5100400 — Rev - Ihs-moa Clinic Visit
Cite this view
HANK Price Transparency. (n.d.). REV - IHS-MOA CLINIC VISIT (CDM 5100400) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5100400?code_type=CDM
“REV - IHS-MOA CLINIC VISIT (CDM 5100400) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5100400?code_type=CDM. Accessed .
“REV - IHS-MOA CLINIC VISIT (CDM 5100400) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5100400?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,760–$3,312 (25th–75th percentile) across 2 hospitals · 6 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 5100400 — 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 |
|---|---|---|---|---|---|---|---|
| NEMAHA COUNTY HOSPITAL Both | — | — | — | $52.28 | $52.28 | 2025-06-26 | MRF ↗ |
| SILVER HILL HOSPITAL INC Outpatient | CIGNA ADOLESCENT | CIGNA ADOLESCENT | $2,760.00 | $5,520.00 | $5,520.00 | 2026-09-01 | MRF ↗ |
| SILVER HILL HOSPITAL INC Outpatient | CIGNA ADULT - ALL OTHER PLANS | CIGNA ADULT - ALL OTHER PLANS | $2,760.00 | $5,520.00 | $5,520.00 | 2026-09-01 | MRF ↗ |
| SILVER HILL HOSPITAL INC Outpatient | AETNA MCR ADV ADOLESCENT | AETNA MCR ADV ADOLESCENT | $3,312.00 | $5,520.00 | $5,520.00 | 2026-09-01 | MRF ↗ |
| SILVER HILL HOSPITAL INC Outpatient | AETNA MCR ADV ADULT | AETNA MCR ADV ADULT | $3,312.00 | $5,520.00 | $5,520.00 | 2026-09-01 | MRF ↗ |
| SILVER HILL HOSPITAL INC Outpatient | AETNA COMM ADOLESCENT | AETNA COMM ADOLESCENT | $3,312.00 | $5,520.00 | $5,520.00 | 2026-09-01 | MRF ↗ |
| SILVER HILL HOSPITAL INC Outpatient | AETNA COMM ADULT - ALL OTHER PLANS | AETNA COMM ADULT - ALL OTHER PLANS | $3,312.00 | $5,520.00 | $5,520.00 | 2026-09-01 | MRF ↗ |