1135406_SUP — Icd Cobalt Dr MRI Is1 Df4
Cite this view
HANK Price Transparency. (n.d.). ICD COBALT DR MRI IS1 DF4 (CDM 1135406_SUP) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1135406_SUP?code_type=CDM
“ICD COBALT DR MRI IS1 DF4 (CDM 1135406_SUP) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1135406_SUP?code_type=CDM. Accessed .
“ICD COBALT DR MRI IS1 DF4 (CDM 1135406_SUP) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1135406_SUP?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $44,156–$117,750 (25th–75th percentile) across 1 hospital · 22 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 1135406_SUP — 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 |
|---|---|---|---|---|---|---|---|
| SONOMA VALLEY HOSPITAL Outpatient | COMM CARE NETWORK(CCN)-ALL PLANS | COMM CARE NETWORK(CCN)-ALL PLANS | $1,000.00 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | BLUE SHIELD PPO-ALL PLANS | BLUE SHIELD PPO-ALL PLANS | $8,878.00 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | BRIGHT HLTH/BRAND NEW DAY MCR ADV | BRIGHT HLTH/BRAND NEW DAY MCR ADV | $36,796.76 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | BRIGHT HLTH/BRAND NEW DAY - ALL OTHER PLANDS | BRIGHT HLTH/BRAND NEW DAY - ALL OTHER PLANDS | $36,796.76 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | CANOPY BAY AREA ACCOUNTABLE CARE NTWRK (BAACN) - A | CANOPY BAY AREA ACCOUNTABLE CARE NTWRK (BAACN) - A | $44,156.11 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | CANOPY OP ONLY | CANOPY OP ONLY | $44,156.11 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | FIRST HEALTH(COVENTRY)-ALL PLANS | FIRST HEALTH(COVENTRY)-ALL PLANS | $44,156.11 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $44,156.11 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | HEALTHNET HMO/PPO-ALL OTHER PLANS | HEALTHNET HMO/PPO-ALL OTHER PLANS | $58,874.81 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | BLUE CROSS HMO/PPO-ALL OTHER PLANS | BLUE CROSS HMO/PPO-ALL OTHER PLANS | $89,151.18 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | KAISER-ALL PLANS | KAISER-ALL PLANS | $95,671.56 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | VNPN - ALL PLANS | VNPN - ALL PLANS | $95,671.56 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | MERITAGE MEDICAL NETWORK OP ONLY-ALL OTHER PLANS | MERITAGE MEDICAL NETWORK OP ONLY-ALL OTHER PLANS | $95,671.56 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | MERITAGE MEDICAL NETWORK OP ONLY MCARE | MERITAGE MEDICAL NETWORK OP ONLY MCARE | $95,671.56 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | INTEGRATED HEALTH PLAN-ALL PLANS | INTEGRATED HEALTH PLAN-ALL PLANS | $108,918.39 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | NETWORKS BY DESIGN - ALL PLANS | NETWORKS BY DESIGN - ALL PLANS | $117,749.62 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $117,749.62 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | CHAMPUS-ALL PLANS | CHAMPUS-ALL PLANS | $117,749.62 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $117,749.62 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | PHCS/MULTIPLAN/BEECH ST-ALL PLANS | PHCS/MULTIPLAN/BEECH ST-ALL PLANS | $125,108.97 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | PPO ALLIANCE-ALL PLANS | PPO ALLIANCE-ALL PLANS | $132,468.32 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | PREF HEALTH NETWORL(PHN)-ALL PLANS | PREF HEALTH NETWORL(PHN)-ALL PLANS | $132,468.32 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | BPS-ALL PLANS | BPS-ALL PLANS | $132,468.32 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |
| SONOMA VALLEY HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $161,905.72 | $147,187.02 | $103,030.91 | 2026-02-04 | MRF ↗ |