1410017 — Oth Ster Supp Lvl 17
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OTH STER SUPP LVL 17 (CDM 1410017) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1410017?code_type=CDM
MLA (9th ed.)
“OTH STER SUPP LVL 17 (CDM 1410017) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1410017?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“OTH STER SUPP LVL 17 (CDM 1410017) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1410017?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18,974–$59,999 (25th–75th percentile) across 5 hospitals · 42 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 1410017 — 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 |
|---|---|---|---|---|---|---|---|
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Aetna | Aetna ALL | $1,604.00 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Aetna | Aetna ALL | $1,604.00 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | SELECT HEALTH MCR ADV | SELECT HEALTH MCR ADV | $2,385.00 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | U OF UT-ALL PLANS | U OF UT-ALL PLANS | $2,925.00 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | WISE/MOTIVHEALTH-ALL PLANS | WISE/MOTIVHEALTH-ALL PLANS | $2,925.00 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $3,190.50 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | DMBA-ALL PLANS | DMBA-ALL PLANS | $3,240.00 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | AETNA -ALL PLANS | AETNA -ALL PLANS | $3,375.00 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | PEHP-ALL PLANS | PEHP-ALL PLANS | $3,375.00 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | SELECT HEALTH-ALL OTHER PLANS | SELECT HEALTH-ALL OTHER PLANS | $3,375.00 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | REGENCE BCBS-ALL OTHER PLANS | REGENCE BCBS-ALL OTHER PLANS | $3,406.50 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $3,465.00 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS | MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS | $3,555.00 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $3,825.00 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | EMI-ALL PLANS | EMI-ALL PLANS | $3,825.00 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | MULTIPLAN COMPLIMENTARY NETWORK | MULTIPLAN COMPLIMENTARY NETWORK | $4,140.00 | $4,500.00 | $2,700.00 | 2026-01-31 | MRF ↗ |
| Mesa View Regional Hospital Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $8,314.61 | $99,999.00 | $59,999.40 | 2026-01-29 | MRF ↗ |
| MIMBRES VALLEY MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $14,501.75 | $71,790.84 | $35,895.42 | 2026-01-31 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Aetna Medicare Advantage | Aetna Medicare Advantage | $17,135.38 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $17,899.88 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $17,899.88 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | KY Work Comp | KY Work Comp | $18,973.77 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | KY Work Comp | KY Work Comp | $18,973.77 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Self Pay | Self Pay | $19,399.87 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Self Pay | Self Pay | $19,399.87 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| Mesa View Regional Hospital Outpatient | ANTHEM BCBS MCR ADV | ANTHEM BCBS MCR ADV | $19,999.80 | $99,999.00 | $59,999.40 | 2026-01-29 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Humana | Humana KY MCD HMO | $21,999.85 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Humana | Humana KY MCD HMO | $21,999.85 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Aetna Better Health MCD KY | Aetna Better Health MCD KY | $22,599.85 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Aetna Better Health MCD KY | Aetna Better Health MCD KY | $22,599.85 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Medicaid KY | Medicaid KY | $24,999.83 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | WellCare | WellCare Medicaid KY | $24,999.83 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Medicaid KY | Medicaid KY | $24,999.83 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | WellCare | WellCare Medicaid KY | $24,999.83 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Cigna | Commercial POS | $28,558.97 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| MIMBRES VALLEY MEDICAL CENTER Outpatient | TRUE HEALTH MEDICARE-ALL PLANS | TRUE HEALTH MEDICARE-ALL PLANS | $35,895.42 | $71,790.84 | $35,895.42 | 2026-01-31 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | NovaSys-Centene Qualchoice | NovaSys-Centene Qualchoice | $37,126.66 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Multiplan | Multiplan | $39,982.56 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Employer's Health Choice | Employer's Health Choice | $39,982.56 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | TN Medicaid Non-Par | TN Medicaid Non-Par | $39,999.74 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | TN Medicaid Non-Par | TN Medicaid Non-Par | $39,999.74 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| Mesa View Regional Hospital Outpatient | SELECTHEALTH MCARE-ALL PLANS | SELECTHEALTH MCARE-ALL PLANS | $41,999.58 | $99,999.00 | $59,999.40 | 2026-01-29 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Workers Compensation | PPO Plus Workers Compensation | $42,838.46 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| Mesa View Regional Hospital Outpatient | ANTHEM BCBS-ALL OTHER PLANS | ANTHEM BCBS-ALL OTHER PLANS | $42,999.57 | $99,999.00 | $59,999.40 | 2026-01-29 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | UHC APA | UHC APA | $43,099.72 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | UHC APA | UHC APA | $43,099.72 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | United Healthcare | UHC Compass | $43,599.71 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | United Healthcare | UHC Compass | $43,599.71 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Primary | PPO Plus Primary | $45,694.35 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Aetna | Commercial PPO | $45,694.35 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Secondary | PPO Plus Secondary | $48,550.25 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Corvel | Corvel | $48,550.25 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | MunicipalHealthBenefitProgram - Commercial-Mut Defined | Municipal Health Benefit Fund | $48,550.25 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Arkansas Managed Care Organization-Southern | Arkansas Managed Care Organization-Southern | $51,406.15 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Mercy Health Plan | Mercy Health Plan | $51,406.15 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| MIMBRES VALLEY MEDICAL CENTER Outpatient | MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS | MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS | $53,843.13 | $71,790.84 | $35,895.42 | 2026-01-31 | MRF ↗ |
| MIMBRES VALLEY MEDICAL CENTER Outpatient | UNITED HEALTHCARE-ALL PLANS | UNITED HEALTHCARE-ALL PLANS | $55,996.86 | $71,790.84 | $35,895.42 | 2026-01-31 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | ARKANSAS BLUE CROSS BLUE SHIELD - Medicare-HMO | BCBS-USAble HMO | $57,117.94 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | HUMANA INC. - Medicare Part A | Humana Medicare | $57,117.94 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | CareSource MCD | CareSource MCD | $57,117.94 | $57,117.94 | $57,117.94 | 2026-01-08 | MRF ↗ |
| MIMBRES VALLEY MEDICAL CENTER Outpatient | MULTIPLAN COMPLEMENTARY NETWORK | MULTIPLAN COMPLEMENTARY NETWORK | $57,432.67 | $71,790.84 | $35,895.42 | 2026-01-31 | MRF ↗ |
| MIMBRES VALLEY MEDICAL CENTER Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $57,432.67 | $71,790.84 | $35,895.42 | 2026-01-31 | MRF ↗ |
| Mesa View Regional Hospital Outpatient | SIERRA-ALL PLANS | SIERRA-ALL PLANS | $57,999.42 | $99,999.00 | $59,999.40 | 2026-01-29 | MRF ↗ |
| Mesa View Regional Hospital Outpatient | MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS | MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS | $59,999.40 | $99,999.00 | $59,999.40 | 2026-01-29 | MRF ↗ |
| MIMBRES VALLEY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $60,045.86 | $71,790.84 | $35,895.42 | 2026-01-31 | MRF ↗ |
| MIMBRES VALLEY MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $64,611.76 | $71,790.84 | $35,895.42 | 2026-01-31 | MRF ↗ |
| MIMBRES VALLEY MEDICAL CENTER Outpatient | PRESBYTERIAN-ALL PLANS | PRESBYTERIAN-ALL PLANS | $64,611.76 | $71,790.84 | $35,895.42 | 2026-01-31 | MRF ↗ |
| Mesa View Regional Hospital Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $64,999.35 | $99,999.00 | $59,999.40 | 2026-01-29 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Center Care | Center Care | $64,999.57 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Center Care | Center Care | $64,999.57 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| MIMBRES VALLEY MEDICAL CENTER Outpatient | BCBS-ALL OTHER PLANS | BCBS-ALL OTHER PLANS | $68,201.30 | $71,790.84 | $35,895.42 | 2026-01-31 | MRF ↗ |
| Mesa View Regional Hospital Outpatient | MULTIPLAN COMPLEMENTARY NETWORK | MULTIPLAN COMPLEMENTARY NETWORK | $69,999.30 | $99,999.00 | $59,999.40 | 2026-01-29 | MRF ↗ |
| Mesa View Regional Hospital Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $81,999.18 | $99,999.00 | $59,999.40 | 2026-01-29 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | First Health | First Health | $89,999.41 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | First Health | First Health | $89,999.41 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Correct Care Solutions | Correct Care Solutions | $89,999.41 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Correct Care Solutions | Correct Care Solutions | $89,999.41 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Multiplan | Multiplan Complementary | $94,999.37 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Prime Health Services | Prime Health Services | $94,999.37 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Multiplan | Multiplan Primary | $94,999.37 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | PHCS | PHCS | $94,999.37 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Prime Health Services | Prime Health Services | $94,999.37 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Multiplan | Multiplan Primary | $94,999.37 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | PHCS | PHCS | $94,999.37 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Multiplan | Multiplan Complementary | $94,999.37 | $99,999.34 | $19,399.88 | 2026-01-01 | MRF ↗ |