842 SOI-4 — Burns With Skin Graft Except Extensive Third Degree Burns
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS (OTHER 842 SOI-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/842 SOI-4?code_type=OTHER
MLA (9th ed.)
“BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS (OTHER 842 SOI-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/842 SOI-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS (OTHER 842 SOI-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/842 SOI-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $160,571–$170,970 (25th–75th percentile) across 5 hospitals · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 842 SOI-4 — 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 |
|---|---|---|---|---|---|---|---|
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $153,189.79 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $153,189.79 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $153,189.79 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $153,189.79 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Humana | Medicaid Advantage | $155,400.54 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Anthem | Medicaid Advantage | $155,400.54 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $156,253.58 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $156,253.58 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Anthem | Medicaid Advantage | $156,615.49 | — | — | 2026-05-09 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Anthem | Medicaid Advantage | $156,808.67 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Anthem | Medicaid Advantage | $156,808.67 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Humana | Medicaid Advantage | $156,808.67 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Humana | Medicaid Advantage | $156,808.67 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $157,422.41 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $157,422.41 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $157,785.48 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $157,785.48 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | United | Medicaid Advantage | $158,508.55 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Anthem | Medicaid Advantage | $158,816.17 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Anthem | Medicaid Advantage | $158,816.17 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | United | Medicaid Advantage | $159,747.80 | — | — | 2026-05-09 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | United | Medicaid Advantage | $159,944.84 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | United | Medicaid Advantage | $159,944.84 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $160,062.56 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $160,570.85 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $160,570.85 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $161,313.95 | — | — | 2026-05-09 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $161,512.93 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $161,512.93 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $161,737.10 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $161,737.10 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $161,737.10 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $161,737.10 | — | — | 2026-05-13 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | United | Medicaid Advantage | $161,992.50 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | United | Medicaid Advantage | $161,992.50 | — | — | 2026-05-14 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Anthem | Medicaid Advantage | $162,043.85 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $162,145.08 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $162,145.08 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Humana | Medicaid Advantage | $162,880.11 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $163,580.66 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $163,580.66 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $163,719.30 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $163,719.30 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Aetna | Medicaid Advantage | $164,446.26 | — | — | 2026-05-09 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $164,971.84 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $164,971.84 | — | — | 2026-05-13 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Humana | Medicaid Advantage | $165,168.82 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Humana | Medicaid Advantage | $165,168.82 | — | — | 2026-05-14 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | United | Medicaid Advantage | $165,284.72 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $165,293.53 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $165,293.53 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $165,990.41 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $165,990.41 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $166,589.21 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $166,589.21 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Aetna | Medicaid Advantage | $166,756.98 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Aetna | Medicaid Advantage | $166,756.98 | — | — | 2026-05-22 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $166,905.16 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $168,508.77 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $168,508.77 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $168,508.77 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $168,508.77 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $168,508.77 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $168,508.77 | — | — | 2026-05-14 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Humana | Medicaid Advantage | $168,525.60 | — | — | 2026-05-09 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $169,310.22 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $169,310.22 | — | — | 2026-05-14 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Aetna | Medicaid Advantage | $170,146.04 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $170,940.60 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Aetna | Medicaid Advantage | $170,940.60 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $170,940.60 | — | — | 2026-05-06 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $170,970.12 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $170,970.12 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $172,277.04 | — | — | 2026-05-09 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Aetna | Medicaid Advantage | $172,489.53 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $172,489.53 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $172,489.53 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Aetna | Medicaid Advantage | $172,489.53 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $172,489.53 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $172,489.53 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $172,630.03 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $172,630.03 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $173,164.65 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $173,164.65 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $174,289.93 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $174,289.93 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $174,697.79 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $174,697.79 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $177,910.81 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $177,910.81 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $177,910.81 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $177,910.81 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $177,910.81 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $177,910.81 | — | — | 2026-05-22 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $178,248.23 | — | — | 2026-05-09 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $182,589.45 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $182,589.45 | — | — | 2026-05-22 | MRF ↗ |