3624602 — Inst/supp Ste13419x-14761
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INST/SUPP STE13419X-14761 (CDM 3624602) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3624602?code_type=CDM
MLA (9th ed.)
“INST/SUPP STE13419X-14761 (CDM 3624602) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3624602?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“INST/SUPP STE13419X-14761 (CDM 3624602) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3624602?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $14,406–$49,219 (25th–75th percentile) across 5 hospitals · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3624602 — 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 | $262.77 | $873.00 | $165.87 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $302.93 | $873.00 | $200.79 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | $371.90 | $873.00 | $165.87 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Choice | $383.25 | $873.00 | $200.79 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Products | $384.12 | $873.00 | $165.87 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | Blue Choice | $403.33 | $873.00 | $165.87 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Humana | All Products | $436.50 | $873.00 | $200.79 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | UHC | Navigate Core | $436.50 | $873.00 | $165.87 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | UHC | All Products | $436.50 | $873.00 | $200.79 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | UHC | All Products | $453.96 | $873.00 | $165.87 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | PPO | $458.33 | $873.00 | $200.79 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | PPO | $501.98 | $873.00 | $165.87 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $537.77 | $873.00 | $200.79 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | Aetna | FH-Medical Rental | $567.45 | $873.00 | $200.79 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | HMO | $584.91 | $873.00 | $165.87 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | Blue Precision | $607.61 | $873.00 | $165.87 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | Aetna | ASA | $624.20 | $873.00 | $200.79 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | Aetna | FH-Medical Rental | $637.29 | $873.00 | $165.87 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $731.57 | $873.00 | $165.87 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Precision | $920.14 | $873.00 | $200.79 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | HMO | $920.14 | $873.00 | $200.79 | 2026-03-31 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | United | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Blue Shield CA | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Humana | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Blue Shield CA | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | BCBS - Anthem | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | United | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | BCBS - Anthem | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Humana | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Health Net | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Health Net | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Kaiser | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Kaiser | Medicare|All Plans | $14,405.52 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Blue Shield CA | Commercial|Exchange | $27,616.40 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Blue Shield CA | Commercial|Exchange | $27,616.40 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | California Health & Wellness | Medicaid|All Plans | $31,211.96 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | California Health & Wellness | Medicaid|All Plans | $31,211.96 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|HMO | $34,520.50 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|PPO | $34,520.50 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|All Other Plans | $34,520.50 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|All Other Plans | $34,520.50 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|PPO | $34,520.50 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|HMO | $34,520.50 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|All Other Plans | $35,999.95 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|PPO | $35,999.95 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|All Other Plans | $35,999.95 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|PPO | $35,999.95 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Blue Shield CA | Commercial|All Other Plans | $35,999.95 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Blue Shield CA | Commercial|All Other Plans | $35,999.95 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|PPO | $36,493.10 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|All Other Plans | $36,493.10 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|All Other Plans | $36,493.10 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|HMO | $36,493.10 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|PPO | $36,493.10 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|HMO | $36,493.10 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Cigna | Commercial|All Other Plans | $39,452.00 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Cigna | Commercial|PPO | $39,452.00 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Cigna | Commercial|All Other Plans | $39,452.00 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Cigna | Commercial|PPO | $39,452.00 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | United | Commercial|All Other Plans | $44,383.50 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | United | Commercial|All Other Plans | $44,383.50 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | Coventry | Commercial|All Plans | $44,383.50 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | Coventry | Commercial|All Plans | $44,383.50 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | United | Commercial|HMO | $45,862.95 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | United | Commercial|HMO | $45,862.95 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | Health Net | Commercial|All Plans | $47,835.55 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | Health Net | Commercial|All Plans | $47,835.55 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Health Net | Commercial|All Plans | $48,328.70 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|HMO | $48,328.70 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | MultiPlan | Commercial|All Plans | $48,328.70 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Coventry | Commercial|All Plans | $48,328.70 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Health Net | Commercial|All Plans | $48,328.70 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $48,328.70 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|HMO | $48,328.70 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | MultiPlan | Commercial|All Plans | $48,328.70 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Coventry | Commercial|All Plans | $48,328.70 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $48,328.70 | $49,315.00 | $28,799.96 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Cigna | Commercial|PPO | $49,218.86 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Cigna | Commercial|All Other Plans | $49,218.86 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Cigna | Commercial|PPO | $49,218.86 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Cigna | Commercial|All Other Plans | $49,218.86 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|All Other Plans | $49,315.00 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|All Other Plans | $49,315.00 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|Options | $49,315.00 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|Options | $49,315.00 | $49,315.00 | $25,002.71 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | United | Commercial|HMO | $51,619.78 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | United | Commercial|HMO | $51,619.78 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|PPO | $52,220.01 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|HMO | $52,220.01 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|All Other Plans | $52,220.01 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|HMO | $52,220.01 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|PPO | $52,220.01 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|All Other Plans | $52,220.01 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|All Other Plans | $52,820.24 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|All Other Plans | $52,820.24 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | United | Commercial|All Other Plans | $52,820.24 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|PPO | $52,820.24 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|HMO | $52,820.24 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|PPO | $52,820.24 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|HMO | $52,820.24 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | United | Commercial|All Other Plans | $52,820.24 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Health Net | Commercial|All Plans | $55,821.39 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Health Net | Commercial|All Plans | $55,821.39 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | MultiPlan | Commercial|All Plans | $58,822.54 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Coventry | Commercial|All Plans | $58,822.54 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | MultiPlan | Commercial|All Plans | $58,822.54 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Coventry | Commercial|All Plans | $58,822.54 | $60,023.00 | $46,697.90 | 2026-02-28 | MRF ↗ |