120051 (CDM) by hospital — Price Transparency

CDM · across hospitals

120051 — Tc99m Disofenin Per Vial To 15

Hospital-by-hospital median negotiated rates. Hospitals are ranked by their typical (median) negotiated rate (highest first by default; click a column to re-sort). Outliers are flagged where a hospital's median is more than 2× or less than 0.5× the cohort median (red = high, green = low).

$82 National median

$120 Cohort median

6 hospitals

4 states (national)

View state-by-state → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $20.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Outliers ↑ 1 high ↓ 3 low out of 6 hospitals

Median negotiated rate, by hospital

Ranked by typical (median) negotiated price. Red = high outlier, green = low outlier, slate = in-range. Hover for IQR.

Median negotiated rate by hospital for 120051 (CDM)
Hospital	State	Median	p25	p75	Outlier flag
BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC	NE	$9,120	$9,024	$9,216	high
THREE RIVERS HEALTH	MI	$120	$93	$131	in range
ASCENSION BORGESS ALLEGAN HOSPITAL	MI	$120	$93	$131	in range
RIVERSIDE COMMUNITY HOSPITAL	CA	$8	$4	$12	low
Riverside Community Hospital	CA	$4	$3	$4	low
Davie Medical Center	NC	$1	$1	$1	low

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Hospital	State	City	Median	p25	p75	Min	Max	Cash $	Payers	Rates	Outlier

BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC ⚠ 12mo	NE	Beatrice	$9,120	$9,024	$9,216	$2,553	$9,216	$9,600	8	9	↑ 75.8× high
THREE RIVERS HEALTH	MI	Three Rivers	$120	$93	$131	$43	$154	$76	22	66	in range
ASCENSION BORGESS ALLEGAN HOSPITAL	MI	Allegan	$120	$93	$131	$43	$154	$76	22	33	in range
RIVERSIDE COMMUNITY HOSPITAL	CA	Riverside	$8	$4	$12	$2	$25	$18	18	29	↓ 0.07× low
Riverside Community Hospital	CA	Riverside	$4	$3	$4	$3	$4	$20	2	2	↓ 0.03× low
Davie Medical Center	NC	Bermuda Run	<$1	<$1	<$1	<$1	$1	<$1	26	47	↓ 0.01× low