ORSUP0139 — Alloderm Mesh Contour Med
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ALLODERM MESH CONTOUR MED (OTHER ORSUP0139) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/ORSUP0139?code_type=OTHER
MLA (9th ed.)
“ALLODERM MESH CONTOUR MED (OTHER ORSUP0139) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/ORSUP0139?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“ALLODERM MESH CONTOUR MED (OTHER ORSUP0139) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/ORSUP0139?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $14,577–$36,421 (25th–75th percentile) across 2 hospitals · 30 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER ORSUP0139 — 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 |
|---|---|---|---|---|---|---|---|
| ASTRIA TOPPENISH HOSPITAL Outpatient | Bcchp | Commercial | $4,695.00 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Coordinated Care Medicaid | Medicaid | $5,572.41 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Uhc | Commercial | $6,118.73 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $6,118.73 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Va | Medicare | $6,118.73 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Coordinated Care Ambetter Exchange | Medicare | $6,118.73 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Kaiser Medicaid | Medicaid | $6,118.73 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Molina | Medicaid | $6,241.10 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Chpw Medicare | Medicare | $6,302.29 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Molina Exchange | Medicaid | $7,954.35 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Medicaid | Medicaid | $11,363.35 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Li | Commercial | $11,727.56 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Regence | Commercial | $12,346.72 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Health Alliance Medicare Advantage | Medicare | $13,118.19 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Health Alliance Medicare Advantage | Medicare | $13,118.19 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Premera Affordable Care | Commercial | $13,730.72 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Premera | Commercial | $13,730.72 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Humana Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Kaiser Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Coordinated Care Medicaid | Medicaid | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicaid | Medicaid | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Hma Ihs Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Premera Medicare Advantage | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Healthcomp Ihs | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina | Commercial | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina | Commercial | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Healthcomp Ihs | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Premera Medicare Advantage | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Hma Ihs Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicaid | Medicaid | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Coordinated Care Medicaid | Medicaid | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Kaiser Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicaid | Medicaid | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Va | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Signal Health Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Aetna Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Aetna Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Humana Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Signal Health Medicare | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Va | Medicare | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicaid | Medicaid | $14,577.41 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Tricare | Medicare | $14,723.04 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Tricare | Medicare | $14,723.04 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Regence Medicare | Medicare | $14,723.04 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Regence Medicare | Medicare | $14,723.04 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $15,014.29 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $15,014.29 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicare | Medicare | $15,014.29 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicare | Medicare | $15,014.29 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Bcchp | Commercial | $16,738.00 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Bcchp | Commercial | $16,738.00 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Aetna Medicare | Medicare | $18,210.50 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $18,210.50 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Kaiser Medicare | Medicare | $18,210.50 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Coordinated Care Medicaid Ambetter | Medicaid | $18,218.05 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Coordinated Care Medicaid Ambetter | Medicaid | $18,218.05 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc Medicare | Medicare | $18,426.09 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc Medicare | Medicare | $18,426.09 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Kaiser | Commercial | $22,526.39 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Chpw Cascade Care | Medicare | $22,945.23 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | First Choice | Commercial | $25,130.49 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Tpsc | Commercial | $28,408.38 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Umr | Commercial | $30,083.75 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Uhc Medicare | Medicare | $30,083.75 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Regence | Commercial | $30,551.65 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Regence | Commercial | $30,551.65 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Aetna | Commercial | $32,050.48 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Cigna | Commercial | $35,663.40 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Cigna | Commercial | $35,663.40 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Washington State Hca | Medicaid | $36,421.00 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Humana | Commercial | $36,421.00 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Healthcomp | Commercial | $36,421.00 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Great Rivers | Commercial | $36,421.00 | $36,421.00 | $23,673.65 | 2026-05-08 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Li | Commercial | $36,495.55 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Li | Commercial | $36,495.55 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | First Choice | Commercial | $44,579.25 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | First Choice | Commercial | $44,579.25 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Tpsc | Commercial | $46,362.42 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Tpsc | Commercial | $46,362.42 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Kaiser | Commercial | $46,671.50 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Kaiser | Commercial | $46,671.50 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Premera | Commercial | $48,383.35 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Premera | Commercial | $48,383.35 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc | Commercial | $50,523.15 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Umr | Commercial | $50,523.15 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc | Commercial | $50,523.15 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Umr | Commercial | $50,523.15 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Fhpw | Commercial | $52,306.32 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Fhpw | Commercial | $52,306.32 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Aetna | Commercial | $52,306.32 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Aetna | Commercial | $52,306.32 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Healthcomp | Commercial | $53,495.10 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Humana | Commercial | $53,495.10 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Healthcomp | Commercial | $53,495.10 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Humana | Commercial | $53,495.10 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Zenith | Commercial | $59,439.00 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Zenith | Commercial | $59,439.00 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Great Rivers | Commercial | $59,439.00 | $59,439.00 | $33,880.23 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Great Rivers | Commercial | $59,439.00 | $59,439.00 | $33,880.23 | 2026-05-14 | MRF ↗ |