Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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15100009 — Breast Reduction

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $7,232

Usually $5,844–$8,392 (25th–75th percentile) across 1 hospital · 26 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 15100009 — 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
CARLINVILLE AREA HOSPITAL InpatientFacility Integrated Health Plan Workers Comp Integrated Health Plan Workers Comp — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility IlliniCare Medicaid IlliniCare Medicaid — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Vitas Healthcare Commercial Vitas Healthcare Commercial — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Medicaid — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Aetna Medicaid — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Molina Medicaid — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Essence Commercial Essence Commercial — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Vitas Healthcare Commercial Vitas Healthcare Commercial — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Essence Commercial Essence Commercial — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Integrated Health Plan Workers Comp Integrated Health Plan Workers Comp — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility IlliniCare Medicaid IlliniCare Medicaid — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Aetna Medicaid — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Commercial — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Molina Medicaid — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Meridian Health Plan Medicaid Meridian Health Plan Medicaid — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Medicaid — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Molina Medicare Molina Medicare — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Health Alliance Medicare Advantage — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Wellcare Commercial Wellcare Commercial — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Meridian Health Plan Medicare Advantage — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Meridian Health Plan Medicare Advantage — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Wellcare Commercial Wellcare Commercial — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Meridian Health Plan Medicaid Meridian Health Plan Medicaid — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Health Alliance Medicare Advantage — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Molina Medicare Molina Medicare — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Commercial — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Humana Commercial — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Humana Medicare Advantage $3,812.04 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Meridian Health Plan Commercial Meridian Health Plan Commercial $3,812.04 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Meridian Health Plan Commercial Meridian Health Plan Commercial $3,812.04 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Humana Commercial — $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Humana Medicare Advantage $3,812.04 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility HealthNet Commercial HealthNet Commercial $4,288.55 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility HealthNet Commercial HealthNet Commercial $4,288.55 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $4,341.49 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $4,341.49 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Blue Cross Blue Shield Medicare Advantage $4,976.83 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Aetna Medicare Advantage $4,976.83 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Aetna Medicare Advantage $4,976.83 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Blue Cross Blue Shield Medicare Advantage $4,976.83 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility HealthNet Commercial HealthNet Commercial $6,586.36 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility HealthNet Commercial HealthNet Commercial $6,586.36 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Cigna Commercial Cigna Commercial $6,935.80 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Cigna Commercial Cigna Commercial $6,935.80 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Aetna Commercial $7,232.29 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Aetna Commercial $7,232.29 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Health Choices Commercial Health Choices Commercial $7,412.30 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility HealthLink Commercial HMO HealthLink Commercial HMO $7,412.30 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Medical Associates Health Plan Commercial Medical Associates Health Plan Commercial $7,412.30 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Preferred Health Choices Commercial Preferred Health Choices Commercial $7,412.30 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Blue Cross Blue Shield Workers Comp Blue Cross Blue Shield Workers Comp $7,412.30 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Aetna Workers Comp Aetna Workers Comp $7,412.30 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Aetna Workers Comp Aetna Workers Comp $7,412.30 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Blue Cross Blue Shield Workers Comp Blue Cross Blue Shield Workers Comp $7,412.30 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Health Choices Commercial Health Choices Commercial $7,412.30 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility HealthLink Commercial HMO HealthLink Commercial HMO $7,412.30 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Medical Associates Health Plan Commercial Medical Associates Health Plan Commercial $7,412.30 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Preferred Health Choices Commercial Preferred Health Choices Commercial $7,412.30 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Great West Commercial $7,835.86 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Great West Commercial $7,835.86 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Medical Rental Blue Cross Blue Shield Medical Rental $8,153.53 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Workers Comp Blue Cross Blue Shield Workers Comp $8,153.53 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Auto Blue Cross Blue Shield Auto $8,153.53 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Workers Comp Blue Cross Blue Shield Workers Comp $8,153.53 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Medical Rental Blue Cross Blue Shield Medical Rental $8,153.53 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Auto Blue Cross Blue Shield Auto $8,153.53 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Health Alliance Commercial Health Alliance Commercial $8,471.20 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Health Alliance Commercial Health Alliance Commercial $8,471.20 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility HealthLink Commercial PPO HealthLink Commercial PPO $8,471.20 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility CorVel Auto Medical CorVel Auto Medical $8,471.20 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility CorVel Workers Comp CorVel Workers Comp $8,471.20 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Integrated Health Plan Commercial Integrated Health Plan Commercial $8,471.20 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility HealthLink Commercial PPO HealthLink Commercial PPO $8,471.20 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Integrated Health Plan Commercial Integrated Health Plan Commercial $8,471.20 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility CorVel Auto Medical CorVel Auto Medical $8,471.20 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility CorVel Workers Comp CorVel Workers Comp $8,471.20 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility United Healthcare Commercial $9,000.65 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility United Healthcare Commercial $9,000.65 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Velocity Commercial Velocity Commercial $9,741.88 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Velocity Commercial Velocity Commercial $9,741.88 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Harmony Health Plan Medicaid/CHIP Harmony Health Plan Medicaid/CHIP $10,589.00 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Harmony Health Plan Medicaid/CHIP Harmony Health Plan Medicaid/CHIP $10,589.00 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Harmony Health Plan Commercial Harmony Health Plan Commercial $10,589.00 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Harmony Health Plan Commercial Harmony Health Plan Commercial $10,589.00 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Blue Cross Blue Shield Commercial $15,127.14 $10,589.00 $7,412.30 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Blue Cross Blue Shield Commercial $15,127.14 $10,589.00 $7,412.30 2026-03-21 MRF ↗