4504201 — Fb Removal Arm/elbow Deep
Cite this view
HANK Price Transparency. (n.d.). FB REMOVAL ARM/ELBOW DEEP (OTHER 4504201) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4504201?code_type=OTHER
“FB REMOVAL ARM/ELBOW DEEP (OTHER 4504201) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4504201?code_type=OTHER. Accessed .
“FB REMOVAL ARM/ELBOW DEEP (OTHER 4504201) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4504201?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $408–$1,652 (25th–75th percentile) across 1 hospital · 9 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 4504201 — 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 |
|---|---|---|---|---|---|---|---|
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Apc Passe D/B/A Summit Community Care | Medicaid Hmo | $250.00 | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Outpatient | Cigna | Benefit Plans | — | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Aetna | Full Risk And Plan For Plan Sponsors | — | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Aetna | Ppo | — | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Novasys Health | Hospital Provider Agreement - Select Rates | — | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Novasys Health | Medicaid Pass Program Products | $250.00 | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Outpatient | Novasys Health | Hospital Provider Agreement - Select Rates | — | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Outpatient | Novasys Health | Commercial Exchange Product | — | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Novasys Health | Hospital Provider Agreement - Preferred And Choice Rates | — | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Outpatient | Apc Passe D/B/A Summit Community Care | Medicaid Hmo | $317.50 | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage Benefit Plan | $408.44 | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Arkansas Blue Cross Blue Shield Medi-Pak Advantage | Pffs | $408.44 | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Arkansas Blue Cross Blue Shield Medi-Pak Advantage | Hmo Network | $408.44 | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Humana D/B/A Choicecare Network | Medicare Hmo,Pos,Ppo,Pffs | $408.44 | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Novasys Health | Medicare Products | $420.69 | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Arkansas Blue Cross Blue Shield Health Advantage | Hmo Network | $2,364.53 | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Arkansas Blue Cross Blue Shield | Ppo Network | $2,627.26 | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Arkansas First Source | Ppo Network | $2,627.26 | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Outpatient | Arkansas Blue Cross Blue Shield Health Advantage | Hmo Network | $2,627.26 | $3,053.23 | $1,679.28 | 2026-05-09 | MRF ↗ |