636Q426544 — Neostim Triple Layer 4x4cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEOSTIM TRIPLE LAYER 4X4CM (OTHER 636Q426544) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/636Q426544?code_type=OTHER
MLA (9th ed.)
“NEOSTIM TRIPLE LAYER 4X4CM (OTHER 636Q426544) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/636Q426544?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEOSTIM TRIPLE LAYER 4X4CM (OTHER 636Q426544) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/636Q426544?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $29,353–$93,977 (25th–75th percentile) across 1 hospital · 29 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 636Q426544 — 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 |
|---|---|---|---|---|---|---|---|
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Bcchp | Commercial | $16,738.00 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Bcchp | Commercial | $16,738.00 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Health Alliance Medicare Advantage | Medicare | $26,414.70 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Health Alliance Medicare Advantage | Medicare | $26,414.70 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Aetna Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Va | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicaid | Medicaid | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Kaiser Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Coordinated Care Medicaid | Medicaid | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicaid | Medicaid | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Hma Ihs Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Premera Medicare Advantage | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Healthcomp Ihs | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina | Commercial | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Humana Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Signal Health Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Humana Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Signal Health Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Aetna Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Va | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicaid | Medicaid | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Kaiser Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Coordinated Care Medicaid | Medicaid | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicaid | Medicaid | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Hma Ihs Medicare | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Premera Medicare Advantage | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Healthcomp Ihs | Medicare | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina | Commercial | $29,352.99 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Regence Medicare | Medicare | $29,646.22 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Tricare | Medicare | $29,646.22 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Regence Medicare | Medicare | $29,646.22 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Tricare | Medicare | $29,646.22 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $30,232.68 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicare | Medicare | $30,232.68 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicare | Medicare | $30,232.68 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $30,232.68 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Coordinated Care Medicaid Ambetter | Medicaid | $36,683.76 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Coordinated Care Medicaid Ambetter | Medicaid | $36,683.76 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc Medicare | Medicare | $37,102.66 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc Medicare | Medicare | $37,102.66 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Regence | Commercial | $61,518.60 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Regence | Commercial | $61,518.60 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Cigna | Commercial | $71,811.60 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Cigna | Commercial | $71,811.60 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Li | Commercial | $73,487.20 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Li | Commercial | $73,487.20 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | First Choice | Commercial | $89,764.50 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | First Choice | Commercial | $89,764.50 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Tpsc | Commercial | $93,355.08 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Tpsc | Commercial | $93,355.08 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Kaiser | Commercial | $93,977.45 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Kaiser | Commercial | $93,977.45 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Premera | Commercial | $97,424.40 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Premera | Commercial | $97,424.40 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Umr | Commercial | $101,733.10 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Umr | Commercial | $101,733.10 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc | Commercial | $101,733.10 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc | Commercial | $101,733.10 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Fhpw | Commercial | $105,323.68 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Fhpw | Commercial | $105,323.68 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Aetna | Commercial | $105,323.68 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Aetna | Commercial | $105,323.68 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Healthcomp | Commercial | $107,717.40 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Humana | Commercial | $107,717.40 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Healthcomp | Commercial | $107,717.40 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Humana | Commercial | $107,717.40 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Zenith | Commercial | $119,686.00 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Zenith | Commercial | $119,686.00 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Great Rivers | Commercial | $119,686.00 | $119,686.00 | $68,221.02 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Great Rivers | Commercial | $119,686.00 | $119,686.00 | $68,221.02 | 2026-05-23 | MRF ↗ |