4309583 — Jot Dx Dm4500
Cite this view
HANK Price Transparency. (n.d.). Jot Dx Dm4500 (CDM 4309583) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4309583?code_type=CDM
“Jot Dx Dm4500 (CDM 4309583) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4309583?code_type=CDM. Accessed .
“Jot Dx Dm4500 (CDM 4309583) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4309583?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,463–$8,292 (25th–75th percentile) across 1 hospital · 4 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4309583 — 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 |
|---|---|---|---|---|---|---|---|
| GOTHENBURG HEALTH Outpatient | United Healthcare | Veterans Affair Community Care | $5,386.00 | $8,775.00 | $7,898.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Outpatient | Blue Cross Blue Shield | Medicare Advantage | $5,441.00 | $8,775.00 | $7,898.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Outpatient | Aetna | Medicare Advantage | $5,528.00 | $8,775.00 | $7,898.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Outpatient | Nebraska Total Care | Commercial | $8,161.00 | $8,775.00 | $7,898.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Outpatient | Blue Cross Blue Shield | Commercial | $8,336.00 | $8,775.00 | $7,898.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Outpatient | Aetna | Commercial | $8,424.00 | $8,775.00 | $7,898.00 | 2025-06-11 | MRF ↗ |