APR952 SOI 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 (OTHER APR952 SOI 4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/APR952 SOI 4?code_type=OTHER
“NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS (OTHER APR952 SOI 4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/APR952 SOI 4?code_type=OTHER. Accessed .
“NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS (OTHER APR952 SOI 4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/APR952 SOI 4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $30,608–$35,272 (25th–75th percentile) across 3 hospitals · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER APR952 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 WAYNESBORO HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $29,150.08 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $29,150.08 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $29,705.32 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $30,538.18 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $30,607.61 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $30,607.61 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $30,607.61 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $30,607.61 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $32,226.99 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $32,226.99 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $32,226.99 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $32,226.99 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $32,837.59 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $33,314.38 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $33,592.00 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $33,789.11 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $33,814.12 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $34,574.96 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $35,271.59 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $35,271.59 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $35,271.59 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $35,271.59 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $35,603.15 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $37,841.37 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $38,966.70 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $69,960.25 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $73,661.70 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $80,620.77 | — | — | 2026-01-01 | MRF ↗ |