0426T — Insertion Or Replacement Of Neurostimulator System For Treatment Of Central Sleep Apnea; Stimulation Lead Only
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; STIMULATION LEAD ONLY (CPT 0426T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0426T?code_type=CPT
MLA (9th ed.)
“INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; STIMULATION LEAD ONLY (CPT 0426T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0426T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; STIMULATION LEAD ONLY (CPT 0426T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0426T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,647–$20,046 (25th–75th percentile) across 399 hospitals · 199 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 0426T — 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 |
|---|---|---|---|---|---|---|---|
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $182.71 | — | — | 2026-07-18 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $255.52 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $255.52 | — | — | 2026-04-01 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | CareSource | Medicaid | $257.50 | $34,896.00 | $5,234.40 | 2026-02-27 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Individual | $281.06 | — | — | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $317.71 | — | — | 2026-07-18 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Aetna | Aetna | $324.77 | — | — | 2026-08-30 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $333.38 | $34,896.00 | $5,234.40 | 2026-02-27 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $338.89 | — | — | 2026-07-18 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Medica | Commercial | $350.92 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Medica | Commercial | $350.92 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $350.92 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $350.92 | — | — | 2026-04-23 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $371.00 | — | — | 2025-06-26 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $371.00 | — | — | 2025-06-26 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $376.49 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $376.49 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $382.14 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $382.14 | — | — | 2026-04-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Humana | HMO/PPO | $384.42 | — | — | 2025-10-24 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of Surprise OutpatientFacility | Aetna | PPO/HMO/EPO | $388.54 | — | — | 2025-09-11 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Ppo | $395.96 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Hmo | $395.96 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Traditional | $395.96 | — | — | 2026-04-01 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Medicare Advantage PPO | $397.64 | — | — | 2026-04-15 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPAHLICPPO | $398.32 | — | — | 2025-01-31 | MRF ↗ |
| UCHEALTH GRANDVIEW HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $401.30 | — | — | 2025-11-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Exchange (MMG) | $404.11 | — | — | 2025-10-24 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $409.66 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage - Dhp | $409.66 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $409.66 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology UPW | Commercial | $420.08 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Commercial | $420.08 | — | — | 2025-08-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $420.58 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $420.58 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $429.63 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $429.63 | — | — | 2026-04-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $437.32 | — | — | 2026-08-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Select Health | Individual Colorado Option | $439.34 | — | — | 2025-11-01 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $439.34 | — | — | 2025-11-01 | MRF ↗ |
| UCHEALTH HIGHLANDS RANCH HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $443.14 | — | — | 2025-11-01 | MRF ↗ |
| UCHEALTH GRANDVIEW HOSPITAL OutpatientFacility | Select Health | Individual ACA | $445.04 | — | — | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $445.04 | — | — | 2025-11-01 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPAHLICPPO | $448.79 | — | — | 2025-01-31 | MRF ↗ |
| UCHEALTH GREELEY HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $454.55 | — | — | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | Select Health | Individual Colorado Option | $460.26 | — | — | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | Select Health | Individual Colorado Option | $460.26 | — | — | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Select Health | Individual Colorado Option | $465.97 | — | — | 2025-11-01 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | HUMANA | HUMANA | $469.16 | $32,248.00 | $4,837.20 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | HUMANA | HUMANA | $469.16 | $32,248.00 | $4,837.20 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | HUMANA | HUMANA | $469.16 | $32,248.00 | $4,837.20 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | HUMANA | HUMANA | $469.16 | $32,248.00 | $4,837.20 | 2025-01-17 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $483.69 | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectvalue | $483.69 | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $483.69 | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectshare | $483.69 | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectshare | $483.69 | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectvalue | $483.69 | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectvalue | $483.69 | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectshare | $483.69 | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectvalue | $483.69 | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectshare | $483.69 | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $483.69 | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $483.69 | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectvalue | $483.69 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectvalue | $483.69 | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectshare | $483.69 | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $483.69 | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectshare | $483.69 | — | — | 2026-07-31 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectvalue | $483.69 | — | — | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $483.69 | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectshare | $483.69 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Intermountain Caregiver Plan | Share Network | $483.69 | — | — | 2026-07-17 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $483.69 | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectshare | $483.69 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectvalue | $483.69 | — | — | 2026-07-17 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | Select Health | Individual ACA | $486.89 | — | — | 2025-11-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Select Health | Individual ACA | $486.89 | — | — | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL OutpatientFacility | Select Health | Individual ACA | $490.69 | — | — | 2025-11-01 | MRF ↗ |
| UCHEALTH HIGHLANDS RANCH HOSPITAL OutpatientFacility | Select Health | Individual ACA | $490.69 | — | — | 2025-11-01 | MRF ↗ |
| UCHEALTH GREELEY HOSPITAL OutpatientFacility | Select Health | Individual ACA | $498.30 | — | — | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | Select Health | Individual ACA | $509.71 | — | — | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | Select Health | Individual ACA | $509.71 | — | — | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Select Health | Individual ACA | $517.32 | — | — | 2025-11-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Commercial | $549.65 | — | — | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $549.65 | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $549.65 | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Commercial | $549.65 | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $549.65 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Commercial | $549.65 | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Commercial | $549.65 | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $549.65 | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $549.65 | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $549.65 | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Commercial | $549.65 | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Intermountain Caregiver Plan | Med Network | $549.65 | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | $549.65 | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | $549.65 | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $549.65 | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Commercial | $549.65 | — | — | 2026-07-15 | MRF ↗ |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER OutpatientFacility | Select Health | Individual Colorado Option | $562.96 | — | — | 2025-11-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Fehbp | $577.13 | — | — | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectcare | $577.13 | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectcare | $577.13 | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Fehbp | $577.13 | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectcare | $577.13 | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Fehbp | $577.13 | — | — | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Fehbp | $577.13 | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectcare | $577.13 | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectcare | $577.13 | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectcare | $577.13 | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectcare | $577.13 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Fehbp | $577.13 | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Fehbp | $577.13 | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Fehbp | $577.13 | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Fehbp | $577.13 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectcare | $577.13 | — | — | 2026-08-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Aetna Senior Health Plan | MCR | $579.00 | — | — | 2026-03-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Aetna Senior Health Plan | MCR | $579.00 | — | — | 2024-10-01 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Silver Bow County Employees | $624.14 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $624.14 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Ppo | $624.14 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $624.14 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Other | $624.14 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Group Health | $624.14 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $624.14 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Other | $624.14 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna - Commercial | $624.14 | — | — | 2026-07-15 | MRF ↗ |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER OutpatientFacility | Select Health | Individual ACA | $625.73 | — | — | 2025-11-01 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Commercial | $662.97 | — | — | 2026-07-15 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | HMO/PPO/POS/EPO (MMG) | $687.25 | — | — | 2025-10-24 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem Hmo | $692.93 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem Traditional | $692.93 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem Ppo | $692.93 | — | — | 2026-04-01 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Commercial | $706.92 | — | — | 2026-04-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $743.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $743.00 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Commercial (Granger) | $764.20 | — | — | 2026-09-21 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $777.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $777.00 | — | — | 2026-05-13 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Tenncare Select | $847.18 | — | — | 2026-07-15 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2026-03-12 | MRF ↗ |
| PINEWOOD SPRINGS Outpatient | Bright Health | HIX | $870.00 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2026-03-12 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Bright Health | HIX | $870.00 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2024-10-01 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2024-10-01 | MRF ↗ |
| Centennial Medical Transplant Center Outpatient | Bright Health | HIX | $870.00 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Bright Health | HIX | $870.00 | — | — | 2024-10-01 | 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.