PX-90005545 — Hc Fda Ide # G120160
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC Fda Ide # G120160 (CDM PX-90005545) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-90005545?code_type=CDM
MLA (9th ed.)
“HC Fda Ide # G120160 (CDM PX-90005545) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-90005545?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC Fda Ide # G120160 (CDM PX-90005545) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-90005545?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $69,267–$103,370 (25th–75th percentile) across 4 hospitals · 17 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-90005545 — 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) | $49,235.25 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | SENTARA [40021] | UVAMC - Optima (Indiv) | $54,364.73 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | CIGNA [40005] | UVAMC - Cigna (OAP) | $54,710.10 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | SENTARA [40021] | UVAMC - Optima (Group) | $55,567.14 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | SENTARA BEHAVIORAL HEALTH [40052] | UVAMC - Optima (Group) | $55,567.14 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | AETNA [40002] | UVAPW & UVAHM - Aetna | $60,632.66 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | AETNA [40002] | UVAPW & UVAHM - Aetna | $60,632.66 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | CIGNA [40005] | UVAMC - Cigna (PPO) | $61,822.29 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | BEACON HEALTH OPTIONS [40012] | UVAMC - Misc. (Beacon BH) | $63,958.50 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | COMMERCIAL GENERIC [40000] | UVAMC - Valley Health | $67,156.43 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | COMMERCIAL GENERIC [40000] | VALLEYHEALTH/PEAK [4000016] | $67,156.43 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | COMMERCIAL CONTRACTED HB ONLY [40056] | UVAMC - Valley Health | $67,156.43 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst HMO | $67,796.01 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst HMO | $67,796.01 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst RPN | $67,796.01 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst RPN | $67,796.01 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (OAP) | $70,738.10 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (OAP) | $70,738.10 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | OPTUM BEHAVIORAL HEALTH CARVE OUTS [40041] | UVAMC - Optum (BH) | $76,750.20 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | COMMERCIAL CONTRACTED TPA [40055] | UVAMC - Misc. (Custom Ink) | $76,750.20 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | CIGNA 182223 PPO [4000520] | $78,413.12 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | CIGNA 182223 PPO [4000520] | $78,413.12 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | CIGNA NALC SUPPLEMENTAL [4000510] | $78,413.12 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | CIGNA NALC SUPPLEMENTAL [4000510] | $78,413.12 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | CIGNA 188061 CONNECT [4000513] | $85,448.56 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (IFP) | $85,448.56 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | CIGNA 188061 CONNECT [4000513] | $85,448.56 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (IFP) | $85,448.56 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | COMMERCIAL CONTRACTED TPA [40055] | UVAMC - Misc. (Greenbrier) | $89,541.90 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | UMWA [40037] | UVAMC - Misc. (UMWA) | $89,541.90 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | COMMERCIAL GENERIC [40000] | UVAMC - Misc. (Greenbrier) | $89,541.90 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | CIGNA 188061 CONNECT [4000513] | $91,473.45 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | UVACMH - Cigna (OAP) | $91,473.45 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | AETNA [40002] | UVAMC - Aetna UVA Preferred | $94,658.58 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | HEALTHSMART [40013] | UVAMC - Misc. (Healthsmart) | $95,937.75 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | MULTIPLAN GENERIC [40035] | MULTIPLAN GENERIC [4003501] | $97,216.92 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | VHN GENERIC [40040] | MEDCOST/PHCS VIRGINIA GENERIC [4004001] | $97,216.92 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | VHN GENERIC [40040] | UVAPW & UVAHM - Misc. (PHCS) | $97,216.92 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | MULTIPLAN GENERIC [40035] | MULTIPLAN GENERIC [4003501] | $97,216.92 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | VHN GENERIC [40040] | MEDCOST/PHCS VIRGINIA GENERIC [4004001] | $97,216.92 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | VHN GENERIC [40040] | UVAPW & UVAHM - Misc. (PHCS) | $97,216.92 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | SENTARA [40021] | UVAPW & UVAHM - Optima | $99,391.51 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | SENTARA BEHAVIORAL HEALTH [40052] | UVAPW & UVAHM - Optima | $99,391.51 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | SENTARA BEHAVIORAL HEALTH [40052] | UVAPW & UVAHM - Optima | $99,391.51 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | SENTARA [40021] | UVAPW & UVAHM - Optima | $99,391.51 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | UVAPW - Evernorth (Cigna BH) | $102,333.60 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | CIGNA 182223 PPO [4000520] | $103,369.73 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | CIGNA NALC SUPPLEMENTAL [4000510] | $103,369.73 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | FIRST HEALTH GENERIC [40033] | UVAMC - Misc. (First Health) | $104,891.94 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | AETNA [40002] | UVAMC - Aetna (Comm. Book of Business) | $105,019.86 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | SENTARA [40021] | UVACMH - Optima | $107,194.45 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | MULTIPLAN GENERIC [40035] | UVAMC - Misc. (MultiPlan) | $108,729.45 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | GATEWAY HEALTH ALLIANCE [40034] | UVAMC - Misc. (Gateway Alliance) | $108,729.45 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | AETNA [40002] | UVAMC - Aetna (IFP) | $108,729.45 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | AETNA [40002] | UVACMH - Aetna | $108,729.45 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | VHN GENERIC [40040] | UVAMC - Misc. (VHN) | $108,729.45 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | MULTIPLAN GENERIC [40035] | UVACMH - Misc. (MultiPlan) | $111,799.46 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | AETNA [40002] | UVAMC - Aetna Small Business | $112,566.96 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Both | AETNA MERITAIN SMALL BUSINESS [40061] | UVAMC - Aetna Small Business | $112,566.96 | $127,917.00 | $76,750.20 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | KAISER PERMENENTE [40014] | UVAPW & UVAHM - Misc. (Kaiser) | $115,125.30 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | VHN GENERIC [40040] | MEDCOST/PHCS VIRGINIA GENERIC [4004001] | $115,125.30 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | VHN GENERIC [40040] | UVACMH - Misc. (VHN) | $115,125.30 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | KAISER PERMENENTE [40014] | UVAPW & UVAHM - Misc. (Kaiser) | $115,125.30 | $127,917.00 | $63,958.50 | 2026-03-24 | MRF ↗ |