5534015 — Polysom <6yrs Cpap/bilvl
Cite this view
HANK Price Transparency. (n.d.). POLYSOM <6YRS CPAP/BILVL (OTHER 5534015) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5534015?code_type=OTHER
“POLYSOM <6YRS CPAP/BILVL (OTHER 5534015) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5534015?code_type=OTHER. Accessed .
“POLYSOM <6YRS CPAP/BILVL (OTHER 5534015) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5534015?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,956–$4,751 (25th–75th percentile) across 1 hospital · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5534015 — 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 |
|---|---|---|---|---|---|---|---|
| GRAFTON CITY HOSPITAL, INC Outpatient | Healthplan Peia | Commercial | $2,955.96 | $5,278.50 | $2,639.25 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Aetna Medicaid | Medicaid | $2,955.96 | $5,278.50 | $2,639.25 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Healthplan Medicaid | Medicaid | $2,955.96 | $5,278.50 | $2,639.25 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Peia | Commercial | $2,955.96 | $5,278.50 | $2,639.25 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Highmark Bcbs Wv Aca | Commercial | $3,519.18 | $5,278.50 | $2,639.25 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Highmark Bcbs Wv Ppo Pos | Commercial | $4,017.47 | $5,278.50 | $2,639.25 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Highmark Bcbs Wv Traditional | Commercial | $4,017.47 | $5,278.50 | $2,639.25 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Healthplan | Commercial | $4,486.73 | $5,278.50 | $2,639.25 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Humana Choicecare Network | Commercial | $4,750.65 | $5,278.50 | $2,639.25 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Aetna | Commercial | $4,750.65 | $5,278.50 | $2,639.25 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | United Healthcare | Commercial | $4,750.65 | $5,278.50 | $2,639.25 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Cigna | Commercial | $4,856.22 | $5,278.50 | $2,639.25 | 2026-05-08 | MRF ↗ |