12893052_1 — Ed Full Trauma Tm Act Lvl 4 Wo Ntc W/cc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ED FULL TRAUMA TM ACT LVL 4 WO NTC W/CC (CDM 12893052_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/12893052_1?code_type=CDM
MLA (9th ed.)
“ED FULL TRAUMA TM ACT LVL 4 WO NTC W/CC (CDM 12893052_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/12893052_1?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ED FULL TRAUMA TM ACT LVL 4 WO NTC W/CC (CDM 12893052_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/12893052_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,645–$13,952 (25th–75th percentile) across 3 hospitals · 41 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 12893052_1 — 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 |
|---|---|---|---|---|---|---|---|
| ADVENTIST HEALTH HOWARD MEMORIAL Both | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $2,999.60 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | BC MEDICARE | BC MEDICARE | $3,029.60 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $3,149.58 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | UHC MCR ADV | UHC MCR ADV | $3,299.56 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $3,784.00 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $3,982.00 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | UHC MCR ADV | UHC MCR ADV | $4,185.60 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $4,185.60 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $4,185.60 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | KAISER MCR ADV | KAISER MCR ADV | $4,185.60 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $4,424.00 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $4,540.00 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | BLUE SHIELD EPN | BLUE SHIELD EPN | $4,605.00 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $4,776.00 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $5,309.00 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | WESTERN GROWERS-ALL PLANS | WESTERN GROWERS-ALL PLANS | $5,738.00 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | BLUE SHIELD EPN-ALL OTHER PLANS | BLUE SHIELD EPN-ALL OTHER PLANS | $6,644.64 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $6,731.84 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | REGENCE BCBS MCARE | REGENCE BCBS MCARE | $7,049.06 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | ODS HEALTH MEDICARE | ODS HEALTH MEDICARE | $7,049.06 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | MODA HEALTH PLAN - ALL PLANS | MODA HEALTH PLAN - ALL PLANS | $7,049.06 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | HVHS MCARE - ALL PLANS | HVHS MCARE - ALL PLANS | $7,119.55 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | STERLING LIFE - ALL PLANS | STERLING LIFE - ALL PLANS | $7,331.02 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $7,534.08 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | DEVOTED HEALTH | DEVOTED HEALTH | $7,612.98 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $7,798.96 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | AETNA MCARE | AETNA MCARE | $7,825.96 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $9,298.76 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $9,975.68 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | AETNA - ALL PLANS | AETNA - ALL PLANS | $10,062.16 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | UHC JLL | UHC JLL | $11,025.03 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | MENDOCINO LCC DISTRICT-ALL PLANS | MENDOCINO LCC DISTRICT-ALL PLANS | $11,336.00 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | AETNA-ALL PLANS | AETNA-ALL PLANS | $11,566.21 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $11,605.45 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | GHN PPO - ALL PLANS | GHN PPO - ALL PLANS | $11,998.40 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | FIRST HEALTH PPO - ALL PLANS | FIRST HEALTH PPO - ALL PLANS | $11,998.40 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $12,298.36 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $12,748.30 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Both | BRMS - ALL PLANS | BRMS - ALL PLANS | $12,748.30 | $14,998.00 | $4,499.40 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | REGENCE BCBS PREFERRED | REGENCE BCBS PREFERRED | $12,748.30 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | REGENCE BCBS - ALL OTHER PLANS | REGENCE BCBS - ALL OTHER PLANS | $13,048.26 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | FOUNDATION FOR MEDICAL CARE-ALL PLANS | FOUNDATION FOR MEDICAL CARE-ALL PLANS | $13,080.00 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | LIFEWISE - ALL PLANS | LIFEWISE - ALL PLANS | $13,528.20 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $13,603.20 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | UHC JLL CSP 1/1/25 | UHC JLL CSP 1/1/25 | $13,798.53 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | AETNA- ALL OTHER PLANS | AETNA- ALL OTHER PLANS | $13,948.14 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $13,952.00 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | PHCS MULTIPLAN-ALL PLANS | PHCS MULTIPLAN-ALL PLANS | $13,952.00 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | NETWORKS BY DESIGN-ALL PLANS | NETWORKS BY DESIGN-ALL PLANS | $13,952.00 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | HEALTH NET - ALL PLANS | HEALTH NET - ALL PLANS | $14,098.12 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $14,098.12 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | FIRST CHOICE HEALTH- ALL PLANS | FIRST CHOICE HEALTH- ALL PLANS | $14,098.12 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | PHCS PREFERRED - ALL PLANS | PHCS PREFERRED - ALL PLANS | $14,248.10 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | UHC - ALL PLANS | UHC - ALL PLANS | $14,248.10 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $14,248.10 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $14,300.80 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | PACIFICSOURCE - ALL PLANS | PACIFICSOURCE - ALL PLANS | $14,398.08 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | ODS HEALTH PLAN - ALL OTHER PLANS | ODS HEALTH PLAN - ALL OTHER PLANS | $14,548.06 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $14,578.10 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | PROVIDENCE PREFERRED - ALL PLANS | PROVIDENCE PREFERRED - ALL PLANS | $14,698.04 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | CHOICE CARE-ALL PLANS | CHOICE CARE-ALL PLANS | $14,824.00 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $14,824.00 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | HEALTH MGMT NETWORK-ALL PLANS | HEALTH MGMT NETWORK-ALL PLANS | $14,824.00 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Both | WORKERS COMP | WORKERS COMP | $14,998.00 | $14,998.00 | $8,098.92 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Both | THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $15,696.00 | $17,440.00 | $3,488.00 | 2026-05-24 | MRF ↗ |