15009 — Lma Supreme Sz 4
Cite this view
HANK Price Transparency. (n.d.). Lma Supreme Sz 4 (CDM 15009) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/15009?code_type=CDM
“Lma Supreme Sz 4 (CDM 15009) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/15009?code_type=CDM. Accessed .
“Lma Supreme Sz 4 (CDM 15009) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/15009?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2–$73 (25th–75th percentile) across 4 hospitals · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 15009 — 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 |
|---|---|---|---|---|---|---|---|
| PRATT REGIONAL MEDICAL CENTER Outpatient | Health Partners of Kansas | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | ChoiceCare | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Christian Health Aid | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | WellMed | Medicare Advantage | $51.00 | $105.00 | $105.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $51.00 | $105.00 | $105.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $51.00 | $105.00 | $105.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Medicare Advantage | $52.00 | $105.00 | $105.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $61.00 | $105.00 | $105.00 | 2026-01-21 | MRF ↗ |
| ORTHOPAEDIC HOSPITAL OF WISCONSIN Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $65.00 | $65.00 | $34.45 | 2026-01-01 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | FirstCare | Baylor Scott Health Plan | $68.00 | $105.00 | $105.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $68.00 | $105.00 | $105.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $68.00 | $105.00 | $105.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $89.00 | $105.00 | $105.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | FirstCare | Commercial | $95.00 | $105.00 | $105.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $95.00 | $105.00 | $105.00 | 2026-01-21 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $100,550.82 | $98,539.80 | 2025-03-17 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $120,849.82 | $118,432.82 | 2025-08-04 | MRF ↗ |