90000129 — Puracol W/silver
Cite this view
HANK Price Transparency. (n.d.). PURACOL W/SILVER (CDM 90000129) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90000129?code_type=CDM
“PURACOL W/SILVER (CDM 90000129) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90000129?code_type=CDM. Accessed .
“PURACOL W/SILVER (CDM 90000129) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90000129?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7–$2,365 (25th–75th percentile) across 4 hospitals · 27 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 90000129 — 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 |
|---|---|---|---|---|---|---|---|
| PAWHUSKA HOSPITAL, INC Outpatient | BCBS SELECT MCR ADV | BCBS SELECT MCR ADV | $5.32 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | UHC VA CCN | UHC VA CCN | $5.91 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | UHC MCR ADV | UHC MCR ADV | $5.91 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | BCBS MCR ADV | BCBS MCR ADV | $5.91 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | AETNA MCR ADV | AETNA MCR ADV | $5.91 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $5.91 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $5.91 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $5.97 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | HEALTHCARE HIGHWAYS - ALL PLANS | HEALTHCARE HIGHWAYS - ALL PLANS | $6.62 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $6.93 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | UHC COMM - ALL OTHER PLANS | UHC COMM - ALL OTHER PLANS | $7.34 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $7.64 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $8.66 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | AMBETTER - ALL PLANS | AMBETTER - ALL PLANS | $8.87 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | FIRST HEALTH (AETNA) | FIRST HEALTH (AETNA) | $9.17 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| PAWHUSKA HOSPITAL, INC Outpatient | PREFERRED COMMCHOICE IP/OP ONLY - ALL PLANS | PREFERRED COMMCHOICE IP/OP ONLY - ALL PLANS | $9.17 | $10.19 | $5.91 | 2026-01-19 | MRF ↗ |
| FOREST HEALTH MEDICAL CENTER Both | None | — | — | $26.28 | — | 2026-02-26 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $40.19 | $75.85 | $75.85 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | MOLINA MEDICARE-ALL PLANS | MOLINA MEDICARE-ALL PLANS | $48.54 | $75.85 | $75.85 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | COORDINATED CARE-ALL PLANS | COORDINATED CARE-ALL PLANS | $48.54 | $75.85 | $75.85 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CASCADE-ALL PLANS | CASCADE-ALL PLANS | $49.30 | $75.85 | $75.85 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | HEALTH CARE AUTHORITY-ALL PLANS | HEALTH CARE AUTHORITY-ALL PLANS | $60.68 | $75.85 | $75.85 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $64.47 | $75.85 | $75.85 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA ACN | PREMERA ACN | $64.47 | $75.85 | $75.85 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA COMMERCIAL-ALL OTHER PLANS | PREMERA COMMERCIAL-ALL OTHER PLANS | $64.47 | $75.85 | $75.85 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $66.37 | $75.85 | $75.85 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $68.27 | $75.85 | $75.85 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $72.06 | $75.85 | $75.85 | 2026-03-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Team Choice | University Medical Center Employee Health Plan | $1,820.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Aetna | PPO | $1,965.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Department of Assistive and Rehabilitative Services | Commercial | $2,001.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Team Choice | Physician Network Services Employee Health Plan | $2,365.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Cigna | Commercial | $2,365.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Great West Healthcare | PPO | $2,547.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Aetna | Medicare Advantage | $2,547.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | CapStar | Commercial | $2,547.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Team Choice | Resident Plan - Lubbock | $2,547.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Team Choice | TeamChoice Advantage | $2,547.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | HealthSmart | PPO | $2,547.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Humana | PPO | $2,729.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Prime Health Services | Commercial | $2,729.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Team Choice | TeamChoice Platinum | $2,911.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Blue Cross Blue Shield | HMO | $2,984.00 | $3,639.00 | $1,456.00 | 2025-02-12 | MRF ↗ |