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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37019 — Cannula Opth 25ga 4mm

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 $41

Usually $18–$68 (25th–75th percentile) across 5 hospitals · 29 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 37019 — 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 MGMCRPPO $10.80 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Aetna MGMCRHMO $10.80 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Aetna MGMCRSNP $10.80 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Bright Health HIX $12.24 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Kentucky Labor Cabinet WORKERSCOMP $13.26 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Oscar HIX $13.54 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Pruitt Health (AllyAlign) MCR $13.68 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient NHC Advantage, Inc. MCRHMO $13.68 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Apex Health MCR $13.68 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Ambetter CORE $16.63 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Ambetter Select $16.70 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient BCBS NetworkP $17.28 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Bright Health SmallGroup $17.28 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Humana TRICARE $18.00 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Aetna NewBusiness $20.88 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Cigna OAP $22.25 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient United OptionsPPO $23.62 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Aetna COMM $24.48 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Cigna PPO $28.44 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Centurion PRISON $29.66 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient United GlobalBenefitPlan $32.40 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient BGFH SingleSource DIRECTNETWORK $36.00 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Signature Advantage MCR $36.00 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Plumbers and Pipefitters Local 572 COMMPPO $36.00 $72.00 $72.00 2024-10-01 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility LAW ENFORCEMENT MANAGED MEDICAID $40.69 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility UHC COMMUNITY PLAN NE MANAGED MEDICAID $40.69 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility NEBRASKA TOTAL CARE MANAGED MEDICAID $40.69 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility LAW ENFORCEMENT MANAGED MEDICAID $40.69 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility HEALTHY BLUE MANAGED MEDICAID $40.69 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility UHC COMMUNITY PLAN NE MANAGED MEDICAID $40.69 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility NEBRASKA TOTAL CARE MANAGED MEDICAID $40.69 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility HEALTHY BLUE MANAGED MEDICAID $40.69 $78.25 $70.43 2025-12-27 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Employers Health Network COMM $50.40 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Odom's TN Pride Sausage WORKERSCOMP $54.00 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Cigna Evernorth Behavioral Health COMM $57.60 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Alive Hospice, Inc. COMM $57.60 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient BGFH SingleSource LEASEDNETWORK $61.20 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Multiplan COMM $64.80 $72.00 $72.00 2024-10-01 MRF ↗
TRISTAR HORIZON MEDICAL CENTER Outpatient Beech Street COMM $66.24 $72.00 $72.00 2024-10-01 MRF ↗
COMMUNITY HOSPITAL BothFacility BLUE CROSS PPO $74.34 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility BLUE CROSS PPO $74.34 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility UHC PPO $75.12 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility AETNA PPO $75.12 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility NE WORKERS COMP NE WORKERS COMP $75.12 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility MIDLANDS CHOICE PPO $75.12 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility UHC PPO $75.12 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility NE WORKERS COMP NE WORKERS COMP $75.12 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility MIDLANDS CHOICE PPO $75.12 $78.25 $70.43 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility AETNA PPO $75.12 $78.25 $70.43 2025-12-27 MRF ↗
SILVER HILL HOSPITAL INC OutpatientFacility AETNA ADULT PPO/POS $2,002.32 $3,240.00 $3,240.00 2024-12-24 MRF ↗
Ascension Borgess Pipp Hospital Both CDM DEFAULT - NON-NEGOTIATED RATE CDM DEFAULT - NON-NEGOTIATED RATE $13,351.00 $13,351.00 $6,541.99 2026-01-01 MRF ↗
BORGESS MEDICAL CENTER Both CDM DEFAULT - NON-NEGOTIATED RATE CDM DEFAULT - NON-NEGOTIATED RATE $13,351.00 $13,351.00 $6,541.99 2026-01-01 MRF ↗