5003580 — Salem Sump Tube 12
Cite this view
HANK Price Transparency. (n.d.). Salem Sump Tube 12 (CDM 5003580) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5003580?code_type=CDM
“Salem Sump Tube 12 (CDM 5003580) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5003580?code_type=CDM. Accessed .
“Salem Sump Tube 12 (CDM 5003580) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5003580?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5–$85,298 (25th–75th percentile) across 2 hospitals · 13 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 5003580 — 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 COUNTY HOSPITAL Outpatient | Molina Healthcare of Nebraska | Commercial | $4.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $4.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Coventry | Medicare Advantage | $4.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | VA CCN | Commercial | $4.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Midland's Choice | Commercial | $5.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Ambetter | Commercial | $5.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield of Nebraska | Commercial | $6.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | United Healthcare | Commercial | $6.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Aetna | Commercial | $6.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Humana | Medicare Advantage | $49,172.00 | $100,350.00 | $70,245.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $49,172.00 | $100,350.00 | $70,245.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Superior Health Plan | Commercial | $49,172.00 | $100,350.00 | $70,245.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Aetna | Commercial | $85,298.00 | $100,350.00 | $70,245.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | FirstCare | Commercial | $90,315.00 | $100,350.00 | $70,245.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $90,315.00 | $100,350.00 | $70,245.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Cigna | Commercial | $90,315.00 | $100,350.00 | $70,245.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Commercial | $90,315.00 | $100,350.00 | $70,245.00 | 2026-05-06 | MRF ↗ |