3804254 — Tw Drl/5 Mm S 1.35 X 50 Mm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TW DRL/5 MM S 1.35 X 50 MM (CDM 3804254) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3804254?code_type=CDM
MLA (9th ed.)
“TW DRL/5 MM S 1.35 X 50 MM (CDM 3804254) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3804254?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“TW DRL/5 MM S 1.35 X 50 MM (CDM 3804254) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3804254?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $109–$1,276 (25th–75th percentile) across 4 hospitals · 28 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3804254 — 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 |
|---|---|---|---|---|---|---|---|
| FRIO REGIONAL HOSPITAL Both | Superior Health Plan | Commercial | $2.00 | $10.00 | $7.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Amerigroup Texas | Medicare Advantage | $2.00 | $10.00 | $7.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Cigna | Medicare Advantage | $2.00 | $10.00 | $7.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Aetna | Commercial | $8.00 | $10.00 | $7.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Blue Cross Blue Shield of Texas | HMO | $9.00 | $10.00 | $7.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Blue Cross Blue Shield of Texas | Traditional | $9.00 | $10.00 | $7.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Blue Cross Blue Shield of Texas | Blue Advantage | $9.00 | $10.00 | $7.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | United Healthcare | Commercial | $9.00 | $10.00 | $7.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | ChoiceCare | Medicare Advantage | $10.00 | $10.00 | $7.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Humana | Medicare Advantage | $10.00 | $10.00 | $7.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Humana | Commercial | $10.00 | $10.00 | $7.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | ChoiceCare | Commercial | $10.00 | $10.00 | $7.00 | 2026-05-15 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Outpatient | CIGNA COMM - ALL OTHER PLANS | CIGNA COMM - ALL OTHER PLANS | $57.90 | $144.75 | — | 2025-03-14 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Outpatient | BCBS COMM - ALL OTHER PLANS | BCBS COMM - ALL OTHER PLANS | $86.85 | $144.75 | — | 2025-03-14 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Inpatient | MOLINA MCAID/CHIP | MOLINA MCAID/CHIP | $89.54 | $144.75 | — | 2025-03-14 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Inpatient | UHC MCAID | UHC MCAID | $89.54 | $144.75 | — | 2025-03-14 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Inpatient | MAGNOLIA MCAID - ALL PLANS | MAGNOLIA MCAID - ALL PLANS | $89.54 | $144.75 | — | 2025-03-14 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Outpatient | BCBS FMP | BCBS FMP | $108.56 | $144.75 | — | 2025-03-14 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Outpatient | MPCN - ALL PLANS | MPCN - ALL PLANS | $115.80 | $144.75 | — | 2025-03-14 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Kaiser Foundation Health Plan | Managed Medicaid | $200.52 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | MedStar Family Choice | Managed Medicaid | $200.52 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $200.52 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Amerigroup MD | Managed Medicaid | $200.52 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Blue Cross Blue Shield of Maryland (CareFirst) | Managed Medicaid | $200.52 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Priority Partners | Managed Medicaid | $200.52 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Aetna Better Health MD | Managed Medicaid | $206.09 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Maryland Physicians Care | Managed Medicaid | $211.66 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center InpatientFacility | Cigna | EPO | $233.94 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | MedStar Family Choice | Managed Medicaid | $233.94 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center InpatientFacility | Aetna Better Health MD | Managed Medicaid | $239.51 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center InpatientFacility | MedStar Family Choice | Managed Medicaid | $239.51 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center InpatientFacility | Kaiser Foundation Health Plan | Managed Medicaid | $239.51 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center InpatientFacility | Blue Cross Blue Shield of Maryland (CareFirst) | Managed Medicaid | $239.51 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center InpatientFacility | United Healthcare | Managed Medicaid | $239.51 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center InpatientFacility | Amerigroup MD | Managed Medicaid | $239.51 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center InpatientFacility | Maryland Physicians Care | Managed Medicaid | $250.65 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Johns Hopkins Healthcare | USFHP | $261.79 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center InpatientFacility | Blue Cross Blue Shield of Virginia (Anthem) | HMX | $287.97 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center InpatientFacility | Blue Cross Blue Shield of Virginia (Anthem) | HMO | $287.97 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Johns Hopkins Healthcare | EHP | $292.43 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | United Healthcare | Options PPO | $294.93 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | United Healthcare | All Payer | $294.93 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center InpatientFacility | Kaiser Foundation Health Plan | Commercial | $297.44 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Blue Cross Blue Shield of Virginia (Anthem) | HMO | $302.45 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Blue Cross Blue Shield of Virginia (Anthem) | HMX | $302.45 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Blue Cross Blue Shield of Virginia (Anthem) | PPO/PAR | $302.45 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center InpatientFacility | Blue Cross Blue Shield of Virginia (Anthem) | PPO/PAR | $304.68 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Cigna | PPO | $378.76 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Cigna | OAP | $378.76 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Blue Cross Blue Shield of Maryland (CareFirst) | RPN | $378.76 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Aetna | Commercial | $386.00 | $557.00 | $278.50 | 2026-04-02 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | BCBS COMMUNITY MCR ADV | BCBS COMMUNITY MCR ADV | $1,275.66 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $1,342.80 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | HEALTH ALLIANCE MCR ADV | HEALTH ALLIANCE MCR ADV | $1,342.80 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $1,342.80 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $1,342.80 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $1,342.80 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $1,342.80 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $1,356.23 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | HEALTHLINK PPO | HEALTHLINK PPO | $3,133.20 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | HEALTHLINK HMO - ALL OTHER PLANS | HEALTHLINK HMO - ALL OTHER PLANS | $3,133.20 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $3,330.14 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $3,544.99 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | HEALTH ALLIANCE - ALL OTHER PLANS | HEALTH ALLIANCE - ALL OTHER PLANS | $3,804.60 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $3,894.12 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | MULTIPLAN/PHCS - ALL PLANS | MULTIPLAN/PHCS - ALL PLANS | $4,028.40 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | ZELIS - ALL PLANS | ZELIS - ALL PLANS | $4,028.40 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | BCBS PPO - ALL OTHER PLANS | BCBS PPO - ALL OTHER PLANS | $4,091.06 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | HOPE TRUST - ALL PLANS | HOPE TRUST - ALL PLANS | $4,699.80 | $4,476.00 | $3,133.20 | 2026-01-22 | MRF ↗ |