MS DRG V39 (FY2022) 069 — Transient Ischemia Without Thrombolytic
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Transient Ischemia Without Thrombolytic (OTHER MS DRG V39 (FY2022) 069) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/MS DRG V39 (FY2022) 069?code_type=OTHER
MLA (9th ed.)
“Transient Ischemia Without Thrombolytic (OTHER MS DRG V39 (FY2022) 069) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/MS DRG V39 (FY2022) 069?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Transient Ischemia Without Thrombolytic (OTHER MS DRG V39 (FY2022) 069) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/MS DRG V39 (FY2022) 069?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19,521–$26,982 (25th–75th percentile) across 6 hospitals · 13 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER MS DRG V39 (FY2022) 069 — 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 |
|---|---|---|---|---|---|---|---|
| ASPIRUS IRONWOOD HOSPITAL | Blue Cross Blue Shield Of Michigan Commercial And Medicare Wrap-Around Products | — | $12,065.76 | $20,590.03 | $13,383.52 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | United Healthcare Of Wisconsin, Inc. Commercial Hmo/Ppo/Pos/Epo (Aca On/Off Exchange Plans) | — | $12,528.99 | $23,223.34 | $15,095.17 | 2026-07-30 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | United Healthcare Of Wisconsin, Inc. Commercial - United Behavioral Health | — | $15,095.17 | $23,223.34 | $15,095.17 | 2026-07-30 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $17,295.63 | $20,590.03 | $13,383.52 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Anthem Blue Cross Blue Shield Blue Access/Traditional - Ppo/Par | — | $17,295.63 | $20,590.03 | $13,383.52 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Blue Cross Blue Shield Of Michigancommercial Plans | — | $17,943.33 | $25,137.75 | $16,339.54 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Priority Health Managed Benefits And Priority Health Insurance Company (Through Uphp) Commercial Plan | — | $18,119.23 | $20,590.03 | $13,383.52 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $18,263.36 | $20,590.03 | $13,383.52 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | First Health (Through Uphp) National Rental Ppo Network | — | $18,531.03 | $20,590.03 | $13,383.52 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Cigna (Through Uphp) Commercial Plans | — | $18,531.03 | $20,590.03 | $13,383.52 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Aetna (Through Uphp) Aetna Funding Advantage (Afa) | — | $18,531.03 | $20,590.03 | $13,383.52 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Cofinity (Through Uphp) Preferred Provider Of Michigan Insurance Company Plan | — | $18,531.03 | $20,590.03 | $13,383.52 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Aetna (Through Uphp) Aetna Commercial | — | $18,531.03 | $20,590.03 | $13,383.52 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $19,507.61 | $23,223.34 | $15,095.17 | 2026-07-30 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Anthem Blue Cross Blue Shield Blue Access/Hmo/Pos/Ppo | — | $19,507.61 | $23,223.34 | $15,095.17 | 2026-07-30 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Health Alliance Plan (Hap) Preferred, Inc. (Through Uphp) Automobile Accident Insurance /Workers Compensation | — | $19,560.53 | $20,590.03 | $13,383.52 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $19,739.84 | $23,223.34 | $15,095.17 | 2026-07-30 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | First Health Group Corp National Rental Ppo Network | — | $20,901.01 | $23,223.34 | $15,095.17 | 2026-07-30 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Cigna Ppo And Open Access Plus Benefits | — | $20,901.01 | $23,223.34 | $15,095.17 | 2026-07-30 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Multiplan, Inc. Health Eos Ppo/Phcs Ppo Networks | — | $21,597.71 | $23,223.34 | $15,095.17 | 2026-07-30 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $21,598.71 | $24,213.80 | $15,738.97 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | First Health Group Corp National Rental Ppo Network | — | $21,792.42 | $24,213.80 | $15,738.97 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Multiplan, Inc. Multiplan Ppo Networks | — | $22,062.17 | $23,223.34 | $15,095.17 | 2026-07-30 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $22,276.70 | $24,213.80 | $15,738.97 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $22,294.41 | $23,223.34 | $15,095.17 | 2026-07-30 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $22,347.46 | $25,137.75 | $16,339.54 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Phcs Ppo Networks | — | $22,518.83 | $24,213.80 | $15,738.97 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Health Eos Ppo Networks | — | $22,518.83 | $24,213.80 | $15,738.97 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Aetna (Through Uphp) Aetna Funding Advantage (Afa) | — | $22,623.98 | $25,137.75 | $16,339.54 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Multiplan And Other Brand Affiliated Ppo Networks | — | $23,003.11 | $24,213.80 | $15,738.97 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $23,245.25 | $24,213.80 | $15,738.97 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Cigna Ppo And Open Access Plus Benefits | — | $23,487.39 | $24,213.80 | $15,738.97 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Health Alliance Plan (Hap) Preferred, Inc. (Through Uphp) Automobile Accident Insurance /Workers Compensation | — | $23,880.86 | $25,137.75 | $16,339.54 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Cigna (Through Uphp) Commercial Plans | — | $23,880.86 | $25,137.75 | $16,339.54 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Priority Health Managed Benefits And Priority Health Insurance Company (Through Uphp) Commercial Plan | — | $23,880.86 | $25,137.75 | $16,339.54 | 2026-07-31 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $25,018.06 | $29,090.77 | $18,909.00 | 2026-07-30 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | First Health (Through Uphp) National Rental Ppo Network | — | $25,137.75 | $25,137.75 | $16,339.54 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Aetna (Through Uphp) Aetna Commercial | — | $25,137.75 | $25,137.75 | $16,339.54 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Cofinity (Through Uphp) Preferred Provider Of Michigan Insurance Company Plan | — | $25,137.75 | $25,137.75 | $16,339.54 | 2026-07-31 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $25,599.88 | $29,090.77 | $18,909.00 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Anthem Blue Cross Blue Shield Blue Access/ Traditional - Ppo/Par | — | $25,599.88 | $29,090.77 | $18,909.00 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | First Health Group Corp National Rental Ppo Network | — | $26,181.69 | $29,090.77 | $18,909.00 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $26,763.51 | $29,090.77 | $18,909.00 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Multiplan, Inc. Health Eos Ppo Networks | — | $27,054.42 | $29,090.77 | $18,909.00 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Multiplan, Inc. Phcs Ppo Networks | — | $27,054.42 | $29,090.77 | $18,909.00 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Multiplan, Inc. Multiplan And Other Brand Affiliated Ppo Networks | — | $27,636.23 | $29,090.77 | $18,909.00 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $27,927.14 | $29,090.77 | $18,909.00 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Cigna Ppo And Open Access Plus Benefits | — | $28,508.95 | $29,090.77 | $18,909.00 | 2026-07-30 | MRF ↗ |
| LANGLADE HOSPITAL | Anthem Blue Cross Blue Shield Blue Access/Traditional - Ppo/Par | — | $31,859.03 | $36,203.44 | $23,532.24 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $31,859.03 | $36,203.44 | $23,532.24 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | First Health Group Corp National Rental Ppo Network | — | $32,583.10 | $36,203.44 | $23,532.24 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $33,307.16 | $36,203.44 | $23,532.24 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | United Healthcare Commercial Hmo/Ppo/Pos/ Epo (Aca On/Off Exchange) | — | $33,415.78 | $36,203.44 | $23,532.24 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Multiplan, Inc. Health Eos Ppo Networks | — | $34,393.27 | $36,203.44 | $23,532.24 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Multiplan, Inc. Phcs Ppo Networks | — | $34,393.27 | $36,203.44 | $23,532.24 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Multiplan, Inc. Multiplan And Other Brand Affiliated Ppo Networks | — | $34,393.27 | $36,203.44 | $23,532.24 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $34,755.30 | $36,203.44 | $23,532.24 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Cigna Ppo And Open Access Plus Benefits | — | $35,479.37 | $36,203.44 | $23,532.24 | 2026-07-31 | MRF ↗ |