1404706 — Xr Lumbar Spine Compt Min4v
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). XR LUMBAR SPINE COMPT MIN4V (OTHER 1404706) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1404706?code_type=OTHER
MLA (9th ed.)
“XR LUMBAR SPINE COMPT MIN4V (OTHER 1404706) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1404706?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“XR LUMBAR SPINE COMPT MIN4V (OTHER 1404706) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1404706?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $44–$492 (25th–75th percentile) across 3 hospitals · 27 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1404706 — 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 |
|---|---|---|---|---|---|---|---|
| DODGE COUNTY HOSPITAL Outpatient | Pshp Medicaid | Medicaid | $2.99 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Wellcare Medicaid | Medicaid | $2.99 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $3.11 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Amerigroup Peachcare | Medicaid | $3.11 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Caresource Medicaid | Medicaid | $3.14 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Uhc Commercial | Commercial | $9.86 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Anthem | Commercial | $11.74 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Aetna Commercial | Commercial | $11.74 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Humana Commerical Epo | Commerical | $11.74 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Humana Commerical Hmo | Commerical | $11.74 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Humana Commerical Pos | Commercial | $11.74 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Humana Commerical Ppo | Commercial | $11.74 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Aetna Medical Rental First Health | Commercial | $12.52 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Cigna Commercial | Commercial | $14.09 | $15.65 | $9.39 | 2026-05-06 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Healthnet Of California | Healthnet Hmo/Ppo/Affinity | $42.73 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | United Healthcare | United Healthcare Ppo-Pos-Epo/Pacificare Of California Hmo-Ppo/Affinity | $42.73 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | United Healthcare | Secure Horizons (Pacificare)/Affinity | $42.73 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Healthnet Of California | Healthnet Hmo/Ppo/Affinity | $42.73 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Cigna Healthcare Of California | Cigna/Affinity | $42.73 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Blue Cross Of California | Blue Cross Hmo/Ppo/Affinity | $42.73 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | United Healthcare | Secure Horizons (Pacificare)/Affinity | $42.73 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | United Healthcare | United Healthcare Ppo-Pos-Epo/Pacificare Of California Hmo-Ppo/Affinity | $42.73 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Cigna Healthcare Of California | Cigna/Affinity | $42.73 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Healthnet Of California | Healthnet Healthy Families | $43.85 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | United Healthcare | Secure Horizons (Pacificare)/Hill | $44.98 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Healthnet Of California | Healthnet Sr Advantage/Hill | $44.98 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | United Healthcare | Secure Horizons (Pacificare)/Hill | $44.98 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Healthnet Of California | Healthnet Sr Advantage/Hill | $44.98 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Aetna Health Plans Of California | Aetna Health Plan/Affinity | $45.12 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Aetna Health Plans Of California | Aetna Health Plan/Affinity | $45.12 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Healthnet Of California | Healthnet Hmo/Ppo/Hill | $51.73 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | United Healthcare | United Healthcare Ppo-Pos-Epo/Pacificare Of California Hmo-Ppo/Hill | $51.73 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | United Healthcare | United Healthcare Ppo-Pos-Epo/Pacificare Of California Hmo-Ppo/Hill | $51.73 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Blue Cross Of California | Blue Cross Hmo/Ppo/Hill | $51.73 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Cigna Healthcare Of California | Cigna/Hill | $51.73 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Cigna Healthcare Of California | Cigna/Hill | $51.73 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Healthnet Of California | Healthnet Hmo/Ppo/Hill | $51.73 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Blue Cross Of California | Blue Cross Hmo/Ppo | $68.46 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Blue Cross Of California | Blue Cross Hmo/Ppo | $74.30 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Blue Cross Of California | Blue Cross Hmo/Ppo/Hill | $74.30 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Blue Cross Of California | Blue Cross Hmo/Ppo/Affinity | $74.30 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Blue Cross Of California | Blue Cross Managed Medi-Cal | $86.19 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Alameda Alliance For Health | Alameda Alliance | $109.63 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Healthnet Of California | Healthnet Sr Advantage/Affinity | $138.99 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Centers For Elder Independence | Centers For Elders | $141.22 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Healthnet Of California | Healthnet Sr Advantage/Affinity | $145.06 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Healthnet Of California | Healthnet Sr Advantage | $146.27 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | United Healthcare | Secure Horizons (Pacificare) | $146.27 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Centers For Elder Independence | Centers For Elders | $147.39 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Humana | Humana Medicare Advantage | $148.65 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Imperial Health Senior | Imperial Health Senior | $148.65 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Aetna Health Plans Of California | Aetna Medicare Ppo | $148.65 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Brown & Toland | Brown Toland | $148.65 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Medicare Sr Advantage | Medicare Sr Advantage | $148.65 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Healthnet Of California | Healthnet Sr Advantage | $152.67 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | United Healthcare | Secure Horizons (Pacificare) | $152.67 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Medicare Sr Advantage | Medicare Sr Advantage | $155.15 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Humana | Humana Medicare Advantage | $155.15 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Brown & Toland | Brown Toland | $155.15 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Aetna Health Plans Of California | Aetna Medicare Ppo | $155.15 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Imperial Health Senior | Imperial Health Senior | $155.15 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Canopy | Canopy Commercial | $282.44 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Canopy | Canopy Commercial | $294.79 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Blue Shield Affinity | Blue Shield Affinity | $371.63 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Blue Shield | Blue Shield | $371.63 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Blue Shield Hill | Blue Shield Hill | $371.63 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Blue Shield | Blue Shield | $387.88 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Blue Shield Affinity | Blue Shield Affinity | $387.88 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Blue Shield Hill | Blue Shield Hill | $387.88 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Blue Cross Commercial | — | $804.00 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Aetna Health Plans Of California | Aetna Health Plan | $843.67 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Healthnet Of California | Healthnet Hmo/Ppo | $1,181.14 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Healthnet Of California | Healthnet Hmo/Ppo | $1,181.14 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Inpatient | Interplan | Interplan | $1,181.14 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Inpatient | Interplan | Interplan | $1,181.14 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Cigna Healthcare Of California | Cigna | $1,265.51 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Cigna Healthcare Of California | Cigna | $1,265.51 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Inpatient | Multiplan Inc | Multiplan | $1,299.26 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Inpatient | Multiplan Inc | Multiplan | $1,299.26 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | United Healthcare | United Healthcare Ppo-Pos-Epo/Pacificare Of California Hmo-Ppo | $1,349.88 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Kaiser Foundation Hospitals | Kaiser/Kaiser Sr | $1,349.88 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Kaiser Foundation Hospitals | Kaiser/Kaiser Sr | $1,349.88 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | United Healthcare | United Healthcare Ppo-Pos-Epo/Pacificare Of California Hmo-Ppo | $1,349.88 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Preferred Health Network | Ppo Next Preferred Health Network | $1,434.25 | $1,687.35 | $506.21 | 2026-05-11 | MRF ↗ |
| ST ROSE HOSPITAL Outpatient | Preferred Health Network | Ppo Next Preferred Health Network | $1,434.25 | $1,687.35 | $506.21 | 2026-05-08 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Cigna | — | $5,850.00 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Uhc Hmo-Non Hcmg | — | $55,358.07 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Uhc Ppo/Hmo-Hcmg | — | $55,358.07 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Aetna Comm | — | $64,215.37 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Aetna Senior | — | $64,436.80 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Magellan Comm | — | $66,429.69 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Tricare | — | $110,716.15 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |