40000004 — Hc Rep Lac 2.5cm/< Flr Mouth/ant 2/3
Cite this view
HANK Price Transparency. (n.d.). HC REP LAC 2.5CM/< FLR MOUTH/ANT 2/3 (OTHER 40000004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/40000004?code_type=OTHER
“HC REP LAC 2.5CM/< FLR MOUTH/ANT 2/3 (OTHER 40000004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/40000004?code_type=OTHER. Accessed .
“HC REP LAC 2.5CM/< FLR MOUTH/ANT 2/3 (OTHER 40000004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/40000004?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $459–$2,414 (25th–75th percentile) across 3 hospitals · 32 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 40000004 — 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 |
|---|---|---|---|---|---|---|---|
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | MANAGED MEDICARE | $73.16 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | ACO | $223.97 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | MANAGED MEDICARE | $223.97 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Alliance | Commercial | — | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Mhs Health | Medicare Advantage | $272.00 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Mhs Health | Medicare Advantage | $272.00 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | United | Medicare Advantage | $278.80 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | United | Medicare Advantage | $278.80 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Medicare | Medicare | $285.60 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Medicare | Medicare | $285.60 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Va | Ccn | $319.60 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Va | Ccn | $319.60 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | WELLCARE | MANAGED MEDICARE | $414.72 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. | DIRECT | $414.72 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | UNITED HEALTHCARE INSURANCE COMPANY | MANAGED MEDICARE | $414.72 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | COMMUNITY CARE ALLIANCE | MANAGED MEDICARE | $414.72 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | MANAGED MEDICAID | $455.90 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Health Traditions | Commercial | $459.00 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Health Traditions | Commercial | $459.00 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Quartz | Health Solution | $469.20 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Quartz | Health Solution | $469.20 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Wps | Commercial | $469.88 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Wps | Commercial | $469.88 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Aspirus | Commercial | $476.00 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Aspirus | Commercial | $476.00 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Alliance | Commercial | $498.78 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Alliance | Commercial | $498.78 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Ghc | Commercial | $544.00 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Dhp | Commercial | $544.00 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Chorus | Commercial | $544.00 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Ghc | Commercial | $544.00 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Chorus | Commercial | $544.00 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Dhp | Commercial | $544.00 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Bcbs | All Commercial Plans | $564.40 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Bcbs | All Commercial Plans | $564.40 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | First Health | Commercial | $578.00 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | First Health | Commercial | $578.00 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Humana | Pho | $591.60 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Humana | Pho | $591.60 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Phcs | Commercial | $605.20 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Multiplan | Primary | $605.20 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Multiplan | Primary | $605.20 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Phcs | Commercial | $605.20 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Cigna | Commercial | $612.00 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Cigna | Commercial | $612.00 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND | PRIME | $622.08 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | COMMERCIAL | $691.01 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | UNITED HEALTHCARE INSURANCE COMPANY | NEXUS | $766.71 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | TUFTS HEALTH PUBLIC PLANS | MANAGED MEDICAID MA | $870.94 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | UNITED HEALTHCARE INSURANCE COMPANY | COMMERCIAL | $995.51 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | United | Commercial | $1,000.00 | $680.00 | $510.00 | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | United | Commercial | $1,000.00 | $680.00 | $510.00 | 2026-05-15 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | TUFTS HEALTH PUBLIC PLANS | RI MANAGED MEDICAID | $1,476.13 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Humana (Medicare Advantage) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Aetna (Commercial) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Amerigroup (Medicare Advantage) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Wellcare (Harmony Health Plan) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Aetna Better Health (Medicaid) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Amerigroup La Healthy Blue (Medicaid) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Amerihealth Caritas (Medicaid) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Bcbs Of Louisiana (Commercial) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Bcbs Of Louisiana (Medicare Advantage) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Cigna Behavioral Health (Commercial) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Humana (Commercial) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | La Healthcare Connection (Medicaid) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Medicare (Traditional) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Optum (United Healthcare/United Behavioral Health) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | United Healthcare Community Plan (Medicaid) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Va Community Care Network - Optum (Ubh) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Aetna (Medicare Advantage) | — | $2,414.00 | $2,414.00 | — | 2026-05-18 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. | RI COMMERCIAL | $2,994.58 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. | MA COMMERCIAL | $4,198.81 | $1,217.00 | $425.95 | 2024-12-31 | MRF ↗ |