226002 — Generaladdtnl 1/4 Hr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GENERALADDTNL 1/4 HR (CDM 226002) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/226002?code_type=CDM
MLA (9th ed.)
“GENERALADDTNL 1/4 HR (CDM 226002) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/226002?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“GENERALADDTNL 1/4 HR (CDM 226002) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/226002?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $75–$207 (25th–75th percentile) across 4 hospitals · 26 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 226002 — 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 |
|---|---|---|---|---|---|---|---|
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | MCR | $18.40 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | MCR | $19.70 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | MedCare Partners | MGMCR | $27.60 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Imperial Insurance | MCR | $27.60 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | $29.55 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | EPO | $33.49 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | PPO | $33.49 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | HMO | $34.41 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | HMO | $34.87 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | PPO | $34.87 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | EPO | $34.87 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Bright Health | COMM | $50.71 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Cigna | PPO | $50.83 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Cigna | HMO | $50.83 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Cigna | PPO | $52.26 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Cigna | HMO | $52.26 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Blue Shield | EPN | $53.21 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Bright Health | COMM | $54.29 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | United | OptionsPPO | $55.36 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Blue Shield | EPN | $55.51 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | United | OptionsPPO | $56.86 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Health Net | COMM | $74.89 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Blue Shield | COMM | $76.01 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Blue Shield | COMM | $79.31 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Health Net | COMM | $80.18 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRPPO | $102.60 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | MedCare Partners | MGMCR | $102.60 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Imperial Insurance | MCR | $102.60 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRPOS | $102.60 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRHMO | $102.60 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | First Health | COMM | $125.12 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Networks by Design | COMM | $125.12 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | ChoiceCare Network | COMMPPO | $128.80 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara Family Health Plan | Medicaid | $129.96 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | First Health | COMM | $133.96 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Bright Health | COMM | $137.48 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | ChoiceCare Network | COMMPPO | $137.90 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | AWH | $147.06 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | First Health | WCOMP | $147.20 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Multiplan | PRIMARY | $147.20 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | PPO Next | PPO | $147.20 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | PPO Next | WC | $147.20 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | PPO | $150.48 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | HMO | $150.48 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | PPO Next | PPO | $157.60 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | First Health | WCOMP | $157.60 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Multiplan | PRIMARY | $157.60 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | PPO Next | WC | $157.60 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna | LocalPlus | $157.80 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Health Net | COMM | $161.42 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Ventura County Foundation | COMM | $165.60 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Interplan Corporation | WC | $165.60 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Interplan Corporation | COMM | $165.60 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | $174.80 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna | PPO | $177.29 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | CIGNA | HMO | $177.29 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | CIGNA | POS | $177.29 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Ventura County Foundation | COMM | $177.30 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Interplan Corporation | COMM | $177.30 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Interplan Corporation | WC | $177.30 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna Senior Health Plan | MCR | $184.00 | $184.00 | $184.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Multiplan | COMPLEMENTARY | $187.15 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | United | OptionsPPO | $191.52 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna Senior Health Plan | MCR | $197.00 | $197.00 | $197.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Canopy | COMM | $205.20 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | EPN | $208.14 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | COMM | $208.14 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara IPA MCR | MCR | $342.00 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara IPA COMM | COMM | $342.00 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Palo Alto Medical | COMM | $376.20 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Sutter Select | COMM | $410.40 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | NX Health Network | COMM | $410.40 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | MultiPlan | Primary | $444.60 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Networks by Design | COMM | $465.12 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Humana Choicecare | COMM | $478.80 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | First Health | COMM | $519.84 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | HealthSmart | WCOMP | $547.20 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PPO Next | COMM | $547.20 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna BH | COMMBH | $547.20 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Intercontinental Corporation | COMM | $547.20 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PPO Next | PPO | $547.20 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PHA Pacific Health Alliance | COMM | $547.20 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | HealthSmart | COMM | $581.40 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | First Health | WCOMP | $684.00 | $684.00 | $684.00 | 2024-10-01 | MRF ↗ |
| UNION COUNTY GENERAL HOSPITAL Outpatient | Humana Inc. | Commercial | $7,400.00 | $8,222.00 | $5,755.00 | 2025-06-17 | MRF ↗ |
| UNION COUNTY GENERAL HOSPITAL Outpatient | Blue Cross and Blue Shield of New Mexico | Commercial | $7,400.00 | $8,222.00 | $5,755.00 | 2025-06-17 | MRF ↗ |
| UNION COUNTY GENERAL HOSPITAL Outpatient | Aetna | Commercial | $7,400.00 | $8,222.00 | $5,755.00 | 2025-06-17 | MRF ↗ |