1700096 (CDM) — raw rate rows

CDM · raw rates

1700096 — Or Surgery Suite Level 4

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 $6,505

Usually $5,054–$8,588 (25th–75th percentile) across 1 hospital · 7 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 1700096 — 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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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.

Uninsured estimates use the cash / self-pay median for this code: $7,488.

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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
WEST HOLT MEMORIAL HOSPITAL Outpatient	DHHS	Medicaid Membership	$4,493.00	$9,360.00	$7,488.00	2026-07-08	MRF ↗
WEST HOLT MEMORIAL HOSPITAL Outpatient	Ambetter	Commercial	$4,774.00	$9,360.00	$7,488.00	2026-07-08	MRF ↗
WEST HOLT MEMORIAL HOSPITAL Outpatient	Molina	Commercial	$5,148.00	$9,360.00	$7,488.00	2026-07-08	MRF ↗
WEST HOLT MEMORIAL HOSPITAL Outpatient	United Healthcare	Midlands Choice	$5,522.00	$9,360.00	$7,488.00	2026-07-08	MRF ↗
WEST HOLT MEMORIAL HOSPITAL Outpatient	BCBS	Network Blue	$7,488.00	$9,360.00	$7,488.00	2026-07-08	MRF ↗
WEST HOLT MEMORIAL HOSPITAL Outpatient	Medica	Commercial	$8,518.00	$9,360.00	$7,488.00	2026-07-08	MRF ↗
WEST HOLT MEMORIAL HOSPITAL Outpatient	Aetna	Commercial	$8,798.00	$9,360.00	$7,488.00	2026-07-08	MRF ↗
WEST HOLT MEMORIAL HOSPITAL Outpatient	BCBS	Commercial	$8,892.00	$9,360.00	$7,488.00	2026-07-08	MRF ↗