00338114803 — Clinimix E 5/20
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Clinimix E 5/20 (NDC 00338114803) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00338114803?code_type=NDC
MLA (9th ed.)
“Clinimix E 5/20 (NDC 00338114803) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00338114803?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“Clinimix E 5/20 (NDC 00338114803) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00338114803?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $192–$1,206 (25th–75th percentile) across 27 hospitals · 179 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 00338114803 — 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 |
|---|---|---|---|---|---|---|---|
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | PRIME WEST | Medicare Advantage | $0.03 | $0.05 | $0.03 | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL BothFacility | HEALTH PARTNERS | PMAP | $0.03 | $0.05 | $0.03 | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | U CARE | Medicare Advantage | $0.03 | $0.05 | $0.03 | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | MEDICA CHOICE (Facility) | Medicare Advantage | $0.03 | $0.05 | $0.03 | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL BothFacility | BLUE CROSS | BLUE PLUS | $0.04 | $0.05 | $0.03 | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL BothFacility | BLUE CROSS | BLUE CROSS | $0.04 | $0.05 | $0.03 | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL BothFacility | UNITED HEALTHCARE | All Products | $0.04 | $0.05 | $0.03 | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL BothFacility | SANFORD HEALTH PLANS (Hospital) | SANFORD HEALTH PLANS (Hospital) | $0.05 | $0.05 | $0.03 | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | CIGNA HEALTH | GREAT WEST | $0.05 | $0.05 | $0.03 | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL BothFacility | MULTIPLAN | MRHC | $0.05 | $0.05 | $0.03 | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL BothFacility | HEALTH PARTNERS | HEALTH PARTNERS | $0.05 | $0.05 | $0.03 | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL BothFacility | HEALTH PARTNERS | HPI | $0.05 | $0.05 | $0.03 | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL BothFacility | America PPO Auto | AUTO | $0.05 | $0.05 | $0.03 | 2025-12-28 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Aetna | Managed Medicare | $0.06 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Aetna | Managed Medicare | $0.06 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Aetna | Managed Medicare | $0.06 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Centene | Signature | $0.10 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Centene | All Commercial Products | $0.10 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Centene | All Commercial Products | $0.10 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Centene | All Commercial Products | $0.10 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Centene | Signature | $0.10 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Centene | Signature | $0.10 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Devoted | Managed Medicare | $0.13 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Devoted | Managed Medicare | $0.13 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Devoted | Managed Medicare | $0.13 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Cigna | All Commercial Products | $0.16 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Cigna | All Commercial Products | $0.16 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Cigna | All Commercial Products | $0.16 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Blue Cross | Health Advantage | $0.18 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Blue Cross | All Commercial Products | $0.18 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Blue Cross | Health Advantage | $0.18 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Blue Cross | All Commercial Products | $0.18 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Blue Cross | Health Advantage | $0.18 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Blue Cross | All Commercial Products | $0.18 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Aetna | Enhanced | $0.24 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Aetna | Enhanced | $0.24 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Aetna | Enhanced | $0.24 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $3.24 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $4.25 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthypremier | $28.79 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthy | $28.79 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiouniv | $50.37 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Donor Connect | Other | $53.86 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Selecthealth | Medicaid | $60.75 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $60.75 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Donor Connect | Other | $63.18 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Value Individual Aca | $71.28 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Signature Individual Aca | $71.28 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Exchange | Hmo | $72.54 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Exchange | Ppo | $76.43 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Med Individual Aca | $80.46 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Medicaid | $81.00 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Health Plan Of Nevada | Medicaid | $81.00 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Preferred Ppo | $82.33 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Blue Access Ppo | $82.33 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Blue Trad | $84.20 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $85.86 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Selectcare | $91.12 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Selectshare | $92.34 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Fehbp | $92.34 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Commercial | $92.34 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Sm Individual Aca | $92.34 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Signature Individual Aca | $92.34 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Selectvalue | $92.34 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medbenemp | Ppo | $93.55 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare | Ppo | $93.55 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Hmo | $93.55 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare | Pos | $93.55 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Ppo | $93.55 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Pos | $93.55 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLPOINT (AMERIGROUP) | MANAGED MEDICAID | $96.32 | $172.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLMARK BLUE CROSS | MEDICARE ADV | $98.04 | $172.00 | — | 2025-06-04 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $101.36 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $101.36 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $101.36 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $101.36 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $101.36 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | UHC | ALL PRODUCTS | $101.36 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Medicare Advantage | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | GlobalHealth | Commercial | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Cigna | Commercial | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | CommunityCare | Commercial | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Preferred | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Blue LinCS | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Healthcare Highways | Commercial | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Humana | Medicare Advantage | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | CommunityCare | Medicare Advantage | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Native Blue | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Tricare | Standard | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Blue Advantage | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Medicare | Traditional | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Cigna | Medicare Advantage | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Traditional | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Ambetter | Commercial | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | UnitedHealthcare | VA Community Care | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | GlobalHealth | Medicare Advantage | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Wellcare | Commercial | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | HealthChoice | Commercial | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | UnitedHealthcare | Commercial | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Oklahoma Complete Health | Medicaid | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Choice | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Aetna | Medicare Advantage | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Humana Healthy Horizons | Medicaid | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Aetna | Commercial | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Aetna Better Health | Medicaid | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Medicaid | Traditional | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | UnitedHealthcare | Medicare Advantage | — | $274.89 | $164.93 | 2026-03-23 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | MOLINA | ALL PRODUCTS | $103.20 | $172.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | MOLINA | MEDICARE ADV | $103.20 | $172.00 | — | 2025-06-04 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Cigna Comm | Ppo | $105.07 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Assc Benefits Solution | Direct Agreement | $107.95 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Healthsmart Comm | Accel | $107.95 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Health Choice | Phcplus | $107.95 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | IMMUGRUN | ALL PRODUCTS | $108.36 | $172.00 | — | 2025-06-04 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Mmo Marketplace | Hmo | $110.82 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Mmo Comm | Hmo | $110.82 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Mmo Comm | Ppo | $110.82 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | BRIGHTON AMISH CHURCH | ALL PRODUCTS | $111.80 | $172.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | PLAIN CHURCH | ALL PRODUCTS | $111.80 | $172.00 | — | 2025-06-04 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Quality Care Partners | Ppo | $112.26 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | QUEST - NON-ABD | $113.92 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | QUEST - NON-ABD | $113.92 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Selectshare | $114.48 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Commercial | $114.48 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Chp | $114.48 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Fehbp | $114.48 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Intermountain Caregiver Plan | Share Network | $114.48 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Selectvalue | $114.48 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Intermountain Caregiver Plan | Med Network | $114.48 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | NON-ABD | $114.73 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | ABD | $114.73 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | NON-ABD | $114.73 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | ABD | $114.73 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Pos | $115.14 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Ppo | $115.14 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Hmo | $115.14 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Aso | $115.14 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - ADULT | $116.68 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - PEDIATRIC | $116.68 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - ADULT | $116.68 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - PEDIATRIC | $116.68 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | ABD | $118.38 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | NON-ABD | $118.38 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $118.38 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - NON-ABD | $118.38 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | ALOHACARE | MEDICAID | $118.38 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | OHANA | NON-ABD | $120.00 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | OHANA | ABD | $120.00 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | OHANA | QUEST - NON-ABD | $120.00 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | OHANA | QUEST - ABD | $120.00 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | ABSOLUTE SOLUTIONS | ALL PRODUCTS | $120.40 | $172.00 | — | 2025-06-04 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $121.63 | $405.42 | $243.25 | 2026-02-12 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | EBS NETWORK | ALL PRODUCTS | $129.00 | $172.00 | — | 2025-06-04 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Epos | $129.54 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Hmo | $129.54 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Ppo | $129.54 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Pos | $129.54 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Traditional | $129.54 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | MIDLANDS CHOICE | PREMIER | $131.58 | $172.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | MIDLANDS CHOICE | MEDICARE ADV | $131.58 | $172.00 | — | 2025-06-04 | MRF ↗ |
| Wyoming County Community Hospital Inpatient | Excellus Health | Medicaid Managed | — | $158.77 | $111.14 | 2026-07-17 | MRF ↗ |
| Wyoming County Community Hospital Inpatient | Molina Healthcare | Medicaid | — | $158.77 | $111.14 | 2026-07-17 | MRF ↗ |
| Wyoming County Community Hospital Inpatient | Amerigroup | Managed Medicaid | — | $158.77 | $111.14 | 2026-07-17 | MRF ↗ |
| Wyoming County Community Hospital Inpatient | Wellcare | Commercial | — | $158.77 | $111.14 | 2026-07-17 | MRF ↗ |
| Wyoming County Community Hospital Inpatient | Fidelis | Managed Medicaid | — | $158.77 | $111.14 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Selectcare | $136.62 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Multiplan Comm | Ppo | $136.73 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Healthsmart Comm | Ppo | $136.73 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Health Choice | Ppo | $136.73 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Healthsmart Comm | Hpo | $136.73 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | 6 DEGREE | ALL PRODUCTS | $137.60 | $172.00 | — | 2025-06-04 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Phcs | Ppo | $138.17 | $144.00 | $71.96 | 2026-07-15 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Emi | Commercial | $140.54 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Deseret Mutual | Select | $140.94 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Deseret Mutual | All Other | $140.94 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Ifit | Commercial | $141.75 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Franklin County | Commercial | $141.75 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Juniper Systems | Commercial | $141.75 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Campbell Scientific | Commercial | $141.75 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Lw Miller | Commercial | $141.75 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Emi | Commercial | $145.80 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Uhc | Charter | $145.80 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | MIDLANDS CHOICE | ALL PRODUCTS | $146.20 | $172.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | UNITED HEALTHCARE | ALL PRODUCTS | $146.20 | $172.00 | — | 2025-06-04 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Regence Bcbs | Valuecare Cardiac | $146.34 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Corporation Of The President | Workers Comp | $151.88 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Injury Care Of Nevada | Workers Comp | $151.88 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Wcf Insurance | Workers Comp | $151.88 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Corvel Corporation | Workers Comp | $151.88 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $153.25 | $172.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | HEALTH SMART | ALL PRODUCTS | $154.80 | $172.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER InpatientFacility | MIDLANDS CHOICE | ALL PRODUCTS | $154.80 | $172.00 | — | 2025-06-04 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Regence Bcbs | Blueoption | $154.91 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Deseret Mutual | All Other | $155.25 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Deseret Mutual | Select | $155.25 | $270.00 | $202.50 | 2026-11-02 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Awh Connected | Connected Utah | $157.55 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $0.32 | $0.26 | 2025-11-21 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Pehp | Advantage State | $162.00 | $202.50 | $151.88 | 2026-08-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.