10010104 — Surgery Level 4 - Init 30 Min
Cite this view
HANK Price Transparency. (n.d.). SURGERY LEVEL 4 - INIT 30 MIN (CDM 10010104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/10010104?code_type=CDM
“SURGERY LEVEL 4 - INIT 30 MIN (CDM 10010104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/10010104?code_type=CDM. Accessed .
“SURGERY LEVEL 4 - INIT 30 MIN (CDM 10010104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/10010104?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,936–$4,740 (25th–75th percentile) across 3 hospitals · 28 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 10010104 — 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 |
|---|---|---|---|---|---|---|---|
| GRANT REGIONAL HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $2,165.24 | $4,921.00 | $3,198.65 | 2026-01-15 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | UHC VA CCN | UHC VA CCN | $2,165.24 | $4,921.00 | $3,198.65 | 2026-01-15 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | QUARTZ MCR ADV | QUARTZ MCR ADV | $2,165.24 | $4,921.00 | $3,198.65 | 2026-01-15 | MRF ↗ |
| GUTHRIE COUNTY HOSPITAL Outpatient | WELLMARK HMO | WELLMARK HMO | $3,113.75 | $5,875.00 | $5,875.00 | 2026-09-21 | MRF ↗ |
| GUTHRIE COUNTY HOSPITAL Outpatient | WELLMARK PPO-ALL OTHER PLANS | WELLMARK PPO-ALL OTHER PLANS | $3,113.75 | $5,875.00 | $5,875.00 | 2026-09-21 | MRF ↗ |
| GUTHRIE COUNTY HOSPITAL Outpatient | AETNA COVENTRY MEDICAID | AETNA COVENTRY MEDICAID | $3,348.75 | $5,875.00 | $5,875.00 | 2026-09-21 | MRF ↗ |
| GUTHRIE COUNTY HOSPITAL Outpatient | HEALTH PARTNERS - ALL OTHER PLANS | HEALTH PARTNERS - ALL OTHER PLANS | $3,577.88 | $5,875.00 | $5,875.00 | 2026-09-21 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | MEDICAL ASSOCIATES - ALL PLANS | MEDICAL ASSOCIATES - ALL PLANS | $3,582.49 | $4,921.00 | $3,198.65 | 2026-01-15 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | QUARTZ HEALTH SOLUTION - ALL OTHER PLANS | QUARTZ HEALTH SOLUTION - ALL OTHER PLANS | $3,641.54 | $4,921.00 | $3,198.65 | 2026-01-15 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | THE ALLIANCE - ALL PLANS | THE ALLIANCE - ALL PLANS | $3,725.69 | $4,921.00 | $3,198.65 | 2026-01-15 | MRF ↗ |
| GUTHRIE COUNTY HOSPITAL Outpatient | AETNA COVENTRY ADVANTRA | AETNA COVENTRY ADVANTRA | $3,936.25 | $5,875.00 | $5,875.00 | 2026-09-21 | MRF ↗ |
| GUTHRIE COUNTY HOSPITAL Outpatient | AMBETTER MARKETPLACE - ALL PLANS | AMBETTER MARKETPLACE - ALL PLANS | $3,936.25 | $5,875.00 | $5,875.00 | 2026-09-21 | MRF ↗ |
| GUTHRIE COUNTY HOSPITAL Outpatient | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $3,936.25 | $5,875.00 | $5,875.00 | 2026-09-21 | MRF ↗ |
| GUTHRIE COUNTY HOSPITAL Outpatient | HEALTH PARTNERS MED ADV | HEALTH PARTNERS MED ADV | $3,936.25 | $5,875.00 | $5,875.00 | 2026-09-21 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | WPS - ALL PLANS | WPS - ALL PLANS | $3,995.85 | $4,921.00 | $3,198.65 | 2026-01-15 | MRF ↗ |
| GUTHRIE COUNTY HOSPITAL Outpatient | AETNA COVENTRY MCARE | AETNA COVENTRY MCARE | $4,014.98 | $5,875.00 | $5,875.00 | 2026-09-21 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | ANTHEM BCBS - ALL PLANS | ANTHEM BCBS - ALL PLANS | $4,182.85 | $4,921.00 | $3,198.65 | 2026-01-15 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $4,379.69 | $4,921.00 | $3,198.65 | 2026-01-15 | MRF ↗ |
| GUTHRIE COUNTY HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $4,394.50 | $5,875.00 | $5,875.00 | 2026-09-21 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Wellpoint | Medicaid | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Golden Rule | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Mutual Of Omaha | Medicare | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Auxiant | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Midlands | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Physicians Mutual | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Admin Concepts | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Securehorizons Direct | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Ebs | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Medico | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Phcs Nippon Life Benefits | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Trustmark | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Iowa Total Care | Medicaid | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Molina | Medicare | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Midlands Choice | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Coventry | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Cigna | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Humana | Medicare | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Humana | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Uhc | Medicare | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Health Partners | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Health Partners | Medicare | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Blue Cross | Medicare | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Blue Cross | Commericial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Meritain | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Uhc | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Molina | Medicaid | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Aetna | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Aetna | Medicare | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Geha | Commercial | $4,740.00 | $4,740.00 | $4,266.00 | 2026-07-17 | MRF ↗ |
| GUTHRIE COUNTY HOSPITAL Outpatient | AETNA COVENTRY HMO | AETNA COVENTRY HMO | $5,405.00 | $5,875.00 | $5,875.00 | 2026-09-21 | MRF ↗ |
| GUTHRIE COUNTY HOSPITAL Outpatient | AETNA COVENTRY PPO-ALL OTHER PLANS | AETNA COVENTRY PPO-ALL OTHER PLANS | $5,405.00 | $5,875.00 | $5,875.00 | 2026-09-21 | MRF ↗ |