1500213 — Pain Room Facility Level 3
Cite this view
HANK Price Transparency. (n.d.). PAIN ROOM FACILITY LEVEL 3 (CDM 1500213) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1500213?code_type=CDM
“PAIN ROOM FACILITY LEVEL 3 (CDM 1500213) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1500213?code_type=CDM. Accessed .
“PAIN ROOM FACILITY LEVEL 3 (CDM 1500213) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1500213?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $36–$4,284 (25th–75th percentile) across 2 hospitals · 10 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 1500213 — 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 |
|---|---|---|---|---|---|---|---|
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | Medicare | Part B | $4.00 | $38.00 | $19.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $12.00 | $38.00 | $19.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Co & NV | PPO | $33.00 | $38.00 | $19.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | Rocky Mountain Health Maintenance Organization Inc. | Commercial | $35.00 | $38.00 | $19.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | Coventry | Commercial | $36.00 | $38.00 | $19.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | Kaiser Permanente | Commercial | $36.00 | $38.00 | $19.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | United Healthcare Insurance Company | Commercial | $36.00 | $38.00 | $19.00 | 2025-06-12 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | Medicare | All Medicare | $3,156.30 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | Aetna | Medicare | $4,058.10 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | Cigna | Medicare | $4,058.10 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | BCBS MT | Medicare | $4,058.10 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | BCBS MT | HealthLink | $4,058.10 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | BCBS MT | CHIP | $4,058.10 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | Medicaid | All Medicaid | $4,148.28 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | Monida | Allegiance | $4,283.55 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | Monida | Montana Health Co-op | $4,283.55 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | Aetna | Commercial | $4,283.55 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | Cigna | Commercial | $4,283.55 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | BCBS MT | Closed Plan Network | $4,283.55 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | BCBS MT | POS | $4,283.55 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | Monida | PacificSource | $4,283.55 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | Monida | First Choice Health | $4,373.73 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |
| RUBY VALLEY MEDICAL CENTER InpatientFacility | BCBS MT | Traditional | $4,509.00 | $4,509.00 | $4,058.10 | 2026-02-27 | MRF ↗ |