APR241 SOI 4 — Peptic Ulcer And Gastritis
Cite this view
HANK Price Transparency. (n.d.). PEPTIC ULCER AND GASTRITIS (OTHER APR241 SOI 4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/APR241 SOI 4?code_type=OTHER
“PEPTIC ULCER AND GASTRITIS (OTHER APR241 SOI 4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/APR241 SOI 4?code_type=OTHER. Accessed .
“PEPTIC ULCER AND GASTRITIS (OTHER APR241 SOI 4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/APR241 SOI 4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19,167–$22,088 (25th–75th percentile) across 5 hospitals · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER APR241 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 |
|---|---|---|---|---|---|---|---|
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $18,254.24 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $18,254.24 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $18,254.24 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $18,254.24 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $18,254.24 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $18,254.24 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $18,601.94 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $19,123.49 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $19,166.96 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $19,166.96 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $19,166.96 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $19,166.96 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $19,584.19 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $20,166.59 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $20,181.05 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $20,181.05 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $20,181.05 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $20,181.05 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $20,181.05 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $20,181.05 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $20,181.05 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $20,181.05 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $20,563.41 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $20,861.99 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $21,035.84 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $21,159.27 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $21,174.93 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $21,651.38 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $21,651.38 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $22,087.62 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $22,087.62 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $22,087.62 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $22,087.62 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $22,295.25 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $22,295.25 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $23,696.86 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $24,401.56 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $41,723.97 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $43,810.21 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $46,128.11 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $46,128.11 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $50,485.99 | — | — | 2026-01-01 | MRF ↗ |