103639 — System 26mm Tavr Certitude Del Ivery Sapien 3 Ultra Valve
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SYSTEM 26MM TAVR CERTITUDE DEL IVERY SAPIEN 3 ULTRA VALVE (CDM 103639) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/103639?code_type=CDM
MLA (9th ed.)
“SYSTEM 26MM TAVR CERTITUDE DEL IVERY SAPIEN 3 ULTRA VALVE (CDM 103639) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/103639?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SYSTEM 26MM TAVR CERTITUDE DEL IVERY SAPIEN 3 ULTRA VALVE (CDM 103639) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/103639?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $312–$4,284 (25th–75th percentile) across 7 hospitals · 88 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 103639 — 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 |
|---|---|---|---|---|---|---|---|
| Davie Medical Center OutpatientFacility | Aetna North Carolina Preferred | Behavioral Health | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna | Behavioral Health | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicaid Managed Care | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Vaya | Medicaid Tailored Plan | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare/Optum Behavioral Health | Behavioral Health | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Optum Transplant | Transplant Services | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna LifeSource | Transplant Services | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Health Blue | Medicaid Managed Care | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | HealthTeam | Medicare Advantage | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Behavioral Health | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Medicare Advantage | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna Whole Health | Behavioral Health | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alignment Medicare | Medicare Advantage | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Apex | Medicare Advantage | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Devoted | Medicare Advantage | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Behavioral Health | Behavioral Health | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Trillium | Medicaid Tailored Plan | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Partners | Medicaid Tailored Plan | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicaid Managed Care | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Ambetter | Managed Care | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | IEX Individual Managed Care | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Liberty | Medicare Advantage | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Evernorth | Behavioral Health | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HMO/PPO | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Distinctions Transplant Services | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HPN | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Value | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Local Individual | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alliance | Medicaid Tailored Plan | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Transplant Services | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Medicare Advantage | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Magellan | Behavioral Health | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Managed Care | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Medicaid Managed Care | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Complete | Medicaid Managed Care | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Transplant Services | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Medicare Advantage | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Pediatrics) | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Adult) | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Managed Care | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Private Healthcare Systems | Managed Care | $1.00 | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | First Health (Aetna) | Managed Care | $1.04 | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Multiplan | Managed Care | $1.10 | $1.22 | $0.61 | 2025-10-21 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $65.46 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | STARKids | $65.46 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $65.46 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $65.46 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $65.46 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Community Health Choice MCD | STAR | $141.83 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Community Health Choice MCD | STAR+PLUS | $141.83 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Community Health Choice MCD | CHIP | $141.83 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Community Health Choice MCD | CHIPPerinatal | $141.83 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Cigna | CSN | $161.47 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Cigna | OpenAccessPlus | $174.56 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $177.83 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | United | OptionsPPO | $183.29 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior | HMO | $190.93 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior | EPO | $190.93 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | BAV | $196.38 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Cigna | PPO | $207.29 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Oscar | HIX | $212.75 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior | ValueHMO | $216.02 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | HMO | $245.47 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | EPOSOA | $250.93 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | PPO | $255.29 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Healthcare Highways | NarrowNetwork | $278.20 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | QHPExchange | $289.12 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Molina Healthcare | HIX | $294.57 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Evry Health | BroadNetwork | $297.84 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Texas Athletic Network | Premier | $300.00 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | CHPFC | $324.99 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | STARKids | $324.99 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | STAR | $324.99 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | CHIP | $324.99 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | STARPLUS | $324.99 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Humana | PPO | $348.14 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Humana | HMO | $348.14 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | NBPOS | $350.21 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | NBHMO | $350.21 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | NBPPO | $350.21 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | MCR | $359.11 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | COMMPOS | $373.12 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | COMMPPO | $373.12 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | COMMHMO | $373.12 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | Traditional | $381.85 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Christus (USFHP) | TRICARE | $436.40 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Curative Administrators | COMM | $436.40 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | OONPOS | $437.49 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | OONPPO | $437.49 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | OONHMO | $437.49 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | ASAPPO | $472.40 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | ASAHMO | $472.40 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | ASAPOS | $472.40 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | United | GlobalAppendix | $490.95 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Coventry National First Health | COMM | $581.50 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | ELAP | COMM | $615.23 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Community Health Choice MCD | CHIP | $704.14 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Community Health Choice MCD | CHIPPerinatal | $704.14 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Community Health Choice MCD | STAR+PLUS | $704.14 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Community Health Choice MCD | STAR | $704.14 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | IFPLP | $732.06 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Public Employees | SummitExclusive | $791.82 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Cigna | CSN | $801.64 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | OAPNBN | $827.68 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Bright Health | HIX | $836.64 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Cigna | OpenAccessPlus | $866.64 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | FED | $872.80 | $1,091.00 | $1,091.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | BCBS | MyBlueHealth | $882.89 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Texas Childrens Health Plans | CHIP | $899.14 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina | HIX | $908.35 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | United | OptionsPPO | $909.97 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | CHPFC | $938.10 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | CHIP | $938.10 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $938.10 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | STARKids | $938.10 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | STAR | $938.10 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior | EPO | $947.89 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior | HMO | $947.89 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | University of Utah | HIXIndividual | $950.18 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | Exclusive | $950.18 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | BCBS | BAV | $974.97 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Public Employees | Summit | $1,015.92 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Cigna | PPO | $1,029.13 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Oscar | HIX | $1,056.22 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | FocalPointPlus | $1,058.35 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior | ValueHMO | $1,072.47 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | University of Utah | HealthyPreferred | $1,093.61 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | University of Utah | HealthyPremierSSG | $1,093.61 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | DMBA (Deseret Mutual Benefit Admin) | PPO | $1,095.40 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Aetna | PeakPreference | $1,105.56 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | PPO | $1,175.78 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | RealValue | $1,175.78 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | Preferred | $1,175.78 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | Participating | $1,175.78 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | Individual | $1,175.78 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | FocalPoint | $1,175.78 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | Traditional | $1,175.78 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | University of Utah | HealthyPremier | $1,192.21 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna UT Overstock | COMM | $1,195.20 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | BCBS | HMO | $1,218.71 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | BCBS | EPOSOA | $1,245.80 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | NBNPPO | $1,260.94 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | BCBS | PPO | $1,267.46 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Texas Childrens Health Plans | STARKIDS | $1,283.71 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Texas Childrens Health Plans | STAR | $1,283.71 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Imagine Health Wise | PPO | $1,324.28 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | MotivHealth | WasatchPlus | $1,374.48 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | MotivHealth | MotivNet | $1,374.48 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | MotivHealth | TPARental | $1,374.48 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | MotivHealth | MotivSelect | $1,374.48 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | MotivHealth | Wasatch | $1,374.48 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Healthcare Highways | NarrowNetwork | $1,381.21 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | QHPExchange | $1,435.37 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Molina Healthcare | HIX | $1,462.45 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Aetna | StandardNetwork | $1,464.12 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Evry Health | BroadNetwork | $1,478.70 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | Non-ExclusivePPO | $1,592.60 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Public Employees | PrefferedNetwork | $1,652.36 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Select Health ER | COMM | $1,727.06 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Humana | HMO | $1,728.41 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Humana | PPO | $1,728.41 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | NBHMO | $1,738.70 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | NBPOS | $1,738.70 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | NBPPO | $1,738.70 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | COMMPPO | $1,852.44 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | COMMHMO | $1,852.44 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | COMMPOS | $1,852.44 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Aetna | AetnaSignatureAdministrators | $1,852.56 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | BCBS | Traditional | $1,895.78 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Aetna | UtahConnectedNetwork | $1,912.32 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Aetna | FirstHealth | $1,942.20 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Multiplan | Primary | $2,001.96 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Community Health Choice MCD | CHIPPerinatal | $2,032.55 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Community Health Choice MCD | STAR | $2,032.55 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Community Health Choice MCD | STAR+PLUS | $2,032.55 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Community Health Choice MCD | CHIP | $2,032.55 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Curative Administrators | COMM | $2,166.60 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Christus (USFHP) | TRICARE | $2,166.60 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | OONPPO | $2,172.02 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | OONHMO | $2,172.02 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | OONPOS | $2,172.02 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Amerigroup | MCDCHIPBH | $2,188.90 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Amerigroup | MGMCD | $2,188.90 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Select Health CHIP | MCD | $2,241.00 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Cigna | CSN | $2,313.98 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | ASAPPO | $2,345.34 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | ASAHMO | $2,345.34 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | ASAPOS | $2,345.34 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | United | GlobalAppendix | $2,437.43 | $5,416.50 | $5,416.50 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Cigna | OpenAccessPlus | $2,501.60 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | FedMed | COMM | $2,539.80 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | BCBS | MyBlueHealth | $2,548.51 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Texas Childrens Health Plans | CHIP | $2,595.41 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior | EPO | $2,736.13 | $15,635.00 | $15,635.00 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior | HMO | $2,736.13 | $15,635.00 | $15,635.00 | 2026-03-01 | 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.