SUP-147824_1 — Elsa-atp Spacer 20mm X 60mm, 8-15mm 6 Deg (ish)
Cite this view
HANK Price Transparency. (n.d.). ELSA-ATP SPACER 20MM X 60MM, 8-15MM 6 DEG (ISH) (CDM SUP-147824_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-147824_1?code_type=CDM
“ELSA-ATP SPACER 20MM X 60MM, 8-15MM 6 DEG (ISH) (CDM SUP-147824_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-147824_1?code_type=CDM. Accessed .
“ELSA-ATP SPACER 20MM X 60MM, 8-15MM 6 DEG (ISH) (CDM SUP-147824_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-147824_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,512–$13,113 (25th–75th percentile) across 1 hospital · 10 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-147824_1 — 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 |
|---|---|---|---|---|---|---|---|
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | UHC MCR ADV | UHC MCR ADV | $4,512.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | TRIWEST VA CHOICE AND PC3-ALL PLANS | TRIWEST VA CHOICE AND PC3-ALL PLANS | $4,512.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | AETNA/COVENTRY MCR ADV | AETNA/COVENTRY MCR ADV | $4,512.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | TRIWEST VA CHOICE AND PC3-ALL PLANS | TRIWEST VA CHOICE AND PC3-ALL PLANS | $4,512.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $4,512.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | UHC MCR ADV | UHC MCR ADV | $4,512.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $4,512.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | AETNA/COVENTRY MCR ADV | AETNA/COVENTRY MCR ADV | $4,512.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | HEALTHSCOPE STELLAR - ALL PLANS | HEALTHSCOPE STELLAR - ALL PLANS | $7,444.80 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | HEALTHSCOPE STELLAR - ALL PLANS | HEALTHSCOPE STELLAR - ALL PLANS | $7,444.80 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | AUXIANT CLARION SCHOOLS-ALL PLANS | AUXIANT CLARION SCHOOLS-ALL PLANS | $9,165.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | AUXIANT CLARION SCHOOLS-ALL PLANS | AUXIANT CLARION SCHOOLS-ALL PLANS | $9,165.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | HEALTH PARTNERS PRESTAGE | HEALTH PARTNERS PRESTAGE | $10,575.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | HEALTH PARTNERS PRESTAGE | HEALTH PARTNERS PRESTAGE | $10,575.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | HEALTH PARTNERS ISH-ALL OTHER PLANS | HEALTH PARTNERS ISH-ALL OTHER PLANS | $11,280.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | HEALTH PARTNERS ISH-ALL OTHER PLANS | HEALTH PARTNERS ISH-ALL OTHER PLANS | $11,280.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $12,337.50 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $12,337.50 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | AETNA/COVENTRY HMO | AETNA/COVENTRY HMO | $13,113.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | AETNA/COVENTRY HMO | AETNA/COVENTRY HMO | $13,113.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | AETNA/COVENTRY PPO-ALL OTHER PLANS | AETNA/COVENTRY PPO-ALL OTHER PLANS | $13,395.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | AETNA/COVENTRY PPO-ALL OTHER PLANS | AETNA/COVENTRY PPO-ALL OTHER PLANS | $13,395.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $13,677.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $13,677.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $13,677.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $13,677.00 | $14,100.00 | $8,460.00 | 2026-04-22 | MRF ↗ |