730010 — Template Bndg L155mm F/4
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TEMPLATE BNDG L155MM F/4 (CDM 730010) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/730010?code_type=CDM
MLA (9th ed.)
“TEMPLATE BNDG L155MM F/4 (CDM 730010) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/730010?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“TEMPLATE BNDG L155MM F/4 (CDM 730010) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/730010?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $120–$404 (25th–75th percentile) across 3 hospitals · 51 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 730010 — 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 |
|---|---|---|---|---|---|---|---|
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | CHIP | $29.47 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARPLUS | $29.47 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARKids | $29.47 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | MCDSTAR | $29.47 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARHealth | $29.47 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Cigna | IFP | $56.84 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Aetna | QHPHIX | $56.84 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Cigna | QHP | $58.94 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | United | OptionsPPO | $74.94 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Imperial Insurance Company | MCR | $79.99 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Aetna | NewBusiness | $83.78 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior | HMO | $84.20 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior | EPO | $84.20 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior | ValueHMO | $84.20 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Oscar | HIX | $87.57 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Aetna | Meritain | $89.67 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Aetna | COMM | $89.67 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Healthcare Highways | NarrowNetwork | $103.14 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | BCBS | MyBlueHealth | $103.99 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | BCBS | BlueAdvantageHMO | $103.99 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Molina Healthcare | HIX | $105.25 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Aetna | OON | $105.67 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Evry Health | COMM | $108.62 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Cigna | LocalPlus | $111.14 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Cigna | NewBusiness | $111.14 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | MedCare Partners | MGMCR | $119.70 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRPPO | $119.70 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRPOS | $119.70 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRHMO | $119.70 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Imperial Insurance | MCR | $119.70 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | BCBS | BluePremier | $122.93 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Cigna | OpenAccessPlus | $124.19 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Cigna | NetworkBenefit | $124.19 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Cigna | HMO | $124.19 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Humana | COMM | $130.47 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | BCBS | BlueEssentials | $134.30 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | BCBS | BlueEssentialsAccess | $134.30 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | BCBS | EPOSOA | $141.03 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Healthcare Highways | CityofPlano | $142.30 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | BCBS | PPO | $147.35 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Unicare | CHIP | $147.35 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara Family Health Plan | Medicaid | $151.62 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Cigna | AllOther | $157.03 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Bright Health | COMM | $160.40 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Curative Administrators | COMM | $168.40 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | AWH | $171.57 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | PPO | $175.56 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | HMO | $175.56 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna | LocalPlus | $184.10 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | BCBS | Traditional | $186.92 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Health Net | COMM | $188.33 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | City of McKinney | COMM | $189.45 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | CIGNA | POS | $206.84 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna | PPO | $206.84 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | CIGNA | HMO | $206.84 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | National ChoiceCare | WCOMP | $210.50 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Aetna | ASA | $221.87 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | United | OptionsPPO | $223.44 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Physicians Coop of TX | MGMCR | $231.55 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Aetna | WCOMP | $231.55 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | PC Texas Partners | WCOMP | $231.55 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Rockport Health Group | WORKERSCOMP | $231.55 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Canopy | COMM | $239.40 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | COMM | $242.83 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | EPN | $242.83 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Averde Health, Inc | PPO | $244.18 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Coastal Comp Health Networks | WCOMP | $294.70 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Mega Life | MGMCRPPO | $294.70 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Multiplan PHCS | PrimaryNetwork | $294.70 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | HealthSmart Preferred Care | PPO | $298.91 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Aetna Coventry First Health | COMM | $307.33 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $315.75 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Molina Healthcare | HIX | $315.75 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | USA Managed Care | COMM | $336.80 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | USC Health Services | COMM | $336.80 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Galaxy Health Network | PPO | $357.85 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara IPA COMM | COMM | $399.00 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara IPA MCR | MCR | $399.00 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Unicare | MCD | $421.00 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | National Healthcare Solutions | COMM | $421.00 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Independent Medical Systems | COMM | $421.00 | $421.00 | $421.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Palo Alto Medical | COMM | $438.90 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | NX Health Network | COMM | $478.80 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Sutter Select | COMM | $478.80 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | MultiPlan | Primary | $518.70 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Networks by Design | COMM | $542.64 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Humana Choicecare | COMM | $558.60 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | First Health | COMM | $606.48 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PPO Next | COMM | $638.40 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | HealthSmart | WCOMP | $638.40 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna BH | COMMBH | $638.40 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PPO Next | PPO | $638.40 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Intercontinental Corporation | COMM | $638.40 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PHA Pacific Health Alliance | COMM | $638.40 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | HealthSmart | COMM | $678.30 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | First Health | WCOMP | $798.00 | $798.00 | $798.00 | 2024-10-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Inpatient | CASCADE-ALL PLANS | CASCADE-ALL PLANS | $1,326.10 | $2,040.15 | $2,040.15 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Inpatient | PREMERA ACN | PREMERA ACN | $1,632.12 | $2,040.15 | $2,040.15 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Inpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $1,734.13 | $2,040.15 | $2,040.15 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Inpatient | PREMERA COMMERCIAL-ALL OTHER PLANS | PREMERA COMMERCIAL-ALL OTHER PLANS | $1,734.13 | $2,040.15 | $2,040.15 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Inpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $1,785.13 | $2,040.15 | $2,040.15 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Inpatient | UHC-ALL PLANS | UHC-ALL PLANS | $1,836.14 | $2,040.15 | $2,040.15 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Inpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $1,938.14 | $2,040.15 | $2,040.15 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Inpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $5,876.65 | $2,040.15 | $2,040.15 | 2026-03-12 | MRF ↗ |