3624582 — Inst/supp Ste11090x-12199
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INST/SUPP STE11090X-12199 (CDM 3624582) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3624582?code_type=CDM
MLA (9th ed.)
“INST/SUPP STE11090X-12199 (CDM 3624582) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3624582?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“INST/SUPP STE11090X-12199 (CDM 3624582) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3624582?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11,905–$40,677 (25th–75th percentile) across 5 hospitals · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3624582 — 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 |
|---|---|---|---|---|---|---|---|
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Cigna | HMO | $1,941.45 | $6,450.00 | $1,225.50 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $2,238.15 | $6,450.00 | $1,483.50 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | $2,747.70 | $6,450.00 | $1,225.50 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Choice | $2,831.55 | $6,450.00 | $1,483.50 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | Blue Choice | $2,979.90 | $6,450.00 | $1,225.50 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Humana | All Products | $3,225.00 | $6,450.00 | $1,483.50 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | UHC | Navigate Core | $3,354.00 | $6,450.00 | $1,483.50 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | UHC | All Products | $3,354.00 | $6,450.00 | $1,225.50 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | UHC | All Products | $3,354.00 | $6,450.00 | $1,483.50 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | PPO | $3,386.25 | $6,450.00 | $1,483.50 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Products | $3,483.00 | $6,450.00 | $1,225.50 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | UHC | Navigate Core | $3,547.50 | $6,450.00 | $1,225.50 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | PPO | $3,708.75 | $6,450.00 | $1,225.50 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Precision | $3,929.00 | $6,450.00 | $1,483.50 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $3,973.20 | $6,450.00 | $1,483.50 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | HMO | $4,082.00 | $6,450.00 | $1,483.50 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | Aetna | FH-Medical Rental | $4,192.50 | $6,450.00 | $1,483.50 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | HMO | $4,321.50 | $6,450.00 | $1,225.50 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | Blue Precision | $4,489.20 | $6,450.00 | $1,225.50 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | Aetna | ASA | $4,611.75 | $6,450.00 | $1,483.50 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | Aetna | FH-Medical Rental | $4,708.50 | $6,450.00 | $1,225.50 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $5,405.10 | $6,450.00 | $1,225.50 | 2026-03-31 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | United | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Blue Shield CA | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | BCBS - Anthem | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Health Net | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Humana | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Humana | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Kaiser | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Kaiser | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Blue Shield CA | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | BCBS - Anthem | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | United | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Health Net | Medicare|All Plans | $11,905.44 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Blue Shield CA | Commercial|Exchange | $22,823.36 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Blue Shield CA | Commercial|Exchange | $22,823.36 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | California Health & Wellness | Medicaid|All Plans | $25,795.12 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | California Health & Wellness | Medicaid|All Plans | $25,795.12 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|HMO | $28,529.20 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|PPO | $28,529.20 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|All Other Plans | $28,529.20 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|All Other Plans | $28,529.20 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|HMO | $28,529.20 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|PPO | $28,529.20 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|All Other Plans | $29,751.88 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|PPO | $29,751.88 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|All Other Plans | $29,751.88 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|PPO | $29,751.88 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Blue Shield CA | Commercial|All Other Plans | $29,751.88 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Blue Shield CA | Commercial|All Other Plans | $29,751.88 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|HMO | $30,159.44 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|All Other Plans | $30,159.44 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|All Other Plans | $30,159.44 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|HMO | $30,159.44 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|PPO | $30,159.44 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|PPO | $30,159.44 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Cigna | Commercial|All Other Plans | $32,604.80 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Cigna | Commercial|PPO | $32,604.80 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Cigna | Commercial|PPO | $32,604.80 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Cigna | Commercial|All Other Plans | $32,604.80 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | United | Commercial|All Other Plans | $36,680.40 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | United | Commercial|All Other Plans | $36,680.40 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | Coventry | Commercial|All Plans | $36,680.40 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | Coventry | Commercial|All Plans | $36,680.40 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | United | Commercial|HMO | $37,903.08 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | United | Commercial|HMO | $37,903.08 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | Health Net | Commercial|All Plans | $39,533.32 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | Health Net | Commercial|All Plans | $39,533.32 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Health Net | Commercial|All Plans | $39,940.88 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|HMO | $39,940.88 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | MultiPlan | Commercial|All Plans | $39,940.88 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Health Net | Commercial|All Plans | $39,940.88 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | MultiPlan | Commercial|All Plans | $39,940.88 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|HMO | $39,940.88 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $39,940.88 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Coventry | Commercial|All Plans | $39,940.88 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Coventry | Commercial|All Plans | $39,940.88 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $39,940.88 | $40,756.00 | $23,801.51 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Cigna | Commercial|All Other Plans | $40,676.92 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Cigna | Commercial|PPO | $40,676.92 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Cigna | Commercial|All Other Plans | $40,676.92 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Cigna | Commercial|PPO | $40,676.92 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|All Other Plans | $40,756.00 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|All Other Plans | $40,756.00 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|Options | $40,756.00 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|Options | $40,756.00 | $40,756.00 | $20,663.30 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | United | Commercial|HMO | $42,661.16 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | United | Commercial|HMO | $42,661.16 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|HMO | $43,157.22 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|All Other Plans | $43,157.22 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|PPO | $43,157.22 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|HMO | $43,157.22 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|All Other Plans | $43,157.22 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|PPO | $43,157.22 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|All Other Plans | $43,653.28 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | United | Commercial|All Other Plans | $43,653.28 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|PPO | $43,653.28 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|HMO | $43,653.28 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | United | Commercial|All Other Plans | $43,653.28 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|All Other Plans | $43,653.28 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|PPO | $43,653.28 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|HMO | $43,653.28 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Health Net | Commercial|All Plans | $46,133.58 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Health Net | Commercial|All Plans | $46,133.58 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | MultiPlan | Commercial|All Plans | $48,613.88 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Coventry | Commercial|All Plans | $48,613.88 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | MultiPlan | Commercial|All Plans | $48,613.88 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Coventry | Commercial|All Plans | $48,613.88 | $49,606.00 | $38,593.47 | 2026-02-28 | MRF ↗ |