885571 — Trace Element Neonatal
Cite this view
HANK Price Transparency. (n.d.). TRACE ELEMENT NEONATAL (CDM 885571) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/885571?code_type=CDM
“TRACE ELEMENT NEONATAL (CDM 885571) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/885571?code_type=CDM. Accessed .
“TRACE ELEMENT NEONATAL (CDM 885571) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/885571?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $86–$15,207 (25th–75th percentile) across 2 hospitals · 28 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 885571 — 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 |
|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRHMO | $49.65 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | MedCare Partners | MGMCR | $49.65 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Imperial Insurance | MCR | $49.65 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRPOS | $49.65 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRPPO | $49.65 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara Family Health Plan | Medicaid | $62.89 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | AWH | $71.17 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | HMO | $72.82 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | PPO | $72.82 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna | LocalPlus | $76.36 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Health Net | COMM | $78.12 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | CIGNA | HMO | $85.80 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna | PPO | $85.80 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | CIGNA | POS | $85.80 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | United | OptionsPPO | $92.68 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Canopy | COMM | $99.30 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | COMM | $100.72 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | EPN | $100.72 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara IPA MCR | MCR | $165.50 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara IPA COMM | COMM | $165.50 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Palo Alto Medical | COMM | $182.05 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Sutter Select | COMM | $198.60 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | NX Health Network | COMM | $198.60 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Networks by Design | COMM | $225.08 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Humana Choicecare | COMM | $231.70 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | First Health | COMM | $251.56 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Intercontinental Corporation | COMM | $264.80 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PPO Next | COMM | $264.80 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna BH | COMMBH | $264.80 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PPO Next | PPO | $264.80 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | HealthSmart | WCOMP | $264.80 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PHA Pacific Health Alliance | COMM | $264.80 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | First Health | WCOMP | $331.00 | $331.00 | $331.00 | 2024-10-01 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Regence Uniform | Commercial | $11,491.00 | $20,557.00 | $16,446.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Community Health Plan of Washington | Commercial | $16,446.00 | $20,557.00 | $16,446.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Ambetter | Cascade Care Select | $18,501.00 | $20,557.00 | $16,446.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Ambetter | Commercial | $19,529.00 | $20,557.00 | $16,446.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Cigna | Commercial | $20,023.00 | $20,557.00 | $16,446.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Premera | Commercial | $20,557.00 | $20,557.00 | $16,446.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Regence | Commercial | $20,557.00 | $20,557.00 | $16,446.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | HMA | Commercial | $20,557.00 | $20,557.00 | $16,446.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Lifewise | Commercial | $20,557.00 | $20,557.00 | $16,446.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | First Choice Network | Commercial | $20,557.00 | $20,557.00 | $16,446.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | GMR/Caldera Care | Commercial | $20,557.00 | $20,557.00 | $16,446.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Aetna | Commercial | $20,557.00 | $20,557.00 | $16,446.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | United Healthcare | Commercial | $20,557.00 | $20,557.00 | $16,446.00 | 2026-06-15 | MRF ↗ |