PX-CC00262 — Augmentation Mammoplasty W Capsulectomy, Bilat(Incl Implants), Professional
Cite this view
HANK Price Transparency. (n.d.). Augmentation Mammoplasty W Capsulectomy, Bilat(Incl Implants), Professional (CDM PX-CC00262) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-CC00262?code_type=CDM
“Augmentation Mammoplasty W Capsulectomy, Bilat(Incl Implants), Professional (CDM PX-CC00262) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-CC00262?code_type=CDM. Accessed .
“Augmentation Mammoplasty W Capsulectomy, Bilat(Incl Implants), Professional (CDM PX-CC00262) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-CC00262?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,880–$3,350 (25th–75th percentile) across 1 hospital · 17 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-CC00262 — 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 |
|---|---|---|---|---|---|---|---|
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | WELL SENSE HEALTH PLANS MANAGED MEDICAID | WELL SENSE | $1,836.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE | ANTHEM BCBS MEDICARE ADVANTAGE | $1,977.60 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD NH | ANTHEM BCBS INDIVIDUAL QHP EXCHANGE PATHWAY | $1,977.60 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | HARVARD PILGRIM | HPHC MARKETPLACE | $2,488.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | HARVARD PILGRIM | HPHC ELEVATEHEALTH | $2,639.60 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD NH | ANTHEM BCBS SHOP QHP EXCHANGE PATHWAY | $2,768.80 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD VT MGD MEDICARE | BCBS MEDICARE ADVANTAGE | $2,821.60 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE | UHC MCR | $2,880.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE | $2,880.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE | UHC MCR | $2,880.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | TUFTS | TUFTS | $2,933.20 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | CONNECTICUT GENERAL | CIGNA HMO/POS | $3,064.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | CIGNA | CIGNA HMO/POS | $3,064.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | COMMERCIAL GENERIC | CIGNA HMO/POS | $3,064.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | CIGNA | CIGNA PPO | $3,092.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | KLAIS | CIGNA PPO | $3,092.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD NH | ANTHEM HMO/POS/PPO | $3,144.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | EMPIRE BLUE CROSS ALT PAYOR | ANTHEM HMO/POS/PPO | $3,144.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD OOS | ANTHEM HMO/POS/PPO | $3,144.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | WELLPOINT | ANTHEM HMO/POS/PPO | $3,144.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | GHI/EMPIRE BLUE CROSS NY | ANTHEM HMO/POS/PPO | $3,144.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD VT | BCBS VT TVHP & MANAGED CARE | $3,232.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | CIGNA MANAGED MEDICARE | CIGNA MANAGED CARE | $3,272.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD VT | BCBS VT NON MANAGED CARE | $3,428.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | HARVARD PILGRIM | HPHC ALL OTHER | $3,468.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD VT GENERIC | 85% of Billed | $3,560.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | AETNA | AETNA | $3,600.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | MVP | MVP COMMERCIAL | $3,640.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | COVENTRY HEALTH WC | AETNA COVENTRY HEALTH CARE | $3,800.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | COVENTRY HEALTH | AETNA COVENTRY HEALTH CARE | $3,800.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | HUMANA MANAGED MEDICARE | HUMANA MEDICARE ADVANTAGE | $4,160.00 | $4,000.00 | $4,000.00 | 2026-01-01 | MRF ↗ |