | $14,372.34 | — | — | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | UHC | Managed Medicaid | $15,951.57 | — | — | 2025-09-16 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Healthy Blue | Managed Medicaid | $21,752.15 | — | — | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Community | Managed Medicaid | $21,752.15 | — | — | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Home State | Managed Medicaid | $23,202.29 | — | — | 2025-12-15 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | All Products | $34,799.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | All Products | $34,799.65 | — | — | 2025-06-27 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Phcs | Phcs | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Cofinity | Cofinity | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Frontpath | Frontpath | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Health Alliance Plan | Hap | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Mclaren | Mclaren | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Multi-Plan | Multi-Plan | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Paramount Hmo | Paramount Hmo | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Paramount Ppo | Paramount Ppo | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Php Northern Indiana | Php Northern Indiana | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Php Of Mid Michigan | Php Of Mid Michigan | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Priority | Priority | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Optum Va | Optum Va | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Hap | Hap Medicare | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Priority Medicare | Priority Medicare | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | United Health Medicare | United Health Medicare | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Meridian Medicaid | Meridian Medicaid | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Priority Medicaid | Priority Medicaid | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | United Health Care Medicaid | United Health Care Medicaid | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Blue Cross Blue Shield Of Michigan | Bcbsm Ppo | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | United Healthcare Insurance Company | Uhc | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Aetna | Aetna Medicare | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Aetna | Aetna Hmo | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Paramount Elite | Paramount Elite | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Humana | Humana Medicare | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |