MS DRG V39 (FY2022) 337 — Peritoneal Adhesiolysis Without Cc/McC
Cite this view
HANK Price Transparency. (n.d.). Peritoneal Adhesiolysis Without Cc/McC (OTHER MS DRG V39 (FY2022) 337) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/MS DRG V39 (FY2022) 337?code_type=OTHER
“Peritoneal Adhesiolysis Without Cc/McC (OTHER MS DRG V39 (FY2022) 337) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/MS DRG V39 (FY2022) 337?code_type=OTHER. Accessed .
“Peritoneal Adhesiolysis Without Cc/McC (OTHER MS DRG V39 (FY2022) 337) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/MS DRG V39 (FY2022) 337?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $33,070–$42,569 (25th–75th percentile) across 5 hospitals · 12 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER MS DRG V39 (FY2022) 337 — 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 | — | $22,621.40 | $38,603.07 | $25,092.00 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $30,412.25 | $34,559.37 | $22,463.59 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Anthem Blue Cross Blue Shield Blue Access/Traditional - Ppo/Par | — | $30,412.25 | $34,559.37 | $22,463.59 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | First Health Group Corp National Rental Ppo Network | — | $31,103.43 | $34,559.37 | $22,463.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Blue Cross Blue Shield Of Michigancommercial Plans | — | $31,595.07 | $44,263.20 | $28,771.08 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $31,794.62 | $34,559.37 | $22,463.59 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | United Healthcare Commercial Hmo/Ppo/Pos/ Epo (Aca On/Off Exchange) | — | $31,898.30 | $34,559.37 | $22,463.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Anthem Blue Cross Blue Shield Blue Access/Traditional - Ppo/Par | — | $32,426.58 | $38,603.07 | $25,092.00 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $32,426.58 | $38,603.07 | $25,092.00 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Multiplan, Inc. Multiplan And Other Brand Affiliated Ppo Networks | — | $32,831.40 | $34,559.37 | $22,463.59 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Multiplan, Inc. Health Eos Ppo Networks | — | $32,831.40 | $34,559.37 | $22,463.59 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Multiplan, Inc. Phcs Ppo Networks | — | $32,831.40 | $34,559.37 | $22,463.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $33,149.72 | $37,163.36 | $24,156.18 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $33,177.00 | $34,559.37 | $22,463.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | First Health Group Corp National Rental Ppo Network | — | $33,447.02 | $37,163.36 | $24,156.18 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Cigna Ppo And Open Access Plus Benefits | — | $33,868.18 | $34,559.37 | $22,463.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Priority Health Managed Benefits And Priority Health Insurance Company (Through Uphp) Commercial Plan | — | $33,970.70 | $38,603.07 | $25,092.00 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $34,190.29 | $37,163.36 | $24,156.18 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $34,240.92 | $38,603.07 | $25,092.00 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Phcs Ppo Networks | — | $34,561.92 | $37,163.36 | $24,156.18 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Health Eos Ppo Networks | — | $34,561.92 | $37,163.36 | $24,156.18 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Aetna (Through Uphp) Aetna Funding Advantage (Afa) | — | $34,742.76 | $38,603.07 | $25,092.00 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Aetna (Through Uphp) Aetna Commercial | — | $34,742.76 | $38,603.07 | $25,092.00 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Cigna (Through Uphp) Commercial Plans | — | $34,742.76 | $38,603.07 | $25,092.00 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Cofinity (Through Uphp) Preferred Provider Of Michigan Insurance Company Plan | — | $34,742.76 | $38,603.07 | $25,092.00 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | First Health (Through Uphp) National Rental Ppo Network | — | $34,742.76 | $38,603.07 | $25,092.00 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Multiplan And Other Brand Affiliated Ppo Networks | — | $35,305.19 | $37,163.36 | $24,156.18 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $35,676.83 | $37,163.36 | $24,156.18 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Cigna Ppo And Open Access Plus Benefits | — | $36,048.46 | $37,163.36 | $24,156.18 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Health Alliance Plan (Hap) Preferred, Inc. (Through Uphp) Automobile Accident Insurance /Workers Compensation | — | $36,672.92 | $38,603.07 | $25,092.00 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $39,349.98 | $44,263.20 | $28,771.08 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Aetna (Through Uphp) Aetna Funding Advantage (Afa) | — | $39,836.88 | $44,263.20 | $28,771.08 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Health Alliance Plan (Hap) Preferred, Inc. (Through Uphp) Automobile Accident Insurance /Workers Compensation | — | $42,050.04 | $44,263.20 | $28,771.08 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Cigna (Through Uphp) Commercial Plans | — | $42,050.04 | $44,263.20 | $28,771.08 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Priority Health Managed Benefits And Priority Health Insurance Company (Through Uphp) Commercial Plan | — | $42,050.04 | $44,263.20 | $28,771.08 | 2026-07-31 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $42,323.28 | $49,213.12 | $31,988.53 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $43,307.55 | $49,213.12 | $31,988.53 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Anthem Blue Cross Blue Shield Blue Access/ Traditional - Ppo/Par | — | $43,307.55 | $49,213.12 | $31,988.53 | 2026-07-30 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Cofinity (Through Uphp) Preferred Provider Of Michigan Insurance Company Plan | — | $44,263.20 | $44,263.20 | $28,771.08 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Aetna (Through Uphp) Aetna Commercial | — | $44,263.20 | $44,263.20 | $28,771.08 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | First Health (Through Uphp) National Rental Ppo Network | — | $44,263.20 | $44,263.20 | $28,771.08 | 2026-07-31 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | First Health Group Corp National Rental Ppo Network | — | $44,291.81 | $49,213.12 | $31,988.53 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $45,276.07 | $49,213.12 | $31,988.53 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Multiplan, Inc. Phcs Ppo Networks | — | $45,768.20 | $49,213.12 | $31,988.53 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Multiplan, Inc. Health Eos Ppo Networks | — | $45,768.20 | $49,213.12 | $31,988.53 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Multiplan, Inc. Multiplan And Other Brand Affiliated Ppo Networks | — | $46,752.46 | $49,213.12 | $31,988.53 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $47,244.60 | $49,213.12 | $31,988.53 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Cigna Ppo And Open Access Plus Benefits | — | $48,228.86 | $49,213.12 | $31,988.53 | 2026-07-30 | MRF ↗ |