Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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90000189 — Dm Loci Ntp Flex

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

Typical negotiated price $4,855

Usually $4,855–$4,855 (25th–75th percentile) across 1 hospital · 7 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT 90000189 — 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
BIG SOUTH FORK MEDICAL CENTER Both Amerigroup Medicaid $4,855.00 $4,855.00 $1,456.50 2026-05-06 MRF ↗
BIG SOUTH FORK MEDICAL CENTER Both Amerigroup $4,855.00 $4,855.00 $1,456.50 2026-05-06 MRF ↗
BIG SOUTH FORK MEDICAL CENTER Both Aetna Ppo $4,855.00 $4,855.00 $1,456.50 2026-05-06 MRF ↗
BIG SOUTH FORK MEDICAL CENTER Both Bcbs $4,855.00 $4,855.00 $1,456.50 2026-05-06 MRF ↗
BIG SOUTH FORK MEDICAL CENTER Both Celtic $4,855.00 $4,855.00 $1,456.50 2026-05-06 MRF ↗
BIG SOUTH FORK MEDICAL CENTER Both Cignahealthsprings $4,855.00 $4,855.00 $1,456.50 2026-05-06 MRF ↗
BIG SOUTH FORK MEDICAL CENTER Both Farmbureau $4,855.00 $4,855.00 $1,456.50 2026-05-06 MRF ↗
BIG SOUTH FORK MEDICAL CENTER Both Uhctenncare $4,855.00 $4,855.00 $1,456.50 2026-05-06 MRF ↗
BIG SOUTH FORK MEDICAL CENTER Both Uhcveterans $4,855.00 $4,855.00 $1,456.50 2026-05-06 MRF ↗