0571T — Insj/rplcmt Icds Ss Eltrd
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Insj/rplcmt icds ss eltrd (OTHER 0571T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0571T?code_type=OTHER
MLA (9th ed.)
“Insj/rplcmt icds ss eltrd (OTHER 0571T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0571T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Insj/rplcmt icds ss eltrd (OTHER 0571T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0571T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $26,103–$39,072 (25th–75th percentile) across 156 hospitals · 307 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0571T — 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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $16.61 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $226.71 | — | — | 2026-05-27 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $96,133.00 | $67,293.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $96,133.00 | $67,293.10 | 2026-05-08 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Ip Plans | — | — | $116,092.00 | $38,310.36 | 2026-05-13 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Ip Plans | — | — | $116,092.00 | $38,310.36 | 2026-05-09 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Op Plans | — | — | $116,092.00 | $38,310.36 | 2026-05-13 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Op Plans | — | — | $116,092.00 | $38,310.36 | 2026-05-09 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | All Sentara Comm. Plans | — | — | $116,092.00 | $38,310.36 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $453.04 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $453.04 | — | — | 2026-05-23 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Blue Access Small Group | $467.06 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $473.18 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $473.18 | — | — | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Cross | Epo Hmo | $483.55 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Hmo | $494.54 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $530.25 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $532.91 | — | — | 2026-05-09 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Indemnity Commercial | $537.28 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Cross | Ppo | $537.28 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Ppo/Epo | $549.49 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $609.14 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage - Dhp | $609.14 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $609.14 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $609.14 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $609.14 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $609.14 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $609.14 | — | — | 2026-05-23 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Hmo Professional | $632.15 | $1,331.00 | $439.23 | 2026-05-13 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Hmo Professional | $632.15 | $1,331.00 | $439.23 | 2026-05-09 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Hmo Professional | $632.15 | $1,331.00 | $439.23 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $635.73 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $635.73 | — | — | 2026-05-14 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Bcbs Of Tennessee | Tenncare Select | $648.00 | — | — | 2026-05-06 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $648.00 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $648.00 | — | — | 2026-05-23 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | United Healthcare | Commercial | $651.18 | — | — | 2026-05-27 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Ppo Professional | $665.42 | $1,331.00 | $439.23 | 2026-05-09 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Ppo Professional | $665.42 | $1,331.00 | $439.23 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Ppo Professional | $665.42 | $1,331.00 | $439.23 | 2026-05-13 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $680.57 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Premera | Medicare Advantage Hmo/Ppo | $680.57 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Signal Health | Medicare Advantage | $680.57 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Regence | Medicare Advantage | $702.59 | — | — | 2026-05-27 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Individual | $727.89 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Individual | $727.89 | — | — | 2026-05-14 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | $733.97 | — | — | 2026-05-09 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Commercial | $761.74 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Commercial | $761.74 | — | — | 2026-05-24 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Optum Care Network | Medicare Advantage | $785.54 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Humana | Choicecare Medicare Advantage | $785.54 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $785.54 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Kaiser Foundation | Hp Medicare | $785.54 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $785.54 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $785.84 | — | — | 2026-05-27 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $791.88 | — | — | 2026-05-23 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Commercial | $815.97 | — | — | 2026-05-27 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $848.26 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $848.26 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $852.80 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $869.60 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $869.60 | — | — | 2026-05-23 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Uhc | Commercial | $898.18 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $911.79 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $911.79 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $911.79 | — | — | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $929.50 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | The Empire Plan | $931.41 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | The Empire Plan | $931.41 | — | — | 2026-05-14 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Other | $935.13 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna - Commercial | $935.13 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Other | $935.13 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Group Health | $935.13 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Silver Bow County Employees | $935.13 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $935.13 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $935.13 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $935.13 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Ppo | $935.13 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $962.32 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $962.32 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Tenncare Select | $973.39 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Tenncare Select | $973.39 | — | — | 2026-05-24 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Ppo | $986.18 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Commercial (Granger) | $1,008.77 | — | — | 2026-05-13 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | $1,015.20 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | $1,015.20 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | United Healthcare | $1,015.20 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Geha | Geha | $1,015.20 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | $1,015.20 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | $1,015.20 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | $1,015.20 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $1,026.47 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $1,026.47 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $1,043.50 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $1,043.50 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $1,065.83 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $1,065.83 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $1,065.83 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $1,065.83 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $1,065.83 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $1,065.83 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $1,086.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $1,086.00 | — | — | 2026-05-13 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Regence | Uniform Medical Plan | $1,154.49 | — | — | 2026-05-27 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $1,187.82 | — | — | 2026-05-23 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Premera | Commercial | $1,366.22 | — | — | 2026-05-27 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Humana | Choice Care | $1,416.45 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Humana | Choice Care | $1,416.45 | — | — | 2026-05-14 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $1,454.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $1,454.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $1,454.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $1,454.00 | — | — | 2026-05-22 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $1,498.93 | — | — | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Regence | Commercial | $1,532.18 | — | — | 2026-05-27 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Choicecare Ppo | $1,533.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Hmo | $1,533.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Ppo | $1,533.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Hmo | $1,533.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Pos | $1,533.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Choicecare Ppo | $1,533.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Ppo | $1,533.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Pos | $1,533.00 | — | — | 2026-05-24 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch - Dhp | $1,540.76 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $1,549.28 | — | — | 2026-05-08 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Aetna | Ppo | $1,555.00 | — | — | 2026-05-17 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange | $1,610.50 | — | — | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Cigna | Commercial | $1,631.97 | — | — | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $1,667.37 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $1,715.81 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,737.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,737.00 | — | — | 2026-05-13 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo | $1,789.46 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $1,789.46 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $1,798.68 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,824.00 | — | — | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch - Dhp | $1,848.87 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $1,859.10 | — | — | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $1,887.00 | $96,133.00 | $67,293.10 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | Medicaid | $1,887.00 | $96,133.00 | $67,293.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | Medicaid | $1,887.00 | $96,133.00 | $67,293.10 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange | $1,932.56 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $2,000.81 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $2,058.93 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $2,147.31 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo | $2,147.31 | — | — | 2026-05-08 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectvalue | $2,232.47 | — | — | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $2,232.47 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectshare | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectvalue | $2,232.47 | — | — | 2026-05-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $2,232.47 | — | — | 2026-05-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectshare | $2,232.47 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectshare | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Selectshare | $2,232.47 | — | — | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectshare | $2,232.47 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectvalue | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectvalue | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $2,232.47 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Selectvalue | $2,232.47 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectvalue | $2,232.47 | — | — | 2026-05-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectshare | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectvalue | $2,232.47 | — | — | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectvalue | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectvalue | $2,232.47 | — | — | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectvalue | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $2,232.47 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectshare | $2,232.47 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectshare | $2,232.47 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $2,232.47 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectshare | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectshare | $2,232.47 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectvalue | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $2,232.47 | — | — | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectshare | $2,232.47 | — | — | 2026-05-22 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange - Dhpn | $2,289.95 | — | — | 2026-05-08 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Selectcare | $2,408.47 | — | — | 2026-05-09 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Essentials | $2,425.63 | — | — | 2026-05-17 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Blue Cross | Individual Exchange | $2,449.00 | — | — | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo - Dhpn | $2,517.87 | — | — | 2026-05-08 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Commercial | $2,536.90 | — | — | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $2,536.90 | — | — | 2026-05-14 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $2,536.90 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $2,536.90 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Commercial | $2,536.90 | — | — | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Commercial | $2,536.90 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $2,536.90 | — | — | 2026-05-09 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Commercial | $2,536.90 | — | — | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $2,536.90 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | $2,536.90 | — | — | 2026-05-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | $2,536.90 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | $2,536.90 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $2,536.90 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $2,536.90 | — | — | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $2,536.90 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | $2,536.90 | — | — | 2026-05-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Commercial | $2,536.90 | — | — | 2026-05-22 | 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.