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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36100103 — Hc Minor Surgery Iii Complex

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 $1,356

Usually $1,282–$2,027 (25th–75th percentile) across 4 hospitals · 45 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 36100103 — 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
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient TRICARE 2571_TRICARE OUTPATIENT 20231001 $108.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient TRICARE 2813_TRICARE INPATIENT 20241001 $108.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient SMARTHEALTH 2917_SMARTHEALTH OP 20250101 $171.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient SMARTHEALTH 2815_SMARTHEALTH INPATIENT 20241001 $171.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient CIGNA ONE HEALTH 2826_CIGNA ONE HEALTH 20241001 $180.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient CIGNA IFP 3019_JCIL CIGNA IFP 20250101 $225.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient BCBS BCS 2832_JCIL BLUE CROSS BLUE SHIELD BCS 20241001 $234.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient BCBS BCE 2879_JCIL BLUE CROSS BLUE SHIELD BCE 20241001 $234.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient BCBS HMO 2833_JCIL BLUE CROSS BLUE SHIELD HMO 20241001 $288.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient CIGNA C5 3023_CIGNA C5 20250101 $306.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient BCBS PPO 2834_JCIL BLUE CROSS BLUE SHIELD PPO 20241001 $324.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient UHC CHOICE 3095_PFIL, PRIL, PSIL UNITED HEALTHCARE 20250701 $540.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient UHC PPO 3096_PFIL, PRIL, PSIL UNITED HEALTHCARE OPTIONS PPO 20250701 $540.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient UHC PPO 3094_JCIL UNITED HEALTHCARE OPTIONS PPO 20250701 $540.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient UHC CHOICE 3093_JCIL UNITED HEALTHCARE 20250701 $540.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient CIGNA ONE HEALTH 2758_PHIL CIGNA ONE HEALTH 20240101 $621.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient HEALTHLINK HMO 2827_HEALTHLINK HMO 20241001 $630.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient HUMANA HMO 2837_JCIL HUMANA HMO 20241001 $639.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient HUMANA PPO 2838_JCIL HUMANA PPO 20241001 $675.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient HEALTHLINK PPO 963_JCIL HEALTHLINK PPO 20160101 $720.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient CIGNA 3006_JCIL CIGNA 20250101 $738.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Both CDM DEFAULT - NON-NEGOTIATED RATE CDM DEFAULT - NON-NEGOTIATED RATE $900.00 $900.00 $297.00 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient CIGNA/HEALTH PARTNERS 2526_CIGNA/HEALTH PARTNERS NON-CONTRACTED 20210101 $900.00 $900.00 $297.00 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient CHORUS COMMUNITY HEALTH CHORUS COMMUNITY HEALTH[585] $904.55 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient QUARTZ QUARTZ[44] $1,208.47 $2,393.00 $1,316.15 2025-01-01 MRF ↗
Specialty Hospital Inpatient Peoples Health Plan Peoples Health Plan $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient WellCare WellCare $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient United Healthcare United Healthcare Medicaid $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient United Healthcare United Healthcare Military $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient AETNA AETNA Better Health $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient AETNA AETNA Medicare Advantage $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient Humana Humana Medicaid $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient Humana Humana $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient Healthy Blue Healthy Blue $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient Amerihealth Caritas Amerihealth Caritas $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient Tricare East Tricare East $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient Peoples Health Peoles Health $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient Christus Health Plan Christus Health Plan Military $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient Christus Health Plan Christus Health Plan $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient Louisiana Healthcare Connection Louisiana Healthcare Connections $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient Allwel Allwell $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Louisiana Extended Care Hospital Of Lafayette Inpatient Oshners Health Plan Oshners Health Plan $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient WellCare WellCare $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient United Healthcare United Healthcare Medicaid $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient United Healthcare United Healthcare Military $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient AETNA AETNA Medicare Advantage $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient AETNA AETNA Medicaid $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient Humana Humana Medicare Advantage $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient Humana Humana Medicaid $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient Healthy Blue Healthy Blue $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient Allwell Allwell $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient Amerihealth Caritas Amerihealth Caritas $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient Vantage Vantage $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient Ochsner Health Plan Ochsner Health Plan $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient Tricare East Tricare East $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient Christus Health Plan Christus Healthplan Commercial $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
Specialty Hospital Inpatient Christus Health Plan Christus Healthplan Military $1,356.00 $1,356.00 $1,356.00 2026-06-04 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient WPS STANDARD and WPS SELECT PLUS WPS STANDARD and WPS SELECT PLUS[137] $1,431.73 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient ALLIANCE ALLIANCE[23] $1,447.05 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient CENTIVO VALUE CENTIVO VALUE[588] $1,507.59 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient UHC UHC[57] $1,514.77 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient UHC ACA UHC ACA[893] $1,536.31 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient CENTIVO MEDIAN CENTIVO MEDIAN[587] $1,627.24 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient TRILOGY TRILOGY[47] $1,651.17 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient HPS SOLUTIONS HPS SOLUTIONS[36] $1,770.82 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient CIGNA ALT NETWORK CIGNA ALT NETWORK[788] $1,792.60 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient WPS STATEWIDE WPS STATEWIDE[31] $1,840.22 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient HPS SOLUTIONS PLUS ADV HPS SOLUTIONS PLUS ADV[882] $1,856.97 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient CENTIVO BROAD CENTIVO BROAD[586] $1,866.54 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient AETNA W PLAN AETNA W PLAN[39] $1,914.40 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient HEALTHEOS HEALTHEOS[18] $1,914.40 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient COVENTRY COVENTRY[13] $1,923.97 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient HPS HPS[37] $1,962.26 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient FIRST HEALTH FIRST HEALTH[16] $2,019.69 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient AETNA AETNA[27] $2,034.05 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient IHG IHG[22] $2,034.05 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient CIGNA CIGNA[41] $2,210.17 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient PHCS (PRIVATE HEALTH CARE SYSTEMS) PHCS (PRIVATE HEALTH CARE SYSTEMS)[21] $2,213.53 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient ANTHEM TRADITIONAL ANTHEM TRADITIONAL[140] $2,369.07 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID CHORUS COMMUNITY HEALTH PLANS MEDICAID CHORUS COMMUNITY HEALTH PLANS[78] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE[97] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID ICARE MEDICAID ICARE[75] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient ANTHEM PREFERRED HMO ANTHEM PREFERRED HMO[56] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID MANAGED HEALTH SERVICESS (MHS) MEDICAID MANAGED HEALTH SERVICESS (MHS)[79] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE[97] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient ANTHEM PATHWAY ACA ANTHEM PATHWAY ACA[779] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID ANTHEM MEDICAID ANTHEM[83] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID DEAN HEALTH MEDICAID DEAN HEALTH[118] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE[97] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID UHC MEDICAID UHC[85] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient DEAN HEALTH DEAN HEALTH[116] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient VA CCN VA CCN[275] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE HUMANA MEDICARE HUMANA[100] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient COMMUNITY CARE COMMUNITY CARE[115] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE UHC MEDICARE UHC[99] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE[97] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient ANTHEM BLUE PRIORITY ANTHEM BLUE PRIORITY[139] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient ANTHEM ACCESS PPO ANTHEM ACCESS PPO[55] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient DEAN HEALTH ACA DEAN HEALTH ACA[811] $2,393.00 $2,393.00 $1,316.15 2025-01-01 MRF ↗