50419-0424-01 — Kyleena
Cite this view
HANK Price Transparency. (n.d.). Kyleena (OTHER 50419-0424-01) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/50419-0424-01?code_type=OTHER
“Kyleena (OTHER 50419-0424-01) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/50419-0424-01?code_type=OTHER. Accessed .
“Kyleena (OTHER 50419-0424-01) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/50419-0424-01?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,110–$2,290 (25th–75th percentile) across 3 hospitals · 34 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 50419-0424-01 — 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 |
|---|---|---|---|---|---|---|---|
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Anthem Bcbs Nc | Medicaid | $515.06 | $1,675.00 | $1,088.75 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | United Health | Commercial | — | $1,675.00 | $1,088.75 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Anthem Bcbs Nc | Medicaid | — | $1,675.00 | $1,088.75 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Amerihealth | Medicaid | $515.06 | $1,675.00 | $1,088.75 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Inpatient | Bcbs | Hmo Ppo Pos | $644.88 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Outpatient | Bcbs | Hmo Ppo Pos | $685.08 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | United Health | Commercial | $954.75 | $1,675.00 | $1,088.75 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Outpatient | Cigna | — | $1,005.00 | — | — | 2026-05-06 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $1,005.11 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Inpatient | Cigna | — | $1,038.50 | — | — | 2026-05-06 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $1,078.17 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Outpatient | Medcost | Ppo | $1,093.44 | — | — | 2026-05-06 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $1,100.94 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $1,100.94 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $1,100.94 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $1,100.94 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $1,100.94 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $1,100.94 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $1,100.94 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $1,100.94 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $1,100.94 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Bcbs | Hmo Ppo Family Practice | $1,136.95 | $1,675.00 | $1,088.75 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Bcbs | Hmo Ppo Specialty | $1,136.95 | $1,675.00 | $1,088.75 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Bcbs | Hmo Ppo Surgery | $1,136.95 | $1,675.00 | $1,088.75 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo Pos | $1,172.50 | $1,675.00 | $1,088.75 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Inpatient | Medcost | Ppo | $1,210.19 | — | — | 2026-05-06 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $1,262.83 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $1,275.09 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $1,281.85 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Bcbs | Cmm | $1,322.04 | $1,675.00 | $1,088.75 | 2026-05-06 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $1,334.39 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Humana Choice | — | $1,340.00 | $1,675.00 | $1,088.75 | 2026-05-06 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $1,401.20 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Multiplan | — | $1,423.75 | $1,675.00 | $1,088.75 | 2026-05-06 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $1,551.33 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $1,593.86 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $1,693.95 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $1,719.22 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $1,723.72 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $1,728.98 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $1,729.73 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $1,784.53 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $1,801.04 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $1,801.54 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $1,896.12 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $1,956.67 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $1,981.69 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $2,161.85 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Anthem Oh Medicare Advantage | Hmo | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Aetna | Better Health | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Peak Health Medicare Advantage | All Plans | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Aetna | Aetna | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Caresource | Caresource | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Molina Oh Medicare Advantage | All Plans | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Cigna | Cigna | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | United Healthcare | United Healthcare | $2,290.45 | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Buckeye Oh Medicare Advantage | All Plans | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | Aetna Rental | First Health | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $3,470.37 | $1,735.19 | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $2,364.52 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $2,377.03 | $2,502.14 | $1,143.48 | 2026-05-23 | MRF ↗ |