190 — Pr Face Or Scalp Prp 4
Cite this view
HANK Price Transparency. (n.d.). PR FACE OR SCALP PRP 4 (CDM 190) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/190?code_type=CDM
“PR FACE OR SCALP PRP 4 (CDM 190) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/190?code_type=CDM. Accessed .
“PR FACE OR SCALP PRP 4 (CDM 190) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/190?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $906–$7,552 (25th–75th percentile) across 7 hospitals · 32 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 190 — 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 |
|---|---|---|---|---|---|---|---|
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | Blue Shield | All Products | $148.00 | $282.00 | — | 2025-12-24 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | HealthNet | All Products | $156.00 | $282.00 | — | 2025-12-24 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | Cigna | All Products | $200.00 | $282.00 | — | 2025-12-24 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | Heritage Provider Network (HPN) | Managed Medicaid | $239.00 | $282.00 | — | 2025-12-24 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | Point Comfort Underwriters | All Products | $254.00 | $282.00 | — | 2025-12-24 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | Anthem Blue Cross | All Products | $258.00 | $282.00 | — | 2025-12-24 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | Aetna | All Products | $260.00 | $282.00 | — | 2025-12-24 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | Kaiser | Managed Medicaid | $332.00 | $282.00 | — | 2025-12-24 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | Kaiser | All Products | $332.00 | $282.00 | — | 2025-12-24 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL BothFacility | Molina | Managed Medicaid | $375.45 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL OutpatientFacility | PacificSource Health Plans | Medicare Advantage | $380.70 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL OutpatientFacility | Community Health Plan of WA | Medicare Advantage | $380.70 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL BothFacility | Coordinated Care | Managed Medicaid | $382.98 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL BothFacility | United Healthcare | Managed Medicaid | $394.24 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL OutpatientFacility | Molina | Medicare HMO DSNP | $403.54 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL BothFacility | Wellpoint | Managed Medicaid | $405.49 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL BothFacility | PacificSource Health Plans | Navigator | $592.20 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL BothFacility | Cigna | All products | $592.20 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL BothFacility | United Healthcare | All products | $614.45 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL BothFacility | PacificSource Health Plans | Voyager | $634.50 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL InpatientFacility | United Healthcare | All products | $714.28 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL OutpatientFacility | Molina | Marketplace | $761.40 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL BothFacility | Providence Health Plan | All products | $803.70 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL BothFacility | Health Net Health Plan of Oregon | All products | $803.70 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| KLICKITAT VALLEY HOSPITAL BothFacility | Moda Health Plan | All products | $803.70 | $846.00 | $406.08 | 2026-03-31 | MRF ↗ |
| Columbus Springs East Inpatient | First Health | Commercial | $1,212.77 | $1,894.96 | $1,050.00 | 2025-09-23 | MRF ↗ |
| CARROLLTON SPRINGS Inpatient | First Health | Commercial | $1,212.77 | $1,894.96 | $975.00 | 2025-09-23 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | First Health | Commercial | $1,212.77 | $1,894.96 | $1,040.00 | 2025-09-22 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | MULTIPLAN/PHCS/BEECH STREET | Commercial PPO | $1,288.57 | $1,894.96 | $1,040.00 | 2025-09-22 | MRF ↗ |
| Columbus Springs East Inpatient | MULTIPLAN/PHCS/BEECH STREET | Commercial PPO | $1,288.57 | $1,894.96 | $1,050.00 | 2025-09-23 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | QuikTrip | Commercial (Direct Employer Agreement) | $1,326.47 | $1,894.96 | $1,040.00 | 2025-09-22 | MRF ↗ |
| Columbus Springs East Inpatient | Health Ohio Network | Commercial | $1,326.47 | $1,894.96 | $1,050.00 | 2025-09-23 | MRF ↗ |
| CARROLLTON SPRINGS Inpatient | QuikTrip | Commercial (Direct Employer Agreement) | $1,326.47 | $1,894.96 | $975.00 | 2025-09-23 | MRF ↗ |
| CARROLLTON SPRINGS Inpatient | Compsych | Commercial | $1,421.22 | $1,894.96 | $975.00 | 2025-09-23 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | Compsych | Commercial | $1,421.22 | $1,894.96 | $1,040.00 | 2025-09-22 | MRF ↗ |
| Columbus Springs East Inpatient | Compsych | Commercial | $1,421.22 | $1,894.96 | $1,050.00 | 2025-09-23 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | Healthsmart | HPO Secondary Network | $1,515.97 | $1,894.96 | $1,040.00 | 2025-09-22 | MRF ↗ |
| CARROLLTON SPRINGS Inpatient | Healthsmart | HPO Secondary Network | $1,515.97 | $1,894.96 | $975.00 | 2025-09-23 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | Provider Networks of America | Commercial | $1,610.72 | $1,894.96 | $1,040.00 | 2025-09-22 | MRF ↗ |
| Columbus Springs East Inpatient | Provider Networks of America | Commercial | $1,610.72 | $1,894.96 | $1,050.00 | 2025-09-23 | MRF ↗ |
| Columbus Springs East Inpatient | Velocity National Provider Network | Group Health-Commercial | $1,610.72 | $1,894.96 | $1,050.00 | 2025-09-23 | MRF ↗ |
| CARROLLTON SPRINGS Inpatient | Provider Networks of America | Commercial | $1,610.72 | $1,894.96 | $975.00 | 2025-09-23 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | Velocity National Provider Network | Group Health-Commercial | $1,610.72 | $1,894.96 | $1,040.00 | 2025-09-22 | MRF ↗ |
| CARROLLTON SPRINGS Inpatient | Velocity National Provider Network | Group Health-Commercial | $1,610.72 | $1,894.96 | $975.00 | 2025-09-23 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Cigna | Commercial | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Cigna | Medicare Advantage | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Humana | Medicare Advantage | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Humana | Managed Medicaid | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Health Exchange | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Medicare Advantage | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Managed Medicaid | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Aetna | Medicare Advantage | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Health Exchange | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | State | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Innovation | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Preferred Blue | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Magellan Behavioral Health | Medicare Advantage | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Devoted | Medicare Advantage | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Anderson County Employees/EBMS | Commercial | $3,584.18 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Edison Health/Claim Doc | Commercial | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Cigna | Medicare Advantage | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Humana | Managed Medicaid | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Health Exchange | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Managed Medicaid | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Medicare Advantage | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Health Exchange | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | State | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Innovation | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Preferred Blue | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Devoted | Medicare Advantage | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Anderson County Employees/EBMS | Commercial | $3,584.18 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Edison Health/Claim Doc | Commercial | — | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Health Exchange | $3,673.78 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Innovation | $6,336.32 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | State | $6,400.32 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Preferred Blue | $6,809.94 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | Cigna | Commercial | $7,142.76 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Aetna | HMO/POS/PPO | $7,309.17 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice | $7,347.57 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | $7,347.57 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Cigna | Commercial | $7,654.78 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | MedCost Ultra | Commercial | $7,680.38 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | First Health | Commercial | $8,038.80 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | MedCost | Commercial | $8,614.83 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Aetna | HMO/POS/PPO | $9,485.27 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | Aetna | HMO/POS/PPO | $9,869.29 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | First Health | Commercial | $11,392.57 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | MedCost | Commercial | $11,520.58 | $12,800.64 | $6,400.32 | 2024-11-21 | MRF ↗ |