42614 — CPT 42614
Cite this view
HANK Price Transparency. (n.d.). CPT 42614 (CPT 42614) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/42614?code_type=CPT
“CPT 42614 (CPT 42614) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/42614?code_type=CPT. Accessed .
“CPT 42614 (CPT 42614) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/42614?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $268–$7,652 (25th–75th percentile) across 3 hospitals · 9 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 42614 — 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 |
|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | MEDICARE PART A | MEDICARE PART A | $268.26 | $268.26 | $268.26 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | MEDICARE | MEDICARE | $268.26 | $268.26 | $268.26 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | AARP MGG | AARP | $268.26 | $268.26 | $268.26 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | AETNA MGG | AETNA Health Management | $268.26 | $268.26 | $268.26 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | ALLWELL MGG | AR Health and Wellness | $268.26 | $268.26 | $268.26 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | BCBS ARKANSAS 2 MGG | Arkansas Blue Cross and Blue Shield Medicare Advantage | $268.26 | $268.26 | $268.26 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | BCBS ARKANSAS MGG | Arkansas Blue Cross and Blue Shield | $268.26 | $268.26 | $268.26 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | CIGNA MGG | CIGNA Medicare Advantage | $268.26 | $268.26 | $268.26 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | HUMANA CHOICE CARE PPO MGG | Humana TriCare | $268.26 | $268.26 | $268.26 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | UNH DUAL COMPLETE MGG | UHC Medicare Advantage | $268.26 | $268.26 | $268.26 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | UNITED HEALTHCARE MGG | United Healthcare of Arkansas | $268.26 | $268.26 | $268.26 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS Inpatient | VACCN-OPTUM CPG | Vererans Affairs Community Care Network | $268.26 | $268.26 | $268.26 | 2026-03-16 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $396.42 | $398.25 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $2,941.41 | $2,955.00 | — | 2026-02-24 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | United Healthcare | HMO/POS/PPO | $4,344.00 | — | — | 2026-04-30 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | UHC Fort Logan Hospital | PPO | $4,882.38 | $12,681.50 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | UHC Fort Logan Hospital | PPO | $8,575.01 | $22,272.75 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $11,909.96 | $11,965.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $12,623.17 | $12,681.50 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $19,567.37 | $30,337.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $22,170.30 | $22,272.75 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $30,197.45 | $30,337.00 | — | 2026-02-24 | MRF ↗ |