00023-0312-04 — Lacri-lube S.o.p.
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lacri-Lube S.O.P. (CPT 00023-0312-04) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00023-0312-04?code_type=CPT
MLA (9th ed.)
“Lacri-Lube S.O.P. (CPT 00023-0312-04) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00023-0312-04?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Lacri-Lube S.O.P. (CPT 00023-0312-04) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00023-0312-04?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,057–$8,509 (25th–75th percentile) across 4 hospitals · 56 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 00023-0312-04 — 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 |
|---|---|---|---|---|---|---|---|
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Medicare | $8.88 | $16.45 | $16.45 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross | Bc Ia Medicare | $8.88 | $16.45 | $16.45 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Healthpartners | Uph Medicare | $8.88 | $16.45 | $16.45 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $8.88 | $16.45 | $16.45 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Healthpartners | Uph Self Funded | $9.04 | $16.45 | $16.45 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Wellpoint | Ia Medicaid | $9.21 | $16.45 | $16.45 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Healthpartners | Open Access | $9.95 | $16.45 | $16.45 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Inpatient | Wellmark | Hmo | $10.69 | $16.45 | $16.45 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Inpatient | Wellmark | Ppo | $10.69 | $16.45 | $16.45 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Medicare | $11.47 | $21.25 | $21.25 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $11.47 | $21.25 | $21.25 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Healthpartners | Uph Medicare | $11.47 | $21.25 | $21.25 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross | Bc Ia Medicare | $11.47 | $21.25 | $21.25 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Healthpartners | Uph Self Funded | $11.68 | $21.25 | $21.25 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Wellpoint | Ia Medicaid | $11.90 | $21.25 | $21.25 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Uhc | Commercial | $12.04 | $16.45 | $16.45 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Medical Associates | Community Plan | $12.33 | $16.45 | $16.45 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Healthpartners | Open Access | $12.85 | $21.25 | $21.25 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Inpatient | Wellmark | Ppo | $13.81 | $21.25 | $21.25 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Inpatient | Wellmark | Hmo | $13.81 | $21.25 | $21.25 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Inpatient | Healthpartners | Uph Self Funded | $14.80 | $16.45 | $16.45 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Uhc | Commercial | $15.55 | $21.25 | $21.25 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Medical Associates | Community Plan | $15.93 | $21.25 | $21.25 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Inpatient | Healthpartners | Open Access | $16.28 | $16.45 | $16.45 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Inpatient | Healthpartners | Uph Self Funded | $19.12 | $21.25 | $21.25 | 2026-05-08 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Inpatient | Healthpartners | Open Access | $21.03 | $21.25 | $21.25 | 2026-05-08 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Healthnet | Commercial | — | $3.35 | $2.35 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Blue Cross Blue Shield Of Ca | Commercial | — | $3.35 | $2.35 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Blue Cross Blue Shield Of Ca | Medicare Advantage | — | $3.35 | $2.35 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Innovative Integrated Health | Medicare Advantage | — | $3.35 | $2.35 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Universal Care | Managed Medicaid | — | $3.35 | $2.35 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Universal Care | Medicare Advantage | — | $3.35 | $2.35 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Healthnet | Commercial | — | $3.35 | $2.35 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | United Healthcare | Commercial | — | $3.35 | $2.35 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Blue Cross Blue Shield Of Ca | Commercial | — | $3.35 | $2.35 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Blue Cross Blue Shield Of Ca | Medicare Advantage | — | $3.35 | $2.35 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Innovative Integrated Health | Medicare Advantage | — | $3.35 | $2.35 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Universal Care | Medicare Advantage | — | $3.35 | $2.35 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Universal Care | Managed Medicaid | — | $3.35 | $2.35 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | United Healthcare | Commercial | — | $3.35 | $2.35 | 2026-05-18 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Splashlight | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare Surest | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Choicecare | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Other | Other | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medical Associates Health Plan | Mercy Cedar Rapid | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Equian | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Liability | Liability | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Especially For You | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Gem | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Hms Preferred Health Choices | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medimore | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Preferred Medical Solutions | Workers Compensation | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Splashlight | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Molina | Medicaid | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | First Health | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Tricare | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Cigna | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Multiplan | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Umr | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Phcs | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Midlands Choice | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Corvel | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Geha | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare All Savers | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare Surest | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Choicecare | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Other | Other | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medical Associates Health Plan | Mercy Cedar Rapid | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Equian | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Liability | Liability | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Especially For You | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Gem | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Hms Preferred Health Choices | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medimore | Commercial | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Preferred Medical Solutions | Workers Compensation | — | $17.10 | $13.68 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Molina | Medicaid | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | First Health | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Tricare | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Cigna | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Multiplan | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Umr | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Phcs | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Midlands Choice | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Corvel | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Geha | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare All Savers | Commercial | — | $17.10 | $13.68 | 2026-05-14 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Devoted Health | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Humana | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Aetna | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Aetna | Commercial | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Zelis | Commercial | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Christus Health Exchange Plan | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Christus | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Self Pay | Self Pay | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Health Management Network | Commercial | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Other Government | Other Government | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Healthsmart Preferred Care | Commercial | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Provider Network America | Commercial | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Aetna Colorado | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Alamo Navajo School Board | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Albuquerque Public Schools | Commercial | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Blue Cross Blue Shield Of Nm | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Blue Cross Blue Shield Of Nm | Managed Medicaid | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Blue Cross Blue Shield Of Nm | Blue Adv Hmo Blue Pre | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | El Pueblo Health Services | Managed Medicaid | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Falling Colors Behavioral Health | Managed Medicaid | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Imperial Health Exchange | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Three River Provider Network Ppo | Commercial | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Pueblo Of Sandia | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Pueblo Of Jemez | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Pueblo Of Isleta | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Provider Network America Indian Nation | Commercial | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Presbyterian Network | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Maksin Management Corporation | Commercial | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Kewa Pueblo Health Corporation | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Indian Health Abq | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Indian Health | Commercial | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Multiplan | Commercial | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Cigna | Commercial | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | United Healthcare | Medicare Advantage | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | United Healthcare | Managed Medicaid | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Inpatient | Turquoise Care | Managed Medicaid | — | $25.94 | $14.27 | 2026-05-09 | MRF ↗ |