114488 (OTHER) by hospital — Price Transparency

OTHER · across hospitals

114488 — Guidewire Amplatz S.s. 035x145 640-104

Hospital-by-hospital median negotiated rates. Hospitals are ranked by their typical (median) negotiated rate (highest first by default; click a column to re-sort). Outliers are flagged where a hospital's median is more than 2× or less than 0.5× the cohort median (red = high, green = low).

$47 National median

$63 Cohort median

5 hospitals

4 states (national)

View state-by-state → Raw rate rows →

Estimate your cost

What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $48.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

Loading estimate…

Outliers ↑ 2 high ↓ 1 low out of 5 hospitals

Median negotiated rate, by hospital

Ranked by typical (median) negotiated price. Red = high outlier, green = low outlier, slate = in-range. Hover for IQR.

Median negotiated rate by hospital for 114488 (OTHER)
Hospital	State	Median	p25	p75	Outlier flag
ST CROIX REGIONAL MEDICAL CENTER	WI	$1,533	$1,518	$1,773	high
GLENCOE REGIONAL HEALTH	MN	$1,258	$1,244	$1,328	high
NEW LONDON HOSPITAL	NH	$63	$47	$76	in range
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY	NY	$32	$32	$32	in range
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR	NY	$21	$20	$21	low

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Hospital	State	City	Median	p25	p75	Min	Max	Cash $	Payers	Rates	Outlier

ST CROIX REGIONAL MEDICAL CENTER	WI	Saint Croix Falls	$1,533	$1,518	$1,773	$1,518	$3,210	$2,077	6	8	↑ 24.5× high
GLENCOE REGIONAL HEALTH	MN	Glencoe	$1,258	$1,244	$1,328	$1,223	$1,515	$1,699	4	4	↑ 20.1× high
NEW LONDON HOSPITAL	NH	New London	$63	$47	$76	$43	$101	$48	12	32	in range
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY	NY	Malone	$32	$32	$32	$32	$32	$52	9	14	in range
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR	NY	Plattsburgh	$21	$20	$21	$18	$23	—	8	18	↓ 0.33× low