PX-90004363 — Hc Ide#G050262/A3 Berlin Peds Vad
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC Ide#G050262/A3 Berlin Peds Vad (CDM PX-90004363) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-90004363?code_type=CDM
MLA (9th ed.)
“HC Ide#G050262/A3 Berlin Peds Vad (CDM PX-90004363) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-90004363?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC Ide#G050262/A3 Berlin Peds Vad (CDM PX-90004363) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-90004363?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $105,296–$157,137 (25th–75th percentile) across 4 hospitals · 17 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-90004363 — 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 |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | CIGNA [40005] | UVAMC - Cigna (New Business) | $74,844.96 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | SENTARA [40021] | UVAMC - Optima (Indiv) | $82,642.53 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | CIGNA [40005] | UVAMC - Cigna (OAP) | $83,167.55 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | SENTARA [40021] | UVAMC - Optima (Group) | $84,470.38 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | SENTARA BEHAVIORAL HEALTH [40052] | UVAMC - Optima (Group) | $84,470.38 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | AETNA [40002] | UVAPW & UVAHM - Aetna | $92,170.72 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | AETNA [40002] | UVAPW & UVAHM - Aetna | $92,170.72 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | CIGNA [40005] | UVAMC - Cigna (PPO) | $93,979.13 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | BEACON HEALTH OPTIONS [40012] | UVAMC - Misc. (Beacon BH) | $97,226.50 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | COMMERCIAL GENERIC [40000] | VALLEYHEALTH/PEAK [4000016] | $102,087.83 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | COMMERCIAL GENERIC [40000] | UVAMC - Valley Health | $102,087.83 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | COMMERCIAL CONTRACTED HB ONLY [40056] | UVAMC - Valley Health | $102,087.83 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst HMO | $103,060.09 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst HMO | $103,060.09 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst RPN | $103,060.09 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst RPN | $103,060.09 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (OAP) | $107,532.51 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (OAP) | $107,532.51 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | COMMERCIAL CONTRACTED TPA [40055] | UVAMC - Misc. (Custom Ink) | $116,671.80 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | OPTUM BEHAVIORAL HEALTH CARVE OUTS [40041] | UVAMC - Optum (BH) | $116,671.80 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | CIGNA NALC SUPPLEMENTAL [4000510] | $119,199.69 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | CIGNA 182223 PPO [4000520] | $119,199.69 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | CIGNA NALC SUPPLEMENTAL [4000510] | $119,199.69 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | CIGNA 182223 PPO [4000520] | $119,199.69 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (IFP) | $129,894.60 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | CIGNA 188061 CONNECT [4000513] | $129,894.60 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (IFP) | $129,894.60 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | CIGNA 188061 CONNECT [4000513] | $129,894.60 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | COMMERCIAL CONTRACTED TPA [40055] | UVAMC - Misc. (Greenbrier) | $136,117.10 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | UMWA [40037] | UVAMC - Misc. (UMWA) | $136,117.10 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | COMMERCIAL GENERIC [40000] | UVAMC - Misc. (Greenbrier) | $136,117.10 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | UVACMH - Cigna (OAP) | $139,053.34 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | CIGNA 188061 CONNECT [4000513] | $139,053.34 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | AETNA [40002] | UVAMC - Aetna UVA Preferred | $143,895.22 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | HEALTHSMART [40013] | UVAMC - Misc. (Healthsmart) | $145,839.75 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | MULTIPLAN GENERIC [40035] | MULTIPLAN GENERIC [4003501] | $147,784.28 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | VHN GENERIC [40040] | UVAPW & UVAHM - Misc. (PHCS) | $147,784.28 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | VHN GENERIC [40040] | UVAPW & UVAHM - Misc. (PHCS) | $147,784.28 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | VHN GENERIC [40040] | MEDCOST/PHCS VIRGINIA GENERIC [4004001] | $147,784.28 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | MULTIPLAN GENERIC [40035] | MULTIPLAN GENERIC [4003501] | $147,784.28 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | VHN GENERIC [40040] | MEDCOST/PHCS VIRGINIA GENERIC [4004001] | $147,784.28 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | SENTARA [40021] | UVAPW & UVAHM - Optima | $151,089.98 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | SENTARA BEHAVIORAL HEALTH [40052] | UVAPW & UVAHM - Optima | $151,089.98 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | SENTARA [40021] | UVAPW & UVAHM - Optima | $151,089.98 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | SENTARA BEHAVIORAL HEALTH [40052] | UVAPW & UVAHM - Optima | $151,089.98 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | UVAPW - Evernorth (Cigna BH) | $155,562.40 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | CIGNA 182223 PPO [4000520] | $157,137.47 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | CIGNA NALC SUPPLEMENTAL [4000510] | $157,137.47 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | FIRST HEALTH GENERIC [40033] | UVAMC - Misc. (First Health) | $159,451.46 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | AETNA [40002] | UVAMC - Aetna (Comm. Book of Business) | $159,645.91 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | SENTARA [40021] | UVACMH - Optima | $162,951.61 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | VHN GENERIC [40040] | UVAMC - Misc. (VHN) | $165,285.05 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | GATEWAY HEALTH ALLIANCE [40034] | UVAMC - Misc. (Gateway Alliance) | $165,285.05 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | MULTIPLAN GENERIC [40035] | UVAMC - Misc. (MultiPlan) | $165,285.05 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | AETNA [40002] | UVACMH - Aetna | $165,285.05 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | AETNA [40002] | UVAMC - Aetna (IFP) | $165,285.05 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | MULTIPLAN GENERIC [40035] | UVACMH - Misc. (MultiPlan) | $169,951.92 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | AETNA [40002] | UVAMC - Aetna Small Business | $171,118.64 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | AETNA MERITAIN SMALL BUSINESS [40061] | UVAMC - Aetna Small Business | $171,118.64 | $194,453.00 | $116,671.80 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | KAISER PERMENENTE [40014] | UVAPW & UVAHM - Misc. (Kaiser) | $175,007.70 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | VHN GENERIC [40040] | UVACMH - Misc. (VHN) | $175,007.70 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | VHN GENERIC [40040] | MEDCOST/PHCS VIRGINIA GENERIC [4004001] | $175,007.70 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | KAISER PERMENENTE [40014] | UVAPW & UVAHM - Misc. (Kaiser) | $175,007.70 | $194,453.00 | $97,226.50 | 2026-03-24 | MRF ↗ |