164-4 (OTHER) — raw rate rows

OTHER · raw rates

164-4 — Dest First Lesion

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

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Typical negotiated price $1,138

Usually $1,138–$1,138 (25th–75th percentile) across 1 hospital · 3 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER 164-4 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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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
JANE TODD CRAWFORD HOSPITAL Both	Standard_Charge\|The First Health Network\|Commerical\| Negotiated_Percentage	—	$20.00	$168.00	—	2026-05-09	MRF ↗
JANE TODD CRAWFORD HOSPITAL Both	Standard_Charge\|Anthem\|Blue Traditional / Traditional\| Negotiated_Dollar	—	$1,138.00	$168.00	—	2026-05-09	MRF ↗
JANE TODD CRAWFORD HOSPITAL Both	Standard_Charge\|Anthem\|Blue Access / Access\| Negotiated_Dollar	—	$1,138.00	$168.00	—	2026-05-09	MRF ↗
JANE TODD CRAWFORD HOSPITAL Both	Standard_Charge\|Anthem\|Blue Preferred / Preferred\| Negotiated_Dollar	—	$1,138.00	$168.00	—	2026-05-09	MRF ↗
JANE TODD CRAWFORD HOSPITAL Both	Standard_Charge\|Anthem \|Anthem Pathways\| Negotiated_Dollar	—	$1,138.00	$168.00	—	2026-05-09	MRF ↗
JANE TODD CRAWFORD HOSPITAL Both	United Healthcare	Commerical	$1,168.00	$168.00	—	2026-05-09	MRF ↗