4130104 — CTA Abd/pel W&without Contrast
Cite this view
HANK Price Transparency. (n.d.). CTA ABD/PEL W&W/O CONTRAST (OTHER 4130104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4130104?code_type=OTHER
“CTA ABD/PEL W&W/O CONTRAST (OTHER 4130104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4130104?code_type=OTHER. Accessed .
“CTA ABD/PEL W&W/O CONTRAST (OTHER 4130104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4130104?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,849–$6,193 (25th–75th percentile) across 1 hospital · 8 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 4130104 — 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 |
|---|---|---|---|---|---|---|---|
| FERRY COUNTY MEMORIAL HOSPITAL | Medicare All Plans | — | $5,505.23 | $6,881.54 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Premera All Plans | — | $5,849.31 | $6,881.54 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Regence All Plans | — | $5,849.31 | $6,881.54 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Geha All Plans | — | $6,193.39 | $6,881.54 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Aetna All Plans | — | $6,193.39 | $6,881.54 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Kaiser All Plans | — | $6,193.39 | $6,881.54 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | United Healthcare All Plans | — | $6,193.39 | $6,881.54 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Cigna All Plans | — | $6,193.39 | $6,881.54 | — | 2026-05-18 | MRF ↗ |