90001255 — Stain Hema 3 1
Cite this view
HANK Price Transparency. (n.d.). STAIN HEMA 3 1 (CDM 90001255) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90001255?code_type=CDM
“STAIN HEMA 3 1 (CDM 90001255) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90001255?code_type=CDM. Accessed .
“STAIN HEMA 3 1 (CDM 90001255) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90001255?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $104–$3,061 (25th–75th percentile) across 4 hospitals · 18 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 90001255 — 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 |
|---|---|---|---|---|---|---|---|
| QUINCY VALLEY MEDICAL CENTER Outpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $65.10 | $122.87 | $122.87 | 2026-03-12 | MRF ↗ |
| FOREST HEALTH MEDICAL CENTER Both | — | — | — | $70.35 | — | 2026-02-26 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | COORDINATED CARE-ALL PLANS | COORDINATED CARE-ALL PLANS | $78.64 | $122.87 | $122.87 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | MOLINA MEDICARE-ALL PLANS | MOLINA MEDICARE-ALL PLANS | $78.64 | $122.87 | $122.87 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CASCADE-ALL PLANS | CASCADE-ALL PLANS | $79.87 | $122.87 | $122.87 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | HEALTH CARE AUTHORITY-ALL PLANS | HEALTH CARE AUTHORITY-ALL PLANS | $98.30 | $122.87 | $122.87 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA ACN | PREMERA ACN | $104.44 | $122.87 | $122.87 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $104.44 | $122.87 | $122.87 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA COMMERCIAL-ALL OTHER PLANS | PREMERA COMMERCIAL-ALL OTHER PLANS | $104.44 | $122.87 | $122.87 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $107.51 | $122.87 | $122.87 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $110.58 | $122.87 | $122.87 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $116.73 | $122.87 | $122.87 | 2026-03-12 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | Great-West Healthcare | HMO | $415.00 | $4,150.00 | $4,150.00 | 2025-11-06 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | The First Health Network | Commercial | $623.00 | $4,150.00 | $4,150.00 | 2025-11-06 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | United Healthcare of Texas | Commercial | $2,353.00 | $4,150.00 | $4,150.00 | 2025-11-06 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | BCBS | Medicare Advantage | $2,501.00 | $4,466.00 | $4,019.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | Humana | Medicare Advantage | $2,501.00 | $4,466.00 | $4,019.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | United Health Care | Medicare Advantage | $2,501.00 | $4,466.00 | $4,019.00 | 2025-05-12 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | Managed Care | PPO | $2,905.00 | $4,150.00 | $4,150.00 | 2025-11-06 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | Cigna | PPO | $3,113.00 | $4,150.00 | $4,150.00 | 2025-11-06 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | Aetna | Commercial | $3,528.00 | $4,150.00 | $4,150.00 | 2025-11-06 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | USA Managed Care Organization | PPO | $3,528.00 | $4,150.00 | $4,150.00 | 2025-11-06 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | Medica | Commercial | $4,064.00 | $4,466.00 | $4,019.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | Ambetter | Commercial | $4,153.00 | $4,466.00 | $4,019.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | BCBS | Commercial | $4,243.00 | $4,466.00 | $4,019.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | $4,466.00 | $4,466.00 | $4,019.00 | 2025-05-12 | MRF ↗ |