4050920376 — Jii Med Dish Art Ins Lt Sz5-6
Cite this view
HANK Price Transparency. (n.d.). JII MED DISH ART INS LT SZ5-6 (CDM 4050920376) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4050920376?code_type=CDM
“JII MED DISH ART INS LT SZ5-6 (CDM 4050920376) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4050920376?code_type=CDM. Accessed .
“JII MED DISH ART INS LT SZ5-6 (CDM 4050920376) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4050920376?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,290–$16,272 (25th–75th percentile) across 1 hospital · 19 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4050920376 — 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 |
|---|---|---|---|---|---|---|---|
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $1,882.20 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Care First Health Plan | Care 1St Medicare Advantage | $5,270.16 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Cigna | Cigna Medicare Advantage | $5,270.16 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Umvs | Umvs | $5,270.16 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Tricare | Tricare For Life | $5,270.16 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Veterans Administrations | Veterans Administration | $5,270.16 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Managed Medicare Plans | Managed Medicare Plans | $5,270.16 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Medicare | $5,270.16 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Champva | Champva/Health Net | $5,270.16 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Chpw | Chpw | $5,349.78 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Managed Medicare Plans | Managed Medicare Plans | — | $19,763.00 | $19,763.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Champva | Champva/Health Net | — | $19,763.00 | $19,763.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Regence | Regence Medicare | $5,533.67 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Bcbs | Blue Cross Medicare Advanatage | $5,533.67 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Uhc | Uhc Medicare Advantage | $5,533.67 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Bcbs | Medicare Advantage | — | $19,763.00 | $19,763.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Regence | Regence Medicare | — | $19,763.00 | $19,763.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Humana | Humana Medicare Advantage | $5,844.23 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $5,928.93 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Humana | Medicare Advantage | — | $19,763.00 | $19,763.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | — | $19,763.00 | $19,763.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Ambetter | Ambetter | $8,131.10 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Ambetter | Ambetter | — | $19,763.00 | $19,763.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Premera | Premera | $12,893.07 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Ump Healthcare | Ump | $14,662.34 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Aetna | Aetna | $16,808.05 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Phcs | Phcs | $16,939.80 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Uhc | Uhc | $17,316.24 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Regence | Regence | — | $19,763.00 | $19,763.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Aetna | Aetna | — | $19,763.00 | $19,763.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | First Choice Health | First Choice | $17,880.90 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Cigna | Cigna | $17,880.90 | $18,822.00 | $18,822.00 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Uhc | Uhc | — | $19,763.00 | $19,763.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Cigna | Cigna | — | $19,763.00 | $19,763.00 | 2026-10-02 | MRF ↗ |