952.4 — Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
Cite this view
HANK Price Transparency. (n.d.). NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS (CPT 952.4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/952.4?code_type=CPT
“NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS (CPT 952.4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/952.4?code_type=CPT. Accessed .
“NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS (CPT 952.4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/952.4?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $47,300–$125,839 (25th–75th percentile) across 2 hospitals · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 952.4 — 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 |
|---|---|---|---|---|---|---|---|
| ST MARY'S HEALTHCARE Inpatient | Mvp | Mvp Hmo | $47,300.41 | $47,300.41 | $33,881.28 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Ppo/Ind | $47,300.41 | $47,300.41 | $33,881.28 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Ppo/Ind | $47,300.41 | $47,300.41 | $33,881.28 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Mvp | Mvp Hmo | $47,300.41 | $47,300.41 | $33,881.28 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Ppo/Ind | $47,300.41 | $47,300.41 | $33,881.28 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Ppo/Ind | $47,300.41 | $47,300.41 | $33,881.28 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Hmo/Custom/Pos | $47,300.41 | $47,300.41 | $33,881.28 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Hmo/Custom/Pos | $47,300.41 | $47,300.41 | $33,881.28 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Ppo/Ind | $47,317.18 | $47,317.18 | $33,893.30 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Hmo/Custom/Pos | $47,317.18 | $47,317.18 | $33,893.30 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Ppo/Ind | $47,317.18 | $47,317.18 | $33,893.30 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Mvp | Mvp Hmo | $47,317.18 | $47,317.18 | $33,893.30 | 2026-05-09 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Inpatient | Tufts | Tufts Medicaid | $60,317.02 | $25,765.32 | $15,459.19 | 2026-05-14 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Excellus | Excellus Commercial | $107,388.00 | $47,317.18 | $33,893.30 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Excellus | Excellus Commercial | $112,757.40 | $47,300.41 | $33,881.28 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Excellus | Excellus Commercial | $112,757.40 | $47,300.41 | $33,881.28 | 2026-05-22 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Inpatient | Blue Cross | Blue Cross Commercial | $112,825.18 | $25,765.32 | $15,459.19 | 2026-05-14 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Cdphp | Cdphp Hmo | $125,838.89 | $47,300.41 | $33,881.28 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Cdphp | Cdphp Hmo | $125,838.89 | $47,317.18 | $33,893.30 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Cdphp | Cdphp Hmo | $125,838.89 | $47,300.41 | $33,881.28 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Blue Access Lg/Sm | $128,680.13 | $47,317.18 | $33,893.30 | 2026-05-09 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Blue Access Lg/Sm | $128,680.13 | $47,300.41 | $33,881.28 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Blue Access Lg/Sm | $128,680.13 | $47,300.41 | $33,881.28 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Hmo/Epo/Pos | $146,860.48 | $47,300.41 | $33,881.28 | 2026-05-22 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Hmo/Epo/Pos | $146,860.48 | $47,300.41 | $33,881.28 | 2026-05-13 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Hmo/Epo/Pos | $146,860.48 | $47,317.18 | $33,893.30 | 2026-05-09 | MRF ↗ |