12050790 — Tib Fry Mod Cocr 4
Cite this view
HANK Price Transparency. (n.d.). TIB FRY MOD COCR 4 (CDM 12050790) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/12050790?code_type=CDM
“TIB FRY MOD COCR 4 (CDM 12050790) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/12050790?code_type=CDM. Accessed .
“TIB FRY MOD COCR 4 (CDM 12050790) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/12050790?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,816–$20,099 (25th–75th percentile) across 1 hospital · 9 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 12050790 — 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 |
|---|---|---|---|---|---|---|---|
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTH ALLIANCE MCARE | HEALTH ALLIANCE MCARE | $8,273.22 | $24,333.00 | $24,333.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTHLINK MCR ADV | HEALTHLINK MCR ADV | $8,273.22 | $24,333.00 | $24,333.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HUMANA CHOICECARE - ALL PLANS | HUMANA CHOICECARE - ALL PLANS | $8,273.22 | $24,333.00 | $24,333.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | COVENTRY/GHP-ALL PLANS | COVENTRY/GHP-ALL PLANS | $15,816.45 | $24,333.00 | $24,333.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | AETNA HEALTH INC - ALL OTHER PLANS | AETNA HEALTH INC - ALL OTHER PLANS | $16,059.78 | $24,333.00 | $24,333.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | AETNA COVENTRY | AETNA COVENTRY | $16,789.77 | $24,333.00 | $24,333.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTHLINK HMO | HEALTHLINK HMO | $17,033.10 | $24,333.00 | $24,333.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $18,249.75 | $24,333.00 | $24,333.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTHLINK PPO - ALL OTHER PLANS | HEALTHLINK PPO - ALL OTHER PLANS | $19,466.40 | $24,333.00 | $24,333.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTH ALLIANCE - ALL OTHER PLANS | HEALTH ALLIANCE - ALL OTHER PLANS | $20,099.06 | $24,333.00 | $24,333.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | UNITED HEALTHCARE - ALL PLANS | UNITED HEALTHCARE - ALL PLANS | $20,196.39 | $24,333.00 | $24,333.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | BCBS ILLINOIS - ALL PLANS | BCBS ILLINOIS - ALL PLANS | $20,439.72 | $24,333.00 | $24,333.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $20,683.05 | $24,333.00 | $24,333.00 | 2026-04-08 | MRF ↗ |