4000057 — CT Smoothie
Cite this view
HANK Price Transparency. (n.d.). CT SMOOTHIE (CDM 4000057) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4000057?code_type=CDM
“CT SMOOTHIE (CDM 4000057) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4000057?code_type=CDM. Accessed .
“CT SMOOTHIE (CDM 4000057) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4000057?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $28–$2,386 (25th–75th percentile) across 4 hospitals · 26 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4000057 — 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 |
|---|---|---|---|---|---|---|---|
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | TRICARE WEST - ALL PLANS | TRICARE WEST - ALL PLANS | $16.90 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | CONFEDERATED TRIBES - ALL PLANS | CONFEDERATED TRIBES - ALL PLANS | $19.20 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | ATRIO MCR ADV - ALLPLANS | ATRIO MCR ADV - ALLPLANS | $19.20 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PACIFIC SOURCE MCR ADV | PACIFIC SOURCE MCR ADV | $19.20 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | MODA MCR ADV | MODA MCR ADV | $19.20 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $19.20 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $19.78 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | HEALTHNET MCR ADV | HEALTHNET MCR ADV | $20.16 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | ADVANCED HEALTH - ALL PLANS | ADVANCED HEALTH - ALL PLANS | $20.16 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $26.56 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | MODA HEALTH PLAN - ALL OTHER PLANS | MODA HEALTH PLAN - ALL OTHER PLANS | $28.48 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | THREE RIVERS - ALL PLANS | THREE RIVERS - ALL PLANS | $28.80 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $28.80 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $28.80 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PROV NETWRK OF AMERICA - ALL PLANS | PROV NETWRK OF AMERICA - ALL PLANS | $28.80 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | BCBS COMM - ALL OTHER PLANS | BCBS COMM - ALL OTHER PLANS | $29.76 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PROVIDENCE COMM - ALL PLANS | PROVIDENCE COMM - ALL PLANS | $30.40 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $30.40 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $30.40 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | UHC ALL PAYER - ALL PLANS | UHC ALL PAYER - ALL PLANS | $30.40 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PACIFICSOURCE COMM - ALL OTHER PLANS | PACIFICSOURCE COMM - ALL OTHER PLANS | $30.40 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $30.40 | $32.00 | $32.00 | 2026-10-09 | MRF ↗ |
| FOREST HEALTH MEDICAL CENTER Both | — | — | — | $51.91 | — | 2026-02-26 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | BCBS MCR ADV | BCBS MCR ADV | $60.12 | $334.00 | $233.80 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $83.50 | $334.00 | $233.80 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | $100.20 | $334.00 | $233.80 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | OSCAR HEALTH-ALL PLANS | OSCAR HEALTH-ALL PLANS | $100.20 | $334.00 | $233.80 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | WELLCARE COMM (CHOICE) - ALL OTHER PLANS | WELLCARE COMM (CHOICE) - ALL OTHER PLANS | $167.00 | $334.00 | $233.80 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | WELLCARE MEDICARE | WELLCARE MEDICARE | $217.10 | $334.00 | $233.80 | 2026-01-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Aetna | Medicare Advantage | $2,386.00 | $5,077.00 | $4,569.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Humana | Medicare Advantage | $2,386.00 | $5,077.00 | $4,569.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Blue Cross and Blue Shield | Medicare Advantage | $2,386.00 | $5,077.00 | $4,569.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | United Healthcare | Medicare Advantage | $2,386.00 | $5,077.00 | $4,569.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Great Plains | Medicare Advantage | $2,505.00 | $5,077.00 | $4,569.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Molina | Medicare Advantage | $2,505.00 | $5,077.00 | $4,569.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | United Healthcare | Commercial | $4,519.00 | $5,077.00 | $4,569.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Blue Cross and Blue Shield | Commercial | $4,823.00 | $5,077.00 | $4,569.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Ambetter | Commercial | $4,874.00 | $5,077.00 | $4,569.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Midland's Choice | Commercial | $4,975.00 | $5,077.00 | $4,569.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Aetna | Commercial | $4,975.00 | $5,077.00 | $4,569.00 | 2026-06-30 | MRF ↗ |