4240075 — MRI Upper Ext Wo Cont W Contr Left
Cite this view
HANK Price Transparency. (n.d.). MRI UPPER EXT WO CONT W CONTR LEFT (OTHER 4240075) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4240075?code_type=OTHER
“MRI UPPER EXT WO CONT W CONTR LEFT (OTHER 4240075) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4240075?code_type=OTHER. Accessed .
“MRI UPPER EXT WO CONT W CONTR LEFT (OTHER 4240075) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4240075?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $485–$4,090 (25th–75th percentile) across 2 hospitals · 17 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 4240075 — 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 | — | $430.90 | $538.63 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Premera All Plans | — | $457.84 | $538.63 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Regence All Plans | — | $457.84 | $538.63 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Aetna All Plans | — | $484.77 | $538.63 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Geha All Plans | — | $484.77 | $538.63 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Kaiser All Plans | — | $484.77 | $538.63 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Cigna All Plans | — | $484.77 | $538.63 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | United Healthcare All Plans | — | $484.77 | $538.63 | — | 2026-05-18 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Healthplan Peia | Commercial | $2,923.62 | $5,220.75 | $2,610.38 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Aetna Medicaid | Medicaid | $2,923.62 | $5,220.75 | $2,610.38 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Healthplan Medicaid | Medicaid | $2,923.62 | $5,220.75 | $2,610.38 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Peia | Commercial | $2,923.62 | $5,220.75 | $2,610.38 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Highmark Bcbs Wv Aca | Commercial | $3,480.67 | $5,220.75 | $2,610.38 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Highmark Bcbs Wv Traditional | Commercial | $3,973.51 | $5,220.75 | $2,610.38 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Highmark Bcbs Wv Ppo Pos | Commercial | $3,973.51 | $5,220.75 | $2,610.38 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Healthplan | Commercial | $4,437.64 | $5,220.75 | $2,610.38 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Humana Choicecare Network | Commercial | $4,698.68 | $5,220.75 | $2,610.38 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Aetna | Commercial | $4,698.68 | $5,220.75 | $2,610.38 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | United Healthcare | Commercial | $4,698.68 | $5,220.75 | $2,610.38 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Cigna | Commercial | $4,803.09 | $5,220.75 | $2,610.38 | 2026-05-08 | MRF ↗ |