26667655_4 — Lg Hk Tibal Bs 5 Lt 71421305
Cite this view
HANK Price Transparency. (n.d.). LG HK TIBAL BS 5 LT 71421305 (CDM 26667655_4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/26667655_4?code_type=CDM
“LG HK TIBAL BS 5 LT 71421305 (CDM 26667655_4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/26667655_4?code_type=CDM. Accessed .
“LG HK TIBAL BS 5 LT 71421305 (CDM 26667655_4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/26667655_4?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,679–$7,585 (25th–75th percentile) across 2 hospitals · 22 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 26667655_4 — 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 MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE SHIELD VA | BLUE SHIELD VA | $1,376.86 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE SHIELD TRICARE | BLUE SHIELD TRICARE | $1,419.44 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $1,419.44 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | PGBA TRICARE-ALL PLANS | PGBA TRICARE-ALL PLANS | $1,419.44 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | HEALTHNET TRICARE | HEALTHNET TRICARE | $1,419.44 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | ASPIRE HP-ALL PLANS | ASPIRE HP-ALL PLANS | $1,419.44 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | BLUE SHIELD VA | BLUE SHIELD VA | $1,462.91 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | PGBA TRICARE-ALL PLANS | PGBA TRICARE-ALL PLANS | $1,508.16 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $1,508.16 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | ASPIRE HP-ALL PLANS | ASPIRE HP-ALL PLANS | $1,508.16 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | BLUE SHIELD TRICARE | BLUE SHIELD TRICARE | $1,508.16 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | HEALTHNET TRICARE | HEALTHNET TRICARE | $1,508.16 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | IMPERIAL HP - ALL PLANS | IMPERIAL HP - ALL PLANS | $1,603.97 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | IMPERIAL HP - ALL PLANS | IMPERIAL HP - ALL PLANS | $1,704.22 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | HEALTHNET PRISON | HEALTHNET PRISON | $1,816.88 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | HEALTHNET PRISON | HEALTHNET PRISON | $1,930.44 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | PINNACLE-ALL PLANS | PINNACLE-ALL PLANS | $6,653.63 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | PCMI - ALL PLANS | PCMI - ALL PLANS | $6,653.63 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | PINNACLE-ALL PLANS | PINNACLE-ALL PLANS | $6,653.63 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | PCMI - ALL PLANS | PCMI - ALL PLANS | $6,653.63 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE CROSS-ALL OTHER PLANS | BLUE CROSS-ALL OTHER PLANS | $6,728.15 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | BLUE CROSS-ALL OTHER PLANS | BLUE CROSS-ALL OTHER PLANS | $6,728.15 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | COMM HEALTH NTWRK - ALL PLANS | COMM HEALTH NTWRK - ALL PLANS | $7,097.20 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $7,097.20 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | VALLEY HLTH PLAN - ALL PLANS | VALLEY HLTH PLAN - ALL PLANS | $7,097.20 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | COMM HEALTH NTWRK - ALL PLANS | COMM HEALTH NTWRK - ALL PLANS | $7,097.20 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | MONTEREY BAY PUBLIC-ALL PLANS | MONTEREY BAY PUBLIC-ALL PLANS | $7,097.20 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | MONTEREY BAY PUBLIC-ALL PLANS | MONTEREY BAY PUBLIC-ALL PLANS | $7,097.20 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $7,097.20 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | VALLEY HLTH PLAN - ALL PLANS | VALLEY HLTH PLAN - ALL PLANS | $7,097.20 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $7,523.03 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $7,523.03 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $7,540.78 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | MULTIPLAN/PHCS-ALL PLANS | MULTIPLAN/PHCS-ALL PLANS | $7,540.78 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | CORVEL-ALL PLANS | CORVEL-ALL PLANS | $7,540.78 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | CORVEL-ALL PLANS | CORVEL-ALL PLANS | $7,540.78 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $7,540.78 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | MULTIPLAN/PHCS-ALL PLANS | MULTIPLAN/PHCS-ALL PLANS | $7,540.78 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE SHIELD EXCHANGE | BLUE SHIELD EXCHANGE | $7,585.13 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | BLUE SHIELD EXCHANGE | BLUE SHIELD EXCHANGE | $7,585.13 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | COVENTRY-ALL PLANS | COVENTRY-ALL PLANS | $7,984.35 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | PROVDR NTWRK AMERICA - ALL PLANS | PROVDR NTWRK AMERICA - ALL PLANS | $7,984.35 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | HEALTHNET COMML-ALL OTHER PLANS | HEALTHNET COMML-ALL OTHER PLANS | $7,984.35 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $7,984.35 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | HEALTHNET COMML-ALL OTHER PLANS | HEALTHNET COMML-ALL OTHER PLANS | $7,984.35 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | COVENTRY-ALL PLANS | COVENTRY-ALL PLANS | $7,984.35 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | PROVDR NTWRK AMERICA - ALL PLANS | PROVDR NTWRK AMERICA - ALL PLANS | $7,984.35 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $7,984.35 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $8,427.93 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $8,427.93 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $8,427.93 | $8,871.50 | $6,653.63 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $8,427.93 | $8,871.50 | $6,653.63 | 2025-12-23 | MRF ↗ |