33031 — Sut Ethbnd 0 Mo-7 Cx41d
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SUT ETHBND 0 MO-7 CX41D (CDM 33031) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/33031?code_type=CDM
MLA (9th ed.)
“SUT ETHBND 0 MO-7 CX41D (CDM 33031) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/33031?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SUT ETHBND 0 MO-7 CX41D (CDM 33031) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/33031?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $113–$1,263 (25th–75th percentile) across 8 hospitals · 49 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 33031 — 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 |
|---|---|---|---|---|---|---|---|
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Aetna | MGMCRSNP | $30.75 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Aetna | MGMCRPPO | $30.75 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Aetna | MGMCRHMO | $30.75 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Bright Health | HIX | $34.85 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Kentucky Labor Cabinet | WORKERSCOMP | $37.74 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Oscar | HIX | $38.54 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | NHC Advantage, Inc. | MCRHMO | $38.95 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Pruitt Health (AllyAlign) | MCR | $38.95 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Apex Health | MCR | $38.95 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Ambetter | CORE | $47.35 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Ambetter | Select | $47.56 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | BCBS | NetworkP | $49.20 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Bright Health | SmallGroup | $49.20 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Humana | TRICARE | $51.25 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Aetna | NewBusiness | $59.45 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Cigna | OAP | $63.34 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | United | OptionsPPO | $67.24 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Aetna | COMM | $69.70 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Cigna | PPO | $80.97 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Centurion | PRISON | $84.46 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $92.25 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 794_MHKS SMARTHEALTH INPATIENT 20241001 | $101.40 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 655_MHKS SMARTHEALTH OUTPATIENT 20230101 | $101.40 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | BGFH SingleSource | DIRECTNETWORK | $102.50 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Signature Advantage | MCR | $102.50 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Plumbers and Pipefitters Local 572 | COMMPPO | $102.50 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| ROCKVILLE GENERAL HOSPITAL OutpatientFacility | Anthem Pathway | Commercial | $111.32 | $149.63 | $149.63 | 2026-04-01 | MRF ↗ |
| ROCKVILLE GENERAL HOSPITAL OutpatientFacility | Evernorth Behavioral Health | Commercial | $119.70 | $149.63 | $149.63 | 2026-04-01 | MRF ↗ |
| ROCKVILLE GENERAL HOSPITAL OutpatientFacility | Anthem | Commercial | $139.16 | $149.63 | $149.63 | 2026-04-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | AETNA | 780_MHKS AETNA 20240701 | $140.40 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | FIRST HEALTH | 115_FIRST HEALTH 20130101 | $143.00 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CORE SOURCE | 283_CORE SOURCE 20180101 | $143.00 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | COVENTRY | 669_MHKS COVENTRY 20170101 | $143.00 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Employers Health Network | COMM | $143.50 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Odom's TN Pride Sausage | WORKERSCOMP | $153.75 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Alive Hospice, Inc. | COMM | $164.00 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Cigna Evernorth Behavioral Health | COMM | $164.00 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MEDICA | 799_MEDICA HEALTHIER YOU 20241001 | $166.40 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | BGFH SingleSource | LEASEDNETWORK | $174.25 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | PROVIDRS CARE | 867_MHKS PROVIDRS CARE 20250701 | $176.80 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Multiplan | COMM | $184.50 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Beech Street | COMM | $188.60 | $205.00 | $205.00 | 2024-10-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | UHC | 844_MHKS UNITED HEALTH CARE 20250101 | $189.80 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MULTIPLAN | 106_MULTIPLAN PHCS MHKS 20180601 | $208.00 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CENTURY | 668_CENTURY 20130101 | $228.80 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CIGNA | 778_MHKS CIGNA 20240701 | $231.40 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | HUMANA | 870_HUMANA 20250101 | $234.00 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CHOICE | 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101 | $234.00 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CAP | 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101 | $234.00 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | NON-CONTRACTED | 275_NON-CONTRACTED 20170101 | $260.00 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $260.00 | $260.00 | $104.00 | 2026-01-01 | MRF ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Nebraska Medicaid | Managed Medicaid | $278.69 | $899.00 | — | 2026-03-31 | MRF ↗ |
| SARATOGA HOSPITAL BothFacility | — | — | — | $404.25 | $202.12 | 2025-01-01 | MRF ↗ |
| GLENS FALLS HOSPITAL BothFacility | — | — | — | $346.50 | $173.25 | 2025-01-01 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice CHI | All Products | $629.30 | $899.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Ambetter | All Products | $629.30 | $899.00 | — | 2026-03-31 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $639.43 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | Select Blue | $647.28 | $899.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | UHC | TNMC - University Regents | $683.24 | $899.00 | — | 2026-03-31 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $703.37 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | BluePrint | $712.01 | $899.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | All Products | $719.20 | $899.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice Elevate | All Products | $719.20 | $899.00 | — | 2026-03-31 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $738.54 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | UHC | All Products | $755.16 | $899.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Centivo | All Products | $764.15 | $899.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Wellmark | All Products | $764.15 | $899.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Avera Health Plan | All Products | $764.15 | $899.00 | — | 2026-03-31 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $767.31 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $767.31 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $788.63 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $788.63 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice | All Products | $791.12 | $899.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Sanford Health Plan | All Products | $791.12 | $899.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Aetna | All Products | $791.12 | $899.00 | — | 2026-03-31 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $805.68 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $867.49 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|Federal Plans | $1,193.59 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|All Other Plans | $1,214.91 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Health Partners | Commercial|All Plans | $1,278.85 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|New Business | $1,555.93 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|All Other Plans | $1,705.13 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Ucare | Commercial|All Plans | $1,875.65 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Sanford Health Plan | Commercial|All Plans | $2,024.84 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $2,024.84 | $2,131.41 | $1,236.22 | 2026-02-28 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA MEDICARE ADVANTAGE | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | SIHO | SIHO COMMERCIAL PPO | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | SIHO | SIHO MEDICARE ADVANTAGE | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE VA COMMUNITY CARE NETWORK | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE HMO & PPO | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS BLUE CHOICE | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BLUE CROSS COMMUNITY (MMAI) | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS PPO | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS TRADITIONAL | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS MEDICARE ADVANTAGE | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE | HEALTH ALLIANCE MEDICARE ADVANTAGE | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE | HEALTH ALLIANCE HMO & PPO | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | ZELIS | ZELIS | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH LINK | HEALTH LINK ALL PPO | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | AETNA | AETNA COVENTRY | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | MULTIPLAN | MULTIPLAN | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | AETNA | AETNA COMMERCIAL | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | MOLINA | MOLINA DUAL OPTIONS (MMAI) | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | CIGNA | CIGNA HMO & PPO PLANS | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA GOLD INTEGRATED PLUS (MMAI) | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA COMMERCIAL HMO, PPO, POS, EPO | — | $9,760.40 | — | 2025-02-07 | MRF ↗ |