6070121_1 (CDM) — raw rate rows

CDM · raw rates

6070121_1 — Dalvance IV

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

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Typical negotiated price $6,284

Usually $3,337–$7,442 (25th–75th percentile) across 1 hospital · 6 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 6070121_1 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

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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
ORCHARD HOSPITAL Outpatient	BLUE CROSS-ALL OTHER PLANS	BLUE CROSS-ALL OTHER PLANS	$2,192.00	$9,762.58	$5,857.55	2026-09-26	MRF ↗
ORCHARD HOSPITAL Outpatient	BLUE CROSS MCR ADV	BLUE CROSS MCR ADV	$2,538.27	$9,762.58	$5,857.55	2026-09-26	MRF ↗
ORCHARD HOSPITAL Outpatient	CIGNA-ALL PLANS	CIGNA-ALL PLANS	$5,734.00	$9,762.58	$5,857.55	2026-09-26	MRF ↗
ORCHARD HOSPITAL Outpatient	AETNA-ALL PLANS	AETNA-ALL PLANS	$6,833.81	$9,762.58	$5,857.55	2026-09-26	MRF ↗
ORCHARD HOSPITAL Outpatient	BLUE SHIELD-ALL PLANS	BLUE SHIELD-ALL PLANS	$7,644.10	$9,762.58	$5,857.55	2026-09-26	MRF ↗
ORCHARD HOSPITAL Outpatient	UHC-ALL PLANS	UHC-ALL PLANS	$9,030.39	$9,762.58	$5,857.55	2026-09-26	MRF ↗