49162 — App Fngr Spl Static Ot
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). APP FNGR SPL STATIC OT (CDM 49162) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/49162?code_type=CDM
MLA (9th ed.)
“APP FNGR SPL STATIC OT (CDM 49162) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/49162?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“APP FNGR SPL STATIC OT (CDM 49162) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/49162?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $96–$414 (25th–75th percentile) across 4 hospitals · 49 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 49162 — 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 |
|---|---|---|---|---|---|---|---|
| CALAIS COMMUNITY HOSPITAL Outpatient | Anthem | Medicare Advantage | $33.00 | $188.00 | $141.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $33.00 | $188.00 | $141.00 | 2025-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | BCBS | MGMCD | $40.47 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | United | MGMCD | $41.08 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | United | BHMGMCD | $41.08 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Vaya Health | MedicaidDirect | $41.68 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Vaya Health | MedicaidTailoredPlan | $41.68 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | WellCare | MGMCD | $41.68 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | AmeriHealth | MGMCD | $42.08 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Partners Health Management | MGMCD | $42.50 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Apex Health | MCR | $44.08 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | BCBS | MCR | $44.08 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | United | HeritageSelect | $61.94 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Aetna | MGMCR | $77.70 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | United | NarrowNetworkIndivExchange | $80.89 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | Humana | Commercial | $83.00 | $188.00 | $141.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | Wellcare | HMO | $83.00 | $188.00 | $141.00 | 2025-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | CIGNA | HIX | $85.30 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | CIGNA | NewBusiness | $85.30 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | CIGNA | IFP | $85.30 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | United | AllPayerAppendix | $88.16 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Cigna | NBR | $95.31 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | AmeriHealth Caritas | Commercial-Exchange | $96.98 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Lifeworks | MCR | $98.42 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | United | GlobalBenefitPlanAppendix | $99.18 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | CARESOURCE | HIX | $99.40 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | United | OptionsPPO | $102.49 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | Partners Direct Health | Commercial | $109.00 | $188.00 | $141.00 | 2025-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Universal Healthcare Group | MCR | $113.96 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | CIGNA | ExistingBusiness | $117.04 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | MedCost | ULTRARATE | $125.57 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Magellan Behavioral Health | MCR | $132.25 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Magellan | COMM | $132.25 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | Anthem | Commercial | $149.00 | $188.00 | $141.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | Cigna | Commercial | $158.00 | $188.00 | $141.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | $162.00 | $188.00 | $141.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | United Healthcare | PPO | $162.00 | $188.00 | $141.00 | 2025-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Aetna | COMM | $163.54 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | Martins Point | PPO | $169.00 | $188.00 | $141.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | Harvard Pilgrim | Commercial | $172.00 | $188.00 | $141.00 | 2025-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Multiplan | COMM | $176.33 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Virginia Health Network | ULTRA | $181.30 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | MedCost | STANDARD | $187.35 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Avalon Administrative Services | COMM | $187.35 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Crescent Health Solutions | COMM | $187.35 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Prime Health | WCOMP | $193.96 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Prime Health | COMM | $193.96 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Aetna | SharedSavings | $196.84 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Prime Health | INDIGENTCARE | $198.37 | $220.41 | $220.41 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | United | OptionsPPO | $220.67 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Cigna | PPO | $228.44 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Cigna | HMO | $228.44 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | United | GlobalBenefitPlan | $233.10 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Aetna | Broad | $290.08 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Greenvbrier Sporting Club | COMM | $310.80 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | CorVel | WorkersComp | $372.96 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Virginia Health Network | WC | $372.96 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Virginia Health Network | COMM | $372.96 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Richfield Nursing Center | COMM | $388.50 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | GM Southwest | COMM | $388.50 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Richfield Retirement Community | COMM | $388.50 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Multiplan | PHCS | $398.86 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | OccuNet Workers Comp | WorkersComp | $414.40 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | One Health Plan | PPO | $414.40 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | One Health Plan | POS | $414.40 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Community Care Network | COMM | $414.40 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Graham-White Manufacturing | COMM | $414.40 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | John W Hancock | COMM | $414.40 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | PHCS | COMM | $440.30 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Patients Choice | COMM | $455.84 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | American Postal Workers Union | COMM | $466.20 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Star Transportation | COMM | $466.20 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | 4Most | COMM | $466.20 | $518.00 | $518.00 | 2024-10-01 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Medicare Advantage | Medicare Advantage | $1,368.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Triwest | Commercial | $1,368.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | USA | Commercial | $1,505.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Coventry | Commercial | $3,420.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | United Healthcare | Commercial | $4,275.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Three Rivers | PPO | $4,560.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Health West | Commercial | $4,560.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Integrated Health | Commercial | $4,845.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Blue Cross Blue Shield | Commercial | $4,845.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Humana | PPO | $5,130.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Multiplan | Commercial | $5,130.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Presbyterian | Commercial | $5,301.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Cigna | Commercial | $5,301.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Associated Plan Administrators | Commercial | $5,415.00 | $5,700.00 | $1,710.00 | 2025-12-05 | MRF ↗ |