25003027 — Donnatal (bellad/pb) Tabl 1tab
Cite this view
HANK Price Transparency. (n.d.). DONNATAL (BELLAD/PB) TABL 1TAB (CDM 25003027) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25003027?code_type=CDM
“DONNATAL (BELLAD/PB) TABL 1TAB (CDM 25003027) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25003027?code_type=CDM. Accessed .
“DONNATAL (BELLAD/PB) TABL 1TAB (CDM 25003027) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25003027?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $24–$3,033 (25th–75th percentile) across 4 hospitals · 23 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 25003027 — 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 |
|---|---|---|---|---|---|---|---|
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Molina Healthcare | Benefit Exchange | $9.27 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Humana | KY Medicaid | $10.63 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $10.63 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Kentucky WC | Medicaid | $10.74 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Molina Healthcare | Medicaid | $10.84 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | PPO SOMC Employees | $21.33 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Medical Mutual Of Ohio | POS/PPO/Traditional | $22.81 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | HMO | $23.18 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Aetna | Commercial | $23.80 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Anthem | POS/PPO/Traditional | $24.11 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | PPO Differential | $24.73 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Medical Mutual Of Ohio | HMO | $25.35 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Cigna | Commercial | $25.66 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Humana | Commercial | $26.27 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | PPO No Differential | $26.89 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Choice | Commercial | $27.20 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | United Healthcare | All Payer | $27.20 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | First Health | Commercial | $29.36 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | PHCS | Commercial | $29.67 | $30.91 | $15.46 | 2026-01-23 | MRF ↗ |
| CHIPPEWA COUNTY HOSPITAL Outpatient | HEALTH PARTNERS MCR | HEALTH PARTNERS MCR | $2,332.90 | $5,690.00 | $3,698.50 | 2026-01-14 | MRF ↗ |
| CHIPPEWA COUNTY HOSPITAL Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $2,332.90 | $5,690.00 | $3,698.50 | 2026-01-14 | MRF ↗ |
| CHIPPEWA COUNTY HOSPITAL Outpatient | UCARE MCR SELECT | UCARE MCR SELECT | $2,332.90 | $5,690.00 | $3,698.50 | 2026-01-14 | MRF ↗ |
| CHIPPEWA COUNTY HOSPITAL Outpatient | MEDICA MCR COST/SELECT | MEDICA MCR COST/SELECT | $2,332.90 | $5,690.00 | $3,698.50 | 2026-01-14 | MRF ↗ |
| CHIPPEWA COUNTY HOSPITAL Outpatient | UCARE MCR ADV | UCARE MCR ADV | $2,402.89 | $5,690.00 | $3,698.50 | 2026-01-14 | MRF ↗ |
| CHIPPEWA COUNTY HOSPITAL Outpatient | UCARE NON-DUAL | UCARE NON-DUAL | $2,402.89 | $5,690.00 | $3,698.50 | 2026-01-14 | MRF ↗ |
| CHIPPEWA COUNTY HOSPITAL Outpatient | UCARE MSHO | UCARE MSHO | $2,402.89 | $5,690.00 | $3,698.50 | 2026-01-14 | MRF ↗ |
| CHIPPEWA COUNTY HOSPITAL Outpatient | MEDICA MCAID | MEDICA MCAID | $2,628.78 | $5,690.00 | $3,698.50 | 2026-01-14 | MRF ↗ |
| CHIPPEWA COUNTY HOSPITAL Outpatient | UCARE IFP - ALL OTHER PLANS | UCARE IFP - ALL OTHER PLANS | $2,682.84 | $5,690.00 | $3,698.50 | 2026-01-14 | MRF ↗ |
| APPLETON AREA HEALTH Outpatient | BCBS MHCP | BCBS MHCP | $3,150.01 | $10,224.00 | $8,690.40 | 2026-01-22 | MRF ↗ |
| APPLETON AREA HEALTH Outpatient | BCBS MHCP | BCBS MHCP | $3,150.01 | $10,224.00 | $8,690.40 | 2026-01-22 | MRF ↗ |
| CHIPPEWA COUNTY HOSPITAL Outpatient | BCBS - ALL PLANS | BCBS - ALL PLANS | $3,976.17 | $5,690.00 | $3,698.50 | 2026-01-14 | MRF ↗ |
| CHIPPEWA COUNTY HOSPITAL Outpatient | MEDICA COMM - ALL OTHER PLANS | MEDICA COMM - ALL OTHER PLANS | $4,961.68 | $5,690.00 | $3,698.50 | 2026-01-14 | MRF ↗ |
| CHIPPEWA COUNTY HOSPITAL Outpatient | HEALTH PARTNERS COMM - ALL OTHER PLANS | HEALTH PARTNERS COMM - ALL OTHER PLANS | $5,075.48 | $5,690.00 | $3,698.50 | 2026-01-14 | MRF ↗ |
| APPLETON AREA HEALTH Outpatient | BCBS MCR SELECT | BCBS MCR SELECT | $5,418.72 | $10,224.00 | $8,690.40 | 2026-01-22 | MRF ↗ |
| APPLETON AREA HEALTH Outpatient | BCBS MCR SELECT | BCBS MCR SELECT | $5,418.72 | $10,224.00 | $8,690.40 | 2026-01-22 | MRF ↗ |
| APPLETON AREA HEALTH Outpatient | BCBS - ALL OTHER PLANS | BCBS - ALL OTHER PLANS | $6,324.57 | $10,224.00 | $8,690.40 | 2026-01-22 | MRF ↗ |
| APPLETON AREA HEALTH Outpatient | BCBS - ALL OTHER PLANS | BCBS - ALL OTHER PLANS | $6,324.57 | $10,224.00 | $8,690.40 | 2026-01-22 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | UnitedHealthcare | UHC/UMR Commercial / Shared Services - plan not specified | $12,912.85 | $14,035.71 | $11,930.35 | 2026-05-05 | MRF ↗ |