104584 — Retractor Sternum
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RETRACTOR STERNUM (CDM 104584) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/104584?code_type=CDM
MLA (9th ed.)
“RETRACTOR STERNUM (CDM 104584) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/104584?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“RETRACTOR STERNUM (CDM 104584) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/104584?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $505–$1,608 (25th–75th percentile) across 5 hospitals · 66 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 104584 — 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 | Behavioral Health | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna North Carolina Preferred | Behavioral Health | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Complete | Medicaid Managed Care | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicaid Managed Care | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Pediatrics) | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Medicare Advantage | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Devoted | Medicare Advantage | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Behavioral Health | Behavioral Health | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Trillium | Medicaid Tailored Plan | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Partners | Medicaid Tailored Plan | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Liberty | Medicare Advantage | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Evernorth | Behavioral Health | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Value | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HPN | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Local Individual | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HMO/PPO | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Distinctions Transplant Services | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alliance | Medicaid Tailored Plan | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Medicare Advantage | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Transplant Services | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Vaya | Medicaid Tailored Plan | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Magellan | Behavioral Health | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Medicaid Managed Care | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Adult) | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Managed Care | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Transplant Services | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare/Optum Behavioral Health | Behavioral Health | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Optum Transplant | Transplant Services | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna LifeSource | Transplant Services | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Health Blue | Medicaid Managed Care | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Ambetter | Managed Care | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | HealthTeam | Medicare Advantage | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Managed Care | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | IEX Individual Managed Care | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicaid Managed Care | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Behavioral Health | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Medicare Advantage | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna Whole Health | Behavioral Health | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alignment Medicare | Medicare Advantage | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Apex | Medicare Advantage | — | $1.00 | $0.50 | 2025-10-21 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | STARPLUS | $232.92 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | CHIP | $232.92 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | STARPLUS | $232.92 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | CHPFC | $232.92 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | STAR | $232.92 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | STARKids | $232.92 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | CHPFC | $232.92 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | STAR | $232.92 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | CHIP | $232.92 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | STARKids | $232.92 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Athletic Network | Premier | $300.00 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Athletic Network | Premier | $300.00 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Community Health Choice MCD | CHIPPerinatal | $504.66 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Community Health Choice MCD | CHIPPerinatal | $504.66 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Community Health Choice MCD | CHIP | $504.66 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Community Health Choice MCD | CHIP | $504.66 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Community Health Choice MCD | STAR | $504.66 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Community Health Choice MCD | STAR+PLUS | $504.66 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Community Health Choice MCD | STAR | $504.66 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Community Health Choice MCD | STAR+PLUS | $504.66 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Amerigroup | MCDCHIPBH | $543.48 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Amerigroup | MGMCD | $543.48 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Amerigroup | MCDCHIPBH | $543.48 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Amerigroup | MGMCD | $543.48 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Cigna | CSN | $574.54 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Cigna | CSN | $574.54 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $3,882.00 | $3,882.00 | 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 SOUTHEAST Outpatient | Cigna | OpenAccessPlus | $621.12 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Cigna | OpenAccessPlus | $621.12 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | MyBlueHealth | $632.77 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | BCBS | MyBlueHealth | $632.77 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior | HMO | $679.35 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior | EPO | $679.35 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior | EPO | $679.35 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior | HMO | $679.35 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Childrens Health Plans | CHIP | $683.23 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Childrens Health Plans | CHIP | $683.23 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | BAV | $698.76 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | BCBS | BAV | $698.76 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | IFPLP | $732.06 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Cigna | PPO | $737.58 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Cigna | PPO | $737.58 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Oscar | HIX | $756.99 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Oscar | HIX | $756.99 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior | ValueHMO | $768.64 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior | ValueHMO | $768.64 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | United | OptionsPPO | $784.16 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | United | OptionsPPO | $784.16 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Public Employees | SummitExclusive | $791.82 | $2,988.00 | $2,988.00 | 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 SOUTHEAST Outpatient | BCBS | HMO | $873.45 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | HMO | $873.45 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | EPOSOA | $892.86 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | BCBS | EPOSOA | $892.86 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina | HIX | $908.35 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | PPO | $908.39 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | BCBS | PPO | $908.39 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Childrens Health Plans | STAR | $920.03 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Childrens Health Plans | STARKIDS | $920.03 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Childrens Health Plans | STAR | $920.03 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Childrens Health Plans | STARKIDS | $920.03 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Workforce Commission | WCOMP | $931.68 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Workforce Commission | WCOMP | $931.68 | $3,882.00 | $3,882.00 | 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 REHABILITATION HOSPITAL SOUTHEAST Outpatient | Healthcare Highways | NarrowNetwork | $989.91 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Healthcare Highways | NarrowNetwork | $989.91 | $3,882.00 | $3,882.00 | 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 REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | QHPExchange | $1,028.73 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | QHPExchange | $1,028.73 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Molina Healthcare | HIX | $1,048.14 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Molina Healthcare | HIX | $1,048.14 | $3,882.00 | $3,882.00 | 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 REHABILITATION HOSPITAL SOUTHEAST Outpatient | Evry Health | BroadNetwork | $1,059.79 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Evry Health | BroadNetwork | $1,059.79 | $3,882.00 | $3,882.00 | 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 | University of Utah | HealthyPreferred | $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 ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | CHC Harris Health | Indigent | $1,164.60 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | CHC Harris Health | Indigent | $1,164.60 | $3,882.00 | $3,882.00 | 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 | Participating | $1,175.78 | $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 | Traditional | $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 | FocalPoint | $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 | 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 SOUTHEAST Outpatient | Humana | PPO | $1,238.75 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Humana | HMO | $1,238.75 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Humana | PPO | $1,238.75 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Humana | HMO | $1,238.75 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | NBPOS | $1,246.12 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | NBPPO | $1,246.12 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | NBPOS | $1,246.12 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | NBPPO | $1,246.12 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | NBHMO | $1,246.12 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | NBHMO | $1,246.12 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | NBNPPO | $1,260.94 | $2,988.00 | $2,988.00 | 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 ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | COMMHMO | $1,327.64 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | COMMPOS | $1,327.64 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | COMMHMO | $1,327.64 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | COMMPPO | $1,327.64 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | COMMPPO | $1,327.64 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | COMMPOS | $1,327.64 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | BCBS | Traditional | $1,358.70 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Imagine Health | PPO | $1,358.70 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Imagine Health | PPO | $1,358.70 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | Traditional | $1,358.70 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | MotivHealth | Wasatch | $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 | 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 | MotivSelect | $1,374.48 | $2,988.00 | $2,988.00 | 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 SOUTHEAST Outpatient | Christus (USFHP) | TRICARE | $1,552.80 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Curative Administrators | COMM | $1,552.80 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Christus (USFHP) | TRICARE | $1,552.80 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Curative Administrators | COMM | $1,552.80 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | OONPPO | $1,556.68 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | OONHMO | $1,556.68 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | OONPOS | $1,556.68 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | OONPPO | $1,556.68 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | OONHMO | $1,556.68 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | OONPOS | $1,556.68 | $3,882.00 | $3,882.00 | 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 ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | HealthSmart Preferred Care | ACCEL | $1,669.26 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | HealthSmart Preferred Care | ACCEL | $1,669.26 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | ASAPOS | $1,680.91 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | ASAPPO | $1,680.91 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | ASAPPO | $1,680.91 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | ASAHMO | $1,680.91 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | ASAHMO | $1,680.91 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | ASAPOS | $1,680.91 | $3,882.00 | $3,882.00 | 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 REHABILITATION HOSPITAL SOUTHEAST Outpatient | United | GlobalAppendix | $1,746.90 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Fidelis SecureCare of TX | MGMCR | $1,746.90 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | United | GlobalAppendix | $1,746.90 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Averde Health | Commercial | $1,746.90 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Averde Health | Commercial | $1,746.90 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Fidelis SecureCare of TX | MGMCR | $1,746.90 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Aetna | AetnaSignatureAdministrators | $1,852.56 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Aetna | UtahConnectedNetwork | $1,912.32 | $2,988.00 | $2,988.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Multiplan | SAVILITYNETWORK | $1,941.00 | $3,882.00 | $3,882.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Multiplan | SAVILITYNETWORK | $1,941.00 | $3,882.00 | $3,882.00 | 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 ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Coventry National First Health | COMM | $2,069.11 | $3,882.00 | $3,882.00 | 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.