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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51092 — Ndl Sut Circ Tpr 4.5

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 $15,000

Usually $21–$15,000 (25th–75th percentile) across 2 hospitals · 25 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 51092 — 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 STONECREST MEDICAL CENTER Outpatient Aetna MGMCRPPO $9.45 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Aetna MGMCRSNP $9.45 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Aetna MGMCRHMO $9.45 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Bright Health HIX $10.71 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Oscar HIX $11.53 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Kentucky Labor Cabinet WORKERSCOMP $11.60 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient NHC Advantage, Inc. MCRHMO $11.97 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Pruitt Health (AllyAlign) MCR $11.97 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Apex Health MCR $11.97 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Ambetter CORE $14.05 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient BCBS NetworkP $14.49 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Ambetter Select $14.62 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Bright Health SmallGroup $15.12 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Humana TRICARE $15.75 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Cigna NewBusiness $15.88 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Aetna NewBusiness $17.64 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Cigna OAP $18.02 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Cigna PPO $20.54 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Aetna COMM $20.79 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient United OptionsPPO $22.81 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient United GlobalBenefitPlan $28.35 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Signature Advantage MCR $31.50 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Aetna NAP $31.50 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient BGFH SingleSource DIRECTNETWORK $31.50 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Employers Health Network COMM $44.10 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Odom's TN Pride Sausage WORKERSCOMP $47.25 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient BGFH SingleSource LEASEDNETWORK $53.55 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Multiplan COMM $56.70 $63.00 $63.00 2026-03-12 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Beech Street COMM $57.96 $63.00 $63.00 2026-03-12 MRF ↗
CALAIS COMMUNITY HOSPITAL Outpatient United Healthcare Medicare Advantage $4,150.00 $23,581.00 $17,686.00 2025-10-01 MRF ↗
CALAIS COMMUNITY HOSPITAL Outpatient Anthem Medicare Advantage $4,150.00 $23,581.00 $17,686.00 2025-10-01 MRF ↗
CALAIS COMMUNITY HOSPITAL Outpatient Wellcare HMO $10,376.00 $23,581.00 $17,686.00 2025-10-01 MRF ↗
CALAIS COMMUNITY HOSPITAL Outpatient Humana Commercial $10,376.00 $23,581.00 $17,686.00 2025-10-01 MRF ↗
CALAIS COMMUNITY HOSPITAL Outpatient Partners Direct Health Commercial $13,677.00 $23,581.00 $17,686.00 2025-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient NHC Advantage, Inc. MCRHMO — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Plumbers and Pipefitters Local 572 COMMPPO — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Odom's TN Pride Sausage WORKERSCOMP — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Kentucky Labor Cabinet WORKERSCOMP — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient BGFH SingleSource LEASEDNETWORK — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient BGFH SingleSource DIRECTNETWORK — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Alive Hospice, Inc. COMM — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Apex Health MCR — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Employers Health Network COMM — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Aetna MGMCRHMO — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Aetna MGMCRPPO — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Aetna NewBusiness — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Aetna MGMCRSNP — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Aetna COMM — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Bright Health SmallGroup — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Bright Health HIX — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Beech Street COMM — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient BCBS NetworkP — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Humana TRICARE — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Multiplan COMM — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Cigna OAP — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Cigna PPO — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Oscar HIX — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Ambetter CORE — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Ambetter Select — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient United OptionsPPO — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Signature Advantage MCR — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient United GlobalBenefitPlan — $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Pruitt Health (AllyAlign) MCR — $58.00 $58.00 2024-10-01 MRF ↗
CALAIS COMMUNITY HOSPITAL Outpatient Anthem Commercial $18,723.00 $23,581.00 $17,686.00 2025-10-01 MRF ↗
CALAIS COMMUNITY HOSPITAL Outpatient Cigna Commercial $19,832.00 $23,581.00 $17,686.00 2025-10-01 MRF ↗
CALAIS COMMUNITY HOSPITAL Outpatient Aetna Commercial $20,280.00 $23,581.00 $17,686.00 2025-10-01 MRF ↗
CALAIS COMMUNITY HOSPITAL Outpatient United Healthcare PPO $20,280.00 $23,581.00 $17,686.00 2025-10-01 MRF ↗
CALAIS COMMUNITY HOSPITAL Outpatient Martins Point PPO $21,223.00 $23,581.00 $17,686.00 2025-10-01 MRF ↗
CALAIS COMMUNITY HOSPITAL Outpatient Harvard Pilgrim Commercial $21,577.00 $23,581.00 $17,686.00 2025-10-01 MRF ↗