4402158 — Brimonidine 0.2% Oph
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BRIMONIDINE 0.2% OPH (CDM 4402158) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4402158?code_type=CDM
MLA (9th ed.)
“BRIMONIDINE 0.2% OPH (CDM 4402158) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4402158?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“BRIMONIDINE 0.2% OPH (CDM 4402158) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4402158?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $17–$29 (25th–75th percentile) across 5 hospitals · 72 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4402158 — 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 |
|---|---|---|---|---|---|---|---|
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | BCBS MCR ADV | BCBS MCR ADV | $1.44 | $8.00 | $5.60 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $2.00 | $8.00 | $5.60 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | $2.40 | $8.00 | $5.60 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | OSCAR HEALTH-ALL PLANS | OSCAR HEALTH-ALL PLANS | $2.40 | $8.00 | $5.60 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $3.24 | $18.00 | $12.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | WELLCARE COMM (CHOICE) - ALL OTHER PLANS | WELLCARE COMM (CHOICE) - ALL OTHER PLANS | $4.00 | $8.00 | $5.60 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | CIGNA PPO-ALL OTHER PLANS | CIGNA PPO-ALL OTHER PLANS | $4.50 | $18.00 | $12.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | WELLCARE MEDICARE | WELLCARE MEDICARE | $5.20 | $8.00 | $5.60 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | HUMANA HMO/PPO/POS-ALL OTHER PLANS | HUMANA HMO/PPO/POS-ALL OTHER PLANS | $5.40 | $18.00 | $12.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | HEALTHSUN-ALL PLANS | HEALTHSUN-ALL PLANS | $5.40 | $18.00 | $12.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | OSCAR HEALTH-ALL PLANS | OSCAR HEALTH-ALL PLANS | $5.40 | $18.00 | $12.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | MOLINA MEDICAID | MOLINA MEDICAID | $5.40 | $18.00 | $12.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | DOCTORS HEALTHCARE-ALL PLANS | DOCTORS HEALTHCARE-ALL PLANS | $6.30 | $18.00 | $12.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | STAR NETWORK-ALL PLANS | STAR NETWORK-ALL PLANS | $7.20 | $18.00 | $12.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | FCC MEDICAID | FCC MEDICAID | $9.00 | $18.00 | $12.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | JMH HEALTH PLAN HMO/PPO-ALL OTHER PLANS | JMH HEALTH PLAN HMO/PPO-ALL OTHER PLANS | $9.90 | $18.00 | $12.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | MAGELLAN HEALTHCARE-ALL PLANS | MAGELLAN HEALTHCARE-ALL PLANS | $10.80 | $18.00 | $12.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | HAA PREFERRED PARTNERS-ALL PLANS | HAA PREFERRED PARTNERS-ALL PLANS | $10.80 | $18.00 | $12.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | GLOBAL EXCEL-ALL PLANS | GLOBAL EXCEL-ALL PLANS | $10.80 | $18.00 | $12.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | FIRST MED HP OF FL-ALL PLANS | FIRST MED HP OF FL-ALL PLANS | $10.80 | $18.00 | $12.60 | 2025-12-10 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | SELF PAY | SELF PAY | $11.82 | $28.85 | — | 2026-01-21 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | CIGNA BEHAV - ALL PLANS | CIGNA BEHAV - ALL PLANS | $12.60 | $18.00 | $12.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | AETNA MCR ADV | AETNA MCR ADV | $16.88 | $18.00 | $12.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | SUNSHINE BEHAV COMM - ALL OTHER PLANS | SUNSHINE BEHAV COMM - ALL OTHER PLANS | $16.88 | $18.00 | $12.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $16.88 | $18.00 | $12.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | BRIGHT HLTH MCR ADV | BRIGHT HLTH MCR ADV | $16.88 | $18.00 | $12.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | LONGEVITY MCR ADV-ALL PLANS | LONGEVITY MCR ADV-ALL PLANS | $16.88 | $18.00 | $12.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | CLEAR SPRING HEALTH-ALL PLANS | CLEAR SPRING HEALTH-ALL PLANS | $17.72 | $18.00 | $12.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | AVMED-ALL PLANS | AVMED-ALL PLANS | $18.00 | $18.00 | $12.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | HMA MCR ADV | HMA MCR ADV | $19.41 | $18.00 | $12.60 | 2025-12-16 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | UTAH IDAHO TEAMSTERS | UTAH IDAHO TEAMSTERS | $20.19 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | SISCO SELF INSURED SERVIC | SISCO | $20.19 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | HEALTH SMART | HEALTHSMART | $20.19 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | CNIC PAYER ID 37227 | CNIC PAYER ID 37227 | $20.19 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | TALL TREE ADMINISTRATORS | TALL TREE ADMINISTRATORS | $20.19 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | SINCLAIR HEALTH SERVICES | SINCLAIR HEALTHPLAN | $20.19 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | CIGNA | CIGNA WY | $20.55 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | BCBS | BCBS OUT OF STATE | $20.55 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | BCBS | BCBS OF WY | $20.55 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | CIGNA | CIGNA | $20.55 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | SISCO SELF INSURED SERVIC | SISCO | $20.55 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | FIRST CHOICE HEALTH | FIRST CHOICE HEALTH | $21.63 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | UNITED HEALTHCARE | MEDICA | $23.08 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | GROUP BENEFIT SERVICES | GROUP BENEFIT SERVICES | $23.08 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | CHRISTIAN BROTHERS EMPLOY | CHRISTIAN BROTHERS EMPLOY | $23.08 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | CORP BENEFIT SERV MERITAI | CORPORATE BENEFIT SERVICE | $23.08 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | STUDENT ASSURANCE SERVICE | STUDENT ASSURANCE SERVICE | $23.08 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | BENEFIT ADMINISTRATIVE | BAS | $23.08 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | EMI HEALTH | EMI HEALTH | $23.08 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | HEALTH PARTNERS CLAIMS | HEALTHPARTNERS CLAIMS | $23.08 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | MEDI-SHARE #59355 | MEDISHARE | $23.08 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | KAISER PERMANENTE | KAISER PERMANENTE | $23.08 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | RESERVE NATIONAL INSURANC | RESERVE NATIONAL INSURANC | $23.08 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | MERITAIN HEALTH | MERITAIN HEALTH | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | GEHA | GEHA | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | UMR | UMR | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | AMERIBEN | AMERIBEN | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | AETNA | AETNA | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | ASSURANT HEALTH | ASSURANT HEALTH | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | EBMS | EBMS | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | ALL SAVERS | ALL SAVERS | $24.52 | $28.85 | $11.82 | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | USAA LIFE INSURANCE | USAA LIFE INSURANCE | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | CIGNA MEDICARE SUPPLEMENT | CIGNA MEDICARE SUPPLEMENT | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | ALLIED BENEFITS | ALLIED BENEFITS | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | GROUP BENEFIT SERVICES | AMERICAN HEALTH ALLIANCE | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | BMI KANSAS | BENEFIT MANAGEMENT INC | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | TRUSTMARK LIFE INSURANCE | TRUSTMARK LIFE INS | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | TRUSTMARK LIFE INSURANCE | TRUSTMARK LIFE INSURANCE | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | WINHEALTH PARTNERS | WINHEALTH PARTNERS | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | FIRST CHOICE OF MIDWEST | FIRST CHOICE OF MIDWEST | $24.52 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | MOUNTAIN HEALTH COOP | MOUNTAIN HEALTH CO-OP | $26.83 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | CHAMPVA | CHAMPVA | $28.85 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | CHOICE CARE | CHOICE CARE | $28.85 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | ALTIUS | ALTIUS | $28.85 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | ALTIUS | COE- SISCO | $28.85 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | FORTIS HEALTH | FORTIS HEALTH | $28.85 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | JOHN ALDEN INSURANCE | JOHN ALDEN INSURANCE | $28.85 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | WSTCH | WSTCH | $28.85 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | MISC COMMERCIAL | COMMERCIAL MISCELLANEOUS | $28.85 | $28.85 | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | COE ALLEGIANCE | COE ALLEGIANCE | $28.85 | $28.85 | — | 2026-01-21 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Blue Advantage HMO | $1,440.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Wellpoint | Medicare Advantage | $1,584.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Superior Health Plan | Medicare Advantage | $1,695.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Cigna | Commercial | $1,920.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | ChoiceCare | Commercial | $1,920.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Aetna | Commercial | $2,040.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $2,040.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Aetna | Medicare Advantage | $2,040.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Blue Essentials | $2,064.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Commercial | $2,160.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Scott and White Health Plan | Commercial | $2,160.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | HealthSmart Preferred Network | Commercial | $2,160.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Private Health Care Systems (PHCS) | Commercial | $2,160.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Galaxy Health Network | Commercial | $2,160.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | FirstCare | Commercial | $2,160.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Superior Health Plan | Commercial - Exchange | $2,376.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | CapStar | PPO | $2,376.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | MultiPlan | Commercial | $2,400.00 | $2,400.00 | $2,400.00 | 2026-03-24 | MRF ↗ |