SUP-438923 — Kit Surgical Planning Mandible
Cite this view
HANK Price Transparency. (n.d.). KIT SURGICAL PLANNING MANDIBLE (CDM SUP-438923) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-438923?code_type=CDM
“KIT SURGICAL PLANNING MANDIBLE (CDM SUP-438923) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-438923?code_type=CDM. Accessed .
“KIT SURGICAL PLANNING MANDIBLE (CDM SUP-438923) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-438923?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $450–$140,802 (25th–75th percentile) across 5 hospitals · 19 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-438923 — 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 |
|---|---|---|---|---|---|---|---|
| SWEDISH HOSPITAL Outpatient | Medicaid Replacement | — | $163.74 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicare Advantage | — | $178.30 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Ambetter | Commercial | $190.43 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| Skokie Hospital Inpatient | — | — | — | $1,212.90 | $788.39 | 2025-01-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital Inpatient | — | — | — | $1,212.90 | $788.39 | 2025-01-01 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Medicaid Replacement | — | $197.70 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL Inpatient | — | — | — | $1,212.90 | $788.39 | 2025-01-01 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Medicare Advantage | — | $208.62 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Ambetter | Commercial | $270.48 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Aetna | Commercial | $394.19 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Cigna | Commercial | $400.26 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | United Health Care | Commercial | $434.22 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Cigna | Commercial | $449.99 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Aetna | Commercial | $485.16 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Humana | Commercial | $497.29 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | United Health Care | Commercial | $503.35 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Humana | Commercial | $591.90 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Blue Cross | Commercial | $648.90 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Blue Cross | Commercial | $662.24 | $1,212.90 | $557.93 | 2026-07-31 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA NM EMPLOYEES | $36,389.69 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE SELECT | $45,947.46 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | NLFH CIGNA ALTERNATIVE | $46,035.15 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | NLFH BCBS HMO | $46,451.66 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS HMO | $46,451.66 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE PREFERRED | $48,249.22 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE OPTIONS | $51,011.33 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PPO | $59,867.62 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | NLFH BCBS PPO | $59,867.62 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA | $94,262.45 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BC LAKE COUNTY PHYS ASSOC IPA | $98,646.75 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA ASA | $99,742.83 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC CORE | $103,907.91 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | NLFH CIGNA BROAD | $106,538.49 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTHLINK [125] | NLFH SEIU HEALTHLINK | $109,607.50 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC HMO/PPO | $115,526.31 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | NLFH HFN PLATINUM/CHC ELITE | $140,078.39 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | THE ALLIANCE [1703] | NLFH THE ALLIANCE | $140,801.80 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | NLFH PHCS | $156,738.73 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BEECHSTREET [176] | NLFH PHCS | $156,738.73 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | FIRST HEALTH PLAN [6034] | NLFH FIRST HEALTH | $179,756.30 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | NLFH HFN PPO | $197,293.50 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE HUMANA MEDICARE ADV [2409] | NLFH HUMANA MEDICARE ADVT | — | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NLFH BLUE CROSS MEDICARE ADVT | — | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | GLOBAL EXCEL [1712] | NLFH MEDICARE | — | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | NLFH NON-CONTRACTED PAYORS | $219,215.00 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC NON-CONTRACTED OON - ED ONLY | $219,215.00 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH ADVOCATE IPA | — | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HUMANA HEALTH PLAN [130] | NLFH ADVOCATE IPA | — | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PAR/INDEMNITY ADP | $219,215.00 | $219,215.00 | $153,450.50 | 2026-04-01 | MRF ↗ |