0684 — Trauma Response - Level IV Trauma
Cite this view
HANK Price Transparency. (n.d.). Trauma Response - Level IV Trauma (OTHER 0684) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0684?code_type=OTHER
“Trauma Response - Level IV Trauma (OTHER 0684) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0684?code_type=OTHER. Accessed .
“Trauma Response - Level IV Trauma (OTHER 0684) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0684?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $85–$3,256 (25th–75th percentile) across 25 hospitals · 32 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0684 — 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 |
|---|---|---|---|---|---|---|---|
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Surefit | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Co Public Option | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Connect Exchange | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Self Funded | Kaiser Self Funded | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Choicecare Humana | Choicecare Humana Ppo | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Self Funded | Kaiser Self Funded | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Choicecare Humana | Choicecare Humana Ppo | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Co Public Option | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Connect Exchange | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Surefit | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Self Funded | Kaiser Self Funded | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Choicecare Humana | Choicecare Humana Ppo | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Co Public Option | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Connect Exchange | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Surefit | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Ppo | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | — | — | — | 2026-05-22 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Bcbs | Commercial | — | — | — | 2026-05-09 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Bcbs | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| UofL Health - South Hospital Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Medical Center Northeast Outpatient | Uhc | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Uhc | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| UofL Health - Medical Center Southwest Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | United Healthcare | Commercial Hmo | — | — | — | 2026-05-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | United Healthcare | Commercial Hmo | — | — | — | 2026-05-22 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial Hmo | — | — | — | 2026-05-13 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | United Healthcare | Commercial Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial Hmo | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-17 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | — | — | — | 2026-05-09 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | United Healthcare | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | United | Nys Employee Plan | — | — | — | 2026-05-08 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Exchange | $456.00 | — | — | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Traditional/Ppo | $480.00 | — | — | 2026-05-15 | MRF ↗ |
| PIONEER MEMORIAL HOSPITAL (HEPPNER) | Payer Negotiated Charge: Medicare A Or Jf (Plan: All) | — | $847.62 | $985.60 | — | 2026-06-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Cdphp | Medicare Advantage | $1,146.38 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $1,146.38 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Emblem | Medicare Advantage | $1,146.38 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Mvp | Medicare Advantage | $1,146.38 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Health Partners | Medicare Advantage | $1,146.38 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Tricare | Medicare Advantage | $1,146.38 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $1,146.38 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Geisinger | Medicare Advantage | $1,162.93 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Humana | Medicare Advantage | $1,186.50 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Upmc | Medicare Advantage | $1,203.69 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Medicare Advantage | $1,261.01 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $1,261.01 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $1,261.01 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Emblem | Medicare Advantage | $1,267.07 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $1,267.07 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Geisinger | Managed Medicaid | — | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Health Partners | Managed Medicaid | — | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Mvp | Medicare Advantage | $1,267.07 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $1,267.07 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Amerihealth | Managed Medicaid | — | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Cdphp | Medicare Advantage | $1,267.07 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Tricare | Medicare Advantage | $1,267.07 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Health Partners | Medicare Advantage | $1,267.07 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Geisinger | Medicare Advantage | $1,285.37 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| MOUNTAINVIEW MEDICAL CENTER | Payer Negotiated Charge: Blue Cross Blue Shield Of Mt (Plan: All) | — | $1,301.80 | $2,123.00 | $2,123.00 | 2026-05-22 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Humana | Medicare Advantage | $1,311.41 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Upmc | Medicare Advantage | $1,330.42 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Highmark Wholecare Medicare Advantage | $1,337.44 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Icircle | Medicare Advantage | $1,337.44 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $1,337.44 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $1,393.77 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $1,393.77 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Medicare Advantage | $1,393.77 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Icircle | Medicare Advantage | $1,478.24 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Highmark Wholecare Medicare Advantage | $1,478.24 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $1,478.24 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Pa Health And Wellness | — | $1,936.10 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Pa Health And Wellness | — | $2,139.93 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Wellcare | Fidelis Medicare Advantage | $2,165.38 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Indemnity | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Eighth Dist Elect Ben Pln | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Ppo | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Pos/Qpos | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Health-Partners | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Eighth Dist Elect Ben Pln | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Health-Partners | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Hmo | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Local Plus | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Local Plus | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Ppo | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Eighth Dist Elect Ben Pln | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Indemnity | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Pos/Qpos | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Local Plus | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Other | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Other | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Pos/Qpos | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Health-Partners | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Indemnity | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Other | — | — | — | 2026-05-18 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Wellcare | Fidelis Medicare Advantage | $2,393.35 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-22 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Meshoppen | — | $3,088.84 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Bcbs | Managed Medicaid | $3,184.38 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Core | — | $3,184.38 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Upmc | — | $3,327.67 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Geisinger | — | $3,372.89 | $6,368.75 | $5,095.00 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Meshoppen | — | $3,414.04 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Core | — | $3,519.63 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Bcbs | Managed Medicaid | $3,519.63 | $7,039.25 | $5,631.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Bcbs | Highmark Ppo | $3,584.33 | $6,368.75 | $5,095.00 | 2026-05-08 | 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.