Price Transparency 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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PX-48100111 — Hb Insert Icd Generator Only, Existing Dual Leads

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 $40,075

Usually $22,446–$108,934 (25th–75th percentile) across 6 hospitals · 34 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER PX-48100111 — 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
MERRICK MEDICAL CENTER Outpatient Ambetter All Plans $4,100.00 $26,137.00 $15,682.20 2026-05-06 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Molina Healthcare Of Mi Caid $12,031.16 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Medicaid Caid $12,031.16 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Medicaid Caid $12,180.79 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Molina Healthcare Of Mi Caid $12,180.79 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Medica Ppo $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Hlthcomp Admin Ppo $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Medicaid Hmo Caid $13,090.76 $55,582.75 $22,233.10 2026-05-09 MRF ↗
MERRICK MEDICAL CENTER Outpatient Medica Managed Care Contracted All Plans $15,682.20 $26,137.00 $15,682.20 2026-05-06 MRF ↗
MERRICK MEDICAL CENTER Outpatient Aetna Managed Care All Plans $16,962.91 $26,137.00 $15,682.20 2026-05-06 MRF ↗
GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient Uhc Medicare All Plans $17,218.70 $26,137.00 $15,682.20 2026-05-23 MRF ↗
GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient Medicare All Plans $17,218.70 $26,137.00 $15,682.20 2026-05-23 MRF ↗
MERRICK MEDICAL CENTER Outpatient Uhc Medicare All Plans $17,499.90 $26,137.00 $15,682.20 2026-05-06 MRF ↗
MERRICK MEDICAL CENTER Outpatient Medicare All Plans $17,499.90 $26,137.00 $15,682.20 2026-05-06 MRF ↗
MERRICK MEDICAL CENTER Outpatient Uhc Managed Care All Plans $17,511.79 $26,137.00 $15,682.20 2026-05-06 MRF ↗
GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient Midlands Choice All Plans $19,080.01 $26,137.00 $15,682.20 2026-05-23 MRF ↗
GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient Uhc Managed Care All Plans $19,602.75 $26,137.00 $15,682.20 2026-05-23 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Care Resources Ppo $20,201.57 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Care Resources Ppo $20,452.82 $55,582.75 $22,233.10 2026-05-09 MRF ↗
GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient Medica Managed Care Contracted All Plans $20,909.60 $26,137.00 $15,682.20 2026-05-23 MRF ↗
GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient Aetna Managed Care All Plans $22,216.45 $26,137.00 $15,682.20 2026-05-23 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Medicare Plus Blue Hmo $22,446.19 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Insight Metro Care Commercial $22,446.19 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Humana Medicare Advantage Hmo $22,446.19 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Medicare Part A&B $22,446.19 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Molina Marketplace Commercial Ppo $22,446.19 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Aetna Medicare Advantage Hmo $22,446.19 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Molina Marketplace Commercial Ppo $22,725.36 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Humana Medicare Advantage Hmo $22,725.36 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Medicare Plus Blue Hmo $22,725.36 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Medicare Part A&B $22,725.36 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Insight Metro Care Commercial $22,725.36 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Priority Health Hmo $24,400.83 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Priority Health Ppo $24,423.06 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Web Tpa Ppo $24,423.06 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Cigna Ppo $24,567.58 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Bcbs Ppo $32,614.98 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Hap Ppo $37,240.44 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Asr Physicians Ppo $37,240.44 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Aetna Medicare Advantage Hmo $37,240.44 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Asr Ppo $37,240.44 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Aetna Ppo $37,240.44 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Alliance Health & Life Ppo Ppo $37,240.44 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Aetna Ppo $37,907.44 $55,582.75 $22,233.10 2026-05-08 MRF ↗
MERRICK MEDICAL CENTER Outpatient Midlands Choice All Plans $39,205.50 $26,137.00 $15,682.20 2026-05-06 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Student Ins/Mega Life Ppo $40,075.16 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Medica Ppo $40,075.16 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient United Healthcare Ppo $40,075.16 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient United Healthcare Commercial $40,075.16 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Umr Ppo $40,075.16 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Golden Rule Ins Ppo $40,075.16 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Humana Ppo $41,687.06 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Humana Ppo $41,687.06 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Cofinity Commercial Ppo $46,411.60 $55,582.75 $22,233.10 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Cofinity Weyco Ppo $46,411.60 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Asr Cofinity Ppo $46,411.60 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Cofinity Commercial Ppo $46,411.60 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Health Partners Ppo $46,411.60 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Epoch Group Ppo $46,411.60 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Mid America Ppo $46,411.60 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Core Source Ppo $46,411.60 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Hlthcomp Admin Ppo $46,411.60 $55,582.75 $22,233.10 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient Priority Health Ppo $55,846.86 $55,582.75 $22,233.10 2026-05-08 MRF ↗
SANTA CLARA VALLEY MEDICAL CENTER Outpatient Blue Shield Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-09 MRF ↗
St. Louise Regional Hospital Outpatient Valley Health Plan Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-13 MRF ↗
St. Louise Regional Hospital Outpatient Santa Clara Family Health Plan Medi-Cal $108,934.00 $108,934.00 $76,253.80 2026-05-13 MRF ↗
St. Louise Regional Hospital Outpatient Phcs-Multiplan Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-13 MRF ↗
St. Louise Regional Hospital Outpatient Aetna Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-13 MRF ↗
O'connor Hospital Outpatient Blue Shield Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-13 MRF ↗
O'connor Hospital Outpatient United Healthcare Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-13 MRF ↗
O'connor Hospital Outpatient Cigna Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-13 MRF ↗
O'connor Hospital Outpatient Aetna Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-13 MRF ↗
O'connor Hospital Outpatient Phcs-Multiplan Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-13 MRF ↗
O'connor Hospital Outpatient Santa Clara Family Health Plan Medi-Cal $108,934.00 $108,934.00 $76,253.80 2026-05-13 MRF ↗
O'connor Hospital Outpatient Valley Health Plan Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-13 MRF ↗
O'connor Hospital Outpatient Blue Shield Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-23 MRF ↗
O'connor Hospital Outpatient United Healthcare Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-23 MRF ↗
O'connor Hospital Outpatient Cigna Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-23 MRF ↗
O'connor Hospital Outpatient Aetna Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-23 MRF ↗
O'connor Hospital Outpatient Phcs-Multiplan Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-23 MRF ↗
O'connor Hospital Outpatient Santa Clara Family Health Plan Medi-Cal $108,934.00 $108,934.00 $76,253.80 2026-05-23 MRF ↗
O'connor Hospital Outpatient Valley Health Plan Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-23 MRF ↗
St. Louise Regional Hospital Outpatient Cigna Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-13 MRF ↗
SANTA CLARA VALLEY MEDICAL CENTER Outpatient Valley Health Plan Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-09 MRF ↗
St. Louise Regional Hospital Outpatient United Healthcare Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-13 MRF ↗
SANTA CLARA VALLEY MEDICAL CENTER Outpatient Aetna Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-09 MRF ↗
St. Louise Regional Hospital Outpatient Blue Shield Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-13 MRF ↗
SANTA CLARA VALLEY MEDICAL CENTER Outpatient Cigna Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-09 MRF ↗
SANTA CLARA VALLEY MEDICAL CENTER Outpatient United Healthcare Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-09 MRF ↗
SANTA CLARA VALLEY MEDICAL CENTER Outpatient Phcs-Multiplan Commercial (Hmo/Ppo) $108,934.00 $76,253.80 2026-05-09 MRF ↗
SANTA CLARA VALLEY MEDICAL CENTER Outpatient Santa Clara Family Health Plan Medi-Cal $108,934.00 $108,934.00 $76,253.80 2026-05-09 MRF ↗