2500483 — Aa 4.25%/calcium/lytes/dex 10%
Cite this view
HANK Price Transparency. (n.d.). AA 4.25%/CALCIUM/LYTES/DEX 10% (CDM 2500483) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2500483?code_type=CDM
“AA 4.25%/CALCIUM/LYTES/DEX 10% (CDM 2500483) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2500483?code_type=CDM. Accessed .
“AA 4.25%/CALCIUM/LYTES/DEX 10% (CDM 2500483) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2500483?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $26–$115 (25th–75th percentile) across 6 hospitals · 35 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 2500483 — 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 |
|---|---|---|---|---|---|---|---|
| PARKVIEW HOSPITAL Outpatient | FirstCare | PPO | $1.00 | $11.00 | $9.00 | 2026-08-20 | MRF ↗ |
| Rml Health Providers Limited Partnership Inpatient | [Corvel] | [Ppo] | $3.00 | $4.00 | $4.00 | 2026-07-15 | MRF ↗ |
| Rml Health Providers Limited Partnership Inpatient | [Hfn] | [Ppo] | $3.00 | $4.00 | $4.00 | 2026-07-15 | MRF ↗ |
| Rml Health Providers Limited Partnership Inpatient | [Hfn] | [Epo] | $3.00 | $4.00 | $4.00 | 2026-07-15 | MRF ↗ |
| Rml Health Providers Limited Partnership Inpatient | [Multiplan] | [Ppo] | $3.00 | $4.00 | $4.00 | 2026-07-15 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Blue Cross Blue Shield | HMO | $7.00 | $11.00 | $9.00 | 2026-08-20 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $9.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Aetna | Commercial | $9.00 | $11.00 | $9.00 | 2026-08-20 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | United Healthcare | Commercial | $9.00 | $11.00 | $9.00 | 2026-08-20 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $9.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $9.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $9.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Blue Cross Blue Shield | Medicare Advantage | $10.00 | $11.00 | $9.00 | 2026-08-20 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | FirstCare | HMO | $10.00 | $11.00 | $9.00 | 2026-08-20 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Humana | Medicare Advantage | $10.00 | $11.00 | $9.00 | 2026-08-20 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Superior HealthPlan | Medicare Advantage | $10.00 | $11.00 | $9.00 | 2026-08-20 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $12.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Blue Cross Blue Shield | PPO | $17.00 | $11.00 | $9.00 | 2026-08-20 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $23.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $25.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | $25.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Advantage | $26.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Essentials | $27.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | PPO | $29.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Commercial | $29.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Three Rivers Provider Network | Commercial | $32.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Health Advantage Network | Commercial | $34.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Commercial | $34.00 | $38.00 | $38.00 | 2025-07-03 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | PPHP MCR ADV - ALL PLANS | PPHP MCR ADV - ALL PLANS | $61.79 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $61.79 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CHOICECARE COMM - ALL OTHER PLANS | CHOICECARE COMM - ALL OTHER PLANS | $61.79 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MOLINA MCR ADV - ALL OTHER PLANS | MOLINA MCR ADV - ALL OTHER PLANS | $61.79 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | PPHP MCR ADV - ALL PLANS | PPHP MCR ADV - ALL PLANS | $61.79 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SUPERIOR EPO/HMO - ALL PLANS | SUPERIOR EPO/HMO - ALL PLANS | $61.79 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP MCR ADV | SWHP MCR ADV | $61.79 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | WELLMED MCR ADV - ALL PLANS | WELLMED MCR ADV - ALL PLANS | $61.79 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CHOICECARE MCR ADV | CHOICECARE MCR ADV | $61.79 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CHOICECARE MCR ADV | CHOICECARE MCR ADV | $61.79 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP MCR ADV | SWHP MCR ADV | $61.79 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SUPERIOR EPO/HMO - ALL PLANS | SUPERIOR EPO/HMO - ALL PLANS | $61.79 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MOLINA MCR ADV - ALL OTHER PLANS | MOLINA MCR ADV - ALL OTHER PLANS | $61.79 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CHOICECARE COMM - ALL OTHER PLANS | CHOICECARE COMM - ALL OTHER PLANS | $61.79 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $61.79 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | WELLMED MCR ADV - ALL PLANS | WELLMED MCR ADV - ALL PLANS | $61.79 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Medicare Advantage HMO | $67.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Advantage HMO | $68.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | HMO | $72.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Commercial | $76.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Cigna | Commercial | $86.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | HealthSmart | Commercial | $86.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Alliance Regional | Commercial | $90.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | ALLIANCE WC - ALL PLANS | ALLIANCE WC - ALL PLANS | $92.69 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | ALLIANCE WC - ALL PLANS | ALLIANCE WC - ALL PLANS | $92.69 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue HMO | $95.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Medicare Advantage PPO | $95.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | 90 Degrees | Commercial | $100.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | AETNA BETTER HLTH -ALL PLANS | AETNA BETTER HLTH -ALL PLANS | $105.21 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MOLINA MCAID | MOLINA MCAID | $105.21 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MOLINA MCAID | MOLINA MCAID | $105.21 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP MCAID | SWHP MCAID | $105.21 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | AETNA BETTER HLTH -ALL PLANS | AETNA BETTER HLTH -ALL PLANS | $105.21 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP MCAID | SWHP MCAID | $105.21 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $108.55 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $108.55 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | BCBS BLUE OPTION | BCBS BLUE OPTION | $116.90 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $116.90 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | BCBS HMO | BCBS HMO | $116.90 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | BCBS HMO | BCBS HMO | $116.90 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | BCBS BLUE OPTION | BCBS BLUE OPTION | $116.90 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $116.90 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | OCCUNET - ALL PLANS | OCCUNET - ALL PLANS | $125.25 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | OCCUNET - ALL PLANS | OCCUNET - ALL PLANS | $125.25 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | BCBS PPO - ALL OTHER PLANS | BCBS PPO - ALL OTHER PLANS | $125.25 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | BCBS PPO - ALL OTHER PLANS | BCBS PPO - ALL OTHER PLANS | $125.25 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP COMM - ALL OTHER PLANS | SWHP COMM - ALL OTHER PLANS | $133.60 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP COMM - ALL OTHER PLANS | SWHP COMM - ALL OTHER PLANS | $133.60 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | FIRST CARE HMO - ALL OTHER PLANS | FIRST CARE HMO - ALL OTHER PLANS | $141.95 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | FIRST CARE HMO SELF FUNDED | FIRST CARE HMO SELF FUNDED | $141.95 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | FIRST CARE HMO - ALL OTHER PLANS | FIRST CARE HMO - ALL OTHER PLANS | $141.95 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | FIRST CARE HMO SELF FUNDED | FIRST CARE HMO SELF FUNDED | $141.95 | $167.00 | $108.55 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $150.30 | $167.00 | $108.55 | 2026-07-14 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | United Healthcare | Medicare Advantage | $4,871.00 | $10,147.00 | $10,147.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | Midlands Choice | Commercial | $8,118.00 | $10,147.00 | $10,147.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | Medica | Commercial | $9,538.00 | $10,147.00 | $10,147.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | United Healthcare | Commercial | $9,538.00 | $10,147.00 | $10,147.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | Blue Cross Blue Shield | Commercial | $9,640.00 | $10,147.00 | $10,147.00 | 2026-06-09 | MRF ↗ |