415240 — Splint Burn 9x12in Silon
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SPLINT BURN 9X12IN SILON (CDM 415240) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/415240?code_type=CDM
MLA (9th ed.)
“SPLINT BURN 9X12IN SILON (CDM 415240) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/415240?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SPLINT BURN 9X12IN SILON (CDM 415240) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/415240?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $388–$430,000 (25th–75th percentile) across 4 hospitals · 32 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 415240 — 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 |
|---|---|---|---|---|---|---|---|
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Aetna Medicare Advantage | Aetna Medicare Advantage | $3.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Cigna | Commercial POS | $5.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | NovaSys-Centene Qualchoice | NovaSys-Centene Qualchoice | $6.50 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Multiplan | Multiplan | $7.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Employer's Health Choice | Employer's Health Choice | $7.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Workers Compensation | PPO Plus Workers Compensation | $7.50 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Aetna | Commercial PPO | $8.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Primary | PPO Plus Primary | $8.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Secondary | PPO Plus Secondary | $8.50 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Corvel | Corvel | $8.50 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | MunicipalHealthBenefitProgram - Commercial-Mut Defined | Municipal Health Benefit Fund | $8.50 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Mercy Health Plan | Mercy Health Plan | $9.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Arkansas Managed Care Organization-Southern | Arkansas Managed Care Organization-Southern | $9.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | HUMANA INC. - Medicare Part A | Humana Medicare | $10.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | CareSource MCD | CareSource MCD | $10.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | ARKANSAS BLUE CROSS BLUE SHIELD - Medicare-HMO | BCBS-USAble HMO | $10.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Health Services Coalition | COMM | $360.13 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Imperial NV | MCR | $397.20 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | United | OptionsPPO | $553.43 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Centene | HIX | $556.08 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Select Health | HIX | $571.97 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | CIGNA | OAP | $593.15 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Select Health | COMM | $610.36 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Prominence HealthFirst | COMM | $794.40 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | PPO | $799.70 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | HMO | $799.70 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | CMN Global | COMM | $1,112.16 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Hometown Health Providers | HMO/PPO/POS | $1,324.00 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Hometown Health Providers | ThirdPartyAdministratior(TPA) | $1,324.00 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | NV Health & Welfare Trust | COMM | $1,588.80 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MultiPlan | PRIMARY | $1,668.24 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MultiPlan | INTERNATIONAL | $1,668.24 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | First Health | COMM | $1,747.68 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MultiPlan | COMPLEMENTARY | $1,933.04 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Olympus MedSave USA | COMM | $1,986.00 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MedCare International | COMM | $1,986.00 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | First Health | WC | $2,118.40 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Elevance (Anthem BCBS) | MCR | $2,648.00 | $2,648.00 | $2,648.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | MCR | $53,750.00 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | MCR | $57,781.30 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Cigna | PPO | $149,075.75 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Cigna | HMO | $149,075.75 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Blue Shield | EPN | $155,445.00 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | United | OptionsPPO | $162,365.45 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Blue Shield | EPN | $162,827.70 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | United | OptionsPPO | $166,087.50 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Blue Shield | COMM | $222,041.25 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Blue Shield | COMM | $232,627.51 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | ChoiceCare Network | COMMPPO | $376,250.00 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | ChoiceCare Network | COMMPPO | $404,469.10 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Multiplan | PRIMARY | $430,000.00 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | PPO Next | WC | $430,000.00 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | PPO Next | PPO | $430,000.00 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | First Health | WCOMP | $430,000.00 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | PPO Next | WC | $462,250.40 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | PPO Next | PPO | $462,250.40 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Multiplan | PRIMARY | $462,250.40 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | First Health | WCOMP | $462,250.40 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Ventura County Foundation | COMM | $483,750.00 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Interplan Corporation | COMM | $483,750.00 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Interplan Corporation | WC | $483,750.00 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | $510,625.00 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Interplan Corporation | COMM | $520,031.70 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Interplan Corporation | WC | $520,031.70 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Ventura County Foundation | COMM | $520,031.70 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna Senior Health Plan | MCR | $537,500.00 | $537,500.00 | $537,500.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Multiplan | COMPLEMENTARY | $548,922.35 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna Senior Health Plan | MCR | $577,813.00 | $577,813.00 | $577,813.00 | 2026-03-01 | MRF ↗ |