SUP-254822 — Kit Scope W/brush
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). KIT SCOPE W/BRUSH (CDM SUP-254822) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-254822?code_type=CDM
MLA (9th ed.)
“KIT SCOPE W/BRUSH (CDM SUP-254822) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-254822?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“KIT SCOPE W/BRUSH (CDM SUP-254822) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-254822?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $84,298–$93,665 (25th–75th percentile) across 2 hospitals · 15 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-254822 — 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 |
|---|---|---|---|---|---|---|---|
| SLHS MASSENA, INC Outpatient | CDPHP [187] | CDPHP MEDICARE HMO | $65,565.50 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC STUDENT RESOURCES|UNITED HEALTHCARE SHARED SERVICES | $72,684.04 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MVP [109] | MH CIGNA BEHAVORIAL HEALTH|MVP|CIGNA|NALC CIGNA | $76,805.30 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CDPHP [187] | CDPHP COMMERCIAL | $76,805.30 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | MVP [109] | MH CIGNA BEHAVORIAL HEALTH|MVP|CIGNA|NALC CIGNA | $78,678.60 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | AETNA [100] | AETNA|AETNA DENTAL|MERITAIN HEALTH | $79,615.25 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | CDPHP [187] | CDPHP COMMERCIAL | $79,615.25 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UHC STUDENT RESOURCES|UNITED HEALTHCARE SHARED SERVICES | $79,615.25 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | AETNA [100] | AETNA|AETNA DENTAL | $82,425.20 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | GENERIC CARRIER [107] | ST REGIS MOHAWK [10724] | $84,298.50 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | GENERIC CARRIER [107] | ST REGIS MOHAWK [10724] | $84,298.50 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI|GHI ALT | $84,298.50 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MULTIPLAN [141] | COMMERCIAL|MULTIPLAN | $84,298.50 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | MVP [109] | MVP GOLD HMO|MVP GOLD PPO | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|RRH CDHP|MEDICARE BLUE DUAL|HIGHMARK MEDICARE|UNIVERA SENIOR | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO|WELLCARE DUAL | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CDPHP [187] | CDPHP MEDICARE HMO | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|RRH CDHP|MEDICARE BLUE DUAL|HIGHMARK MEDICARE|UNIVERA SENIOR | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO|WELLCARE DUAL | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE|UHC DUAL COMPLETE | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE|HIGHMARK OUT OF AREA|BLUE CROSS & BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MH OPTUM [170] | MH OPTUM COMMUNITY | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MH OPTUM [170] | MH OPTUM MEDICARE | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE|UHC DUAL COMPLETE | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | GENERIC CARRIER [107] | HUMANA - GENERIC|HUMANA | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | GENERIC CARRIER [107] | COMMERCIAL | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | VETERANS ADMINISTRATION [178] | HUMANA - GENERIC|HUMANA | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE|HIGHMARK OUT OF AREA|BLUE CROSS & BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $93,665.00 | $93,665.00 | $60,882.25 | 2024-12-30 | MRF ↗ |