8514 — Rx Trek 4.0 Mm X 12 Mm
Cite this view
HANK Price Transparency. (n.d.). RX TREK 4.0 mm x 12 mm (CPT 8514) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/8514?code_type=CPT
“RX TREK 4.0 mm x 12 mm (CPT 8514) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/8514?code_type=CPT. Accessed .
“RX TREK 4.0 mm x 12 mm (CPT 8514) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/8514?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $195–$176,052 (25th–75th percentile) across 4 hospitals · 6 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 8514 — 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 |
|---|---|---|---|---|---|---|---|
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $325.00 | $162.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $325.00 | $162.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $325.00 | $162.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $325.00 | $162.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $325.00 | $162.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $325.00 | $162.50 | 2026-05-13 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $176,052.09 | — | — | 2026-05-14 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $176,052.09 | — | — | 2026-05-22 | MRF ↗ |
| AVERA QUEEN OF PEACE Inpatient | Wellmark Insurance | Ppo | $215,017.11 | — | — | 2026-05-09 | MRF ↗ |
| AVERA ST LUKES Inpatient | Wellmark Insurance | Ppo | $222,816.42 | — | — | 2026-05-09 | MRF ↗ |