Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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35019 — Cprc Program Private

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $91

Usually $54–$157 (25th–75th percentile) across 2 hospitals · 22 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 35019 — 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 MGMCRHMO $42.75 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Aetna MGMCRPPO $42.75 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Aetna MGMCRSNP $42.75 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Bright Health HIX $48.45 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Kentucky Labor Cabinet WORKERSCOMP $52.47 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Oscar HIX $53.58 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient NHC Advantage, Inc. MCRHMO $54.15 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Apex Health MCR $54.15 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Pruitt Health (AllyAlign) MCR $54.15 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Ambetter CORE $65.83 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Ambetter Select $66.12 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient BCBS NetworkP $68.40 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Bright Health SmallGroup $68.40 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Humana TRICARE $71.25 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Aetna NewBusiness $82.65 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Cigna OAP $88.06 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient United OptionsPPO $93.48 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Aetna COMM $96.90 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Cigna PPO $112.58 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Centurion PRISON $117.42 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient United GlobalBenefitPlan $128.25 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Plumbers and Pipefitters Local 572 COMMPPO $142.50 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Signature Advantage MCR $142.50 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient BGFH SingleSource DIRECTNETWORK $142.50 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Employers Health Network COMM $199.50 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Odom's TN Pride Sausage WORKERSCOMP $213.75 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Alive Hospice, Inc. COMM $228.00 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Cigna Evernorth Behavioral Health COMM $228.00 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient BGFH SingleSource LEASEDNETWORK $242.25 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Multiplan COMM $256.50 $285.00 $285.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Beech Street COMM $262.20 $285.00 $285.00 2024-10-01 MRF ↗
SILVER HILL HOSPITAL INC OutpatientFacility AETNA ADULT PPO/POS $1,909.62 $3,090.00 $3,090.00 2024-12-24 MRF ↗