Wentworth Douglass Hospital — price list
← Hospital overviewVerified from Wentworth Douglass Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
2 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetabular augment 20x54 56mm gription tf revision ti truebond locking slot 21 Inpatient & outpatient | SUP-ITM-10118713 CDM | $6,063 | $3,638 | $705 – $5,153 | $3,537 | |
| Acetabular augment 20x54 56mm gription tf revision ti truebond locking slot 21 Outpatient | SUP-ITM-10118713 CDM | $6,063 | $3,638 | $705 – $4,692 | $401 |