X5201 — Or Ma - 6hr
Cite this view
HANK Price Transparency. (n.d.). OR MA - 6HR (HCPCS X5201) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/X5201?code_type=HCPCS
“OR MA - 6HR (HCPCS X5201) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/X5201?code_type=HCPCS. Accessed .
“OR MA - 6HR (HCPCS X5201) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/X5201?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,461–$10,461 (25th–75th percentile) across 1 hospital · 17 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS X5201 — 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 |
|---|---|---|---|---|---|---|---|
| COMMUNITY MEMORIAL HOSPITAL BothFacility | HP | HEALTHPARTNERS MC FREEDOM COST | $563.00 | $563.00 | $377.21 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | HP | HEALTHPARTNERS MC FREEDOM COST | $2,961.00 | $2,961.00 | $1,983.87 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | HP | HEALTHPARTNERS MC FREEDOM COST | $4,831.00 | $4,831.00 | $3,236.77 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | UHC DUAL COMPLETE MSHO | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | UNITED HEALTHCARE MEDICARE ADV | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | AMER ASSOC RET PERSONS | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | LABORCARE UNITED HEALTHCARE | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | AETNA MEDICARE ADVANTAGE | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | CIGNA | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | AETNA LIFE & CASUALTY | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | UNITED HEALTHCARE | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | UHC PMAP | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | VA | VETERANS ADMINISTRATION | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | TRIWEST | TRICARE WEST | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | TRIWEST | CHAMPVA | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UCARE | UCARE COMMERICAL | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UCARE | UCARE MA PMAP | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UCARE | UCARE FOR SENIORS | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UCARE | UCARE MSHO & UC CONNECT + MC | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICA | MEDICA DUAL SOLUTION MSH0 | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICA | MEDICA PMAP CHOICE CARE | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICA | MEDICA ADVANTAGE SOLUTION | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICA | MEDICA PRIME SOLUTION | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICA | MEDICA | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICA | SELECTCARE | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | ADVANTRA FREEDOM | ADVANTRA FREEDOM MC ADVANTAGE | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | BLUE CROSS MEDICARE ADVANTAGE | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | BLUE CROSS OF MN | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | BLUE CROSS PLATINUM BLUE CP | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | BLUE LINK | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | BLUEPLUS PMAP AG | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | RETAIL CLERKS HEALTH PLAN | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | BLUEPLUS MSHO SECURE BLUE AG | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICAID MN | MEDICAID OUTPATIENT | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | HP | HEALTH PARTNERS | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UMR | UMR | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UMR | UMR FDL CHS | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICARE NGS | MEDICARE B NONPATIENT | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | SAGE | SAGE SCREENING PROGRAM | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | METROPOLITAN HEALTH | METROPOLITAN HEALTH MC ADVANTA | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | METROPOLITAN HEALTH | METROPOLITAN HEALTHPLAN PMAP | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | VACC | VETERANS COMMUNITY CARE NETWOR | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | FORWARD HEALTH WI MEDICAID | EDS WISCONSIN MED ASSISTANCE | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | HUMANA | HUMANA GOLD CHOICE | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | IMC | ITASCA MEDICAL CARE PMAP | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICARE NGS | MEDICARE A | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICARE NGS | MEDICARE B | — | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | BCBSMN | BLUE CROSS MEDICARE ADVANTAGE | — | $3,154.00 | $2,018.56 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | UHC | AETNA MEDICARE ADVANTAGE | — | $3,154.00 | $2,018.56 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | ADVANTRA FREEDOM | ADVANTRA FREEDOM MC ADVANTAGE | — | $3,154.00 | $2,018.56 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | HP | HEALTHPARTNERS MC FREEDOM COST | $6,386.00 | $6,386.00 | $4,278.62 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | HP | HEALTHPARTNERS MC FREEDOM COST | $7,730.00 | $7,730.00 | $5,179.10 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | HP | HEALTHPARTNERS MC FREEDOM COST | $15,614.00 | $15,614.00 | $10,461.38 | 2025-01-01 | MRF ↗ |