900089 — Or C 121-135
Cite this view
HANK Price Transparency. (n.d.). Or C 121-135 (CDM 900089) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/900089?code_type=CDM
“Or C 121-135 (CDM 900089) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/900089?code_type=CDM. Accessed .
“Or C 121-135 (CDM 900089) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/900089?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,952–$6,994 (25th–75th percentile) across 1 hospital · 4 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 900089 — 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 |
|---|---|---|---|---|---|---|---|
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | United Healthcare | Medicare Advantage | $3,571.00 | $7,440.00 | $7,440.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Midlands Choice | Commercial | $5,952.00 | $7,440.00 | $7,440.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | United Healthcare | Commercial | $6,994.00 | $7,440.00 | $7,440.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Medica | Commercial | $6,994.00 | $7,440.00 | $7,440.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Commercial | $7,068.00 | $7,440.00 | $7,440.00 | 2026-06-09 | MRF ↗ |