Price Transparency 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 $15,000–$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
CALAIS COMMUNITY HOSPITAL Outpatient Anthem Medicare Advantage $4,877.00 $23,581.00 $17,686.00 2025-10-01 MRF ↗
CALAIS COMMUNITY HOSPITAL Outpatient United Healthcare Medicare Advantage $4,877.00 $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 Wellcare HMO $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 Signature Advantage MCR $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 Kentucky Labor Cabinet WORKERSCOMP $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 Plumbers and Pipefitters Local 572 COMMPPO $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient NHC Advantage, Inc. MCRHMO $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient Pruitt Health (AllyAlign) MCR $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 United GlobalBenefitPlan $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 Ambetter CORE $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 Cigna PPO $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 Multiplan COMM $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 BCBS NetworkP $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 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 Aetna MGMCRPPO $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 COMM $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 Employers Health Network 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 Alive Hospice, Inc. COMM $58.00 $58.00 2024-10-01 MRF ↗
TRISTAR STONECREST MEDICAL CENTER Outpatient BGFH SingleSource LEASEDNETWORK $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 United Healthcare PPO $20,280.00 $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 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 ↗