SUP-463830 — Set Surg Instr Radluc Complt
Cite this view
HANK Price Transparency. (n.d.). SET SURG INSTR RADLUC COMPLT (CDM SUP-463830) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-463830?code_type=CDM
“SET SURG INSTR RADLUC COMPLT (CDM SUP-463830) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-463830?code_type=CDM. Accessed .
“SET SURG INSTR RADLUC COMPLT (CDM SUP-463830) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-463830?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $43,554–$154,123 (25th–75th percentile) across 5 hospitals · 8 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-463830 — 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 | — | $16,847.47 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicare Advantage | — | $18,345.03 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Ambetter | Commercial | $19,592.99 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL Inpatient | — | — | — | $124,796.10 | $81,117.47 | 2025-01-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital Inpatient | — | — | — | $124,796.10 | $81,117.47 | 2025-01-01 | MRF ↗ |
| Skokie Hospital Inpatient | — | — | — | $124,796.10 | $81,117.47 | 2025-01-01 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Medicaid Replacement | — | $20,341.76 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Medicare Advantage | — | $21,464.93 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Ambetter | Commercial | $27,829.53 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Aetna | Commercial | $40,558.73 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Cigna | Commercial | $41,182.71 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | United Health Care | Commercial | $44,677.00 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Cigna | Commercial | $46,299.35 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Aetna | Commercial | $49,918.44 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Humana | Commercial | $51,166.40 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | United Health Care | Commercial | $51,790.38 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Humana | Commercial | $60,900.50 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Blue Cross | Commercial | $66,765.91 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Blue Cross | Commercial | $68,138.67 | $124,796.10 | $57,406.21 | 2026-07-31 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Medicaid Replacement | — | $81,117.47 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Medicaid Replacement | — | $82,365.43 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Medicare Advantage | — | $97,340.96 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Blue Cross | Commercial | $106,076.69 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Cigna | Commercial | $123,548.14 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Medicare Advantage | — | $126,044.06 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | United Health Care | Commercial | $144,763.48 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Humana | Commercial | $163,482.89 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Ambetter | Commercial | $168,474.74 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Ambetter | Commercial | $174,714.54 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Humana | Commercial | $174,714.54 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Aetna | Commercial | $174,714.54 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Blue Cross | Commercial | $188,442.11 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Cigna | Commercial | $228,376.86 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | United Health Care | Commercial | $269,559.58 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Aetna | Commercial | $300,758.60 | $124,796.10 | $53,662.32 | 2026-08-01 | MRF ↗ |