51092 — Ndl Sut Circ Tpr 4.5
Cite this view
HANK Price Transparency. (n.d.). NDL SUT CIRC TPR 4.5 (CDM 51092) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/51092?code_type=CDM
“NDL SUT CIRC TPR 4.5 (CDM 51092) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/51092?code_type=CDM. Accessed .
“NDL SUT CIRC TPR 4.5 (CDM 51092) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/51092?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
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 ↗ |