109596 — Sys Cath Dlv 10fr 80cm
Cite this view
HANK Price Transparency. (n.d.). SYS CATH DLV 10FR 80CM (CDM 109596) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/109596?code_type=CDM
“SYS CATH DLV 10FR 80CM (CDM 109596) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/109596?code_type=CDM. Accessed .
“SYS CATH DLV 10FR 80CM (CDM 109596) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/109596?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $115–$5,421 (25th–75th percentile) across 5 hospitals · 72 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 109596 — 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 |
|---|---|---|---|---|---|---|---|
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | TRICARE | 2813_TRICARE INPATIENT 20241001 | $0.25 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | TRICARE | 2571_TRICARE OUTPATIENT 20231001 | $0.25 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | SMARTHEALTH | 2815_SMARTHEALTH INPATIENT 20241001 | $0.40 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | SMARTHEALTH | 2917_SMARTHEALTH OP 20250101 | $0.40 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA ONE HEALTH | 2826_CIGNA ONE HEALTH 20241001 | $0.42 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA IFP | 3019_JCIL CIGNA IFP 20250101 | $0.52 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS BCS | 2832_JCIL BLUE CROSS BLUE SHIELD BCS 20241001 | $0.54 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS BCE | 2879_JCIL BLUE CROSS BLUE SHIELD BCE 20241001 | $0.54 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS HMO | 2833_JCIL BLUE CROSS BLUE SHIELD HMO 20241001 | $0.67 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA C5 | 3023_CIGNA C5 20250101 | $0.71 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS PPO | 2834_JCIL BLUE CROSS BLUE SHIELD PPO 20241001 | $0.75 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | AETNA | 2925_JCIL AETNA 20250201 | $1.23 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC CHOICE | 3093_JCIL UNITED HEALTHCARE 20250701 | $1.25 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC CHOICE | 3095_PFIL, PRIL, PSIL UNITED HEALTHCARE 20250701 | $1.25 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC PPO | 3096_PFIL, PRIL, PSIL UNITED HEALTHCARE OPTIONS PPO 20250701 | $1.25 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC PPO | 3094_JCIL UNITED HEALTHCARE OPTIONS PPO 20250701 | $1.25 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA ONE HEALTH | 2758_PHIL CIGNA ONE HEALTH 20240101 | $1.44 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | HUMANA HMO | 2837_JCIL HUMANA HMO 20241001 | $1.48 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | HUMANA PPO | 2838_JCIL HUMANA PPO 20241001 | $1.56 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | HEALTHLINK PPO | 963_JCIL HEALTHLINK PPO 20160101 | $1.66 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA | 3006_JCIL CIGNA 20250101 | $1.71 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $2.08 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA/HEALTH PARTNERS | 2526_CIGNA/HEALTH PARTNERS NON-CONTRACTED 20210101 | $2.08 | $2.08 | $0.69 | 2026-01-01 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | CHPW MCAID | CHPW MCAID | $40.30 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | MOLINA MCAID | MOLINA MCAID | $41.18 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | AMERIGROUP MCAID-ALL PLANS | AMERIGROUP MCAID-ALL PLANS | $42.38 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | COORD CARE MCAID IP/OP ONLY | COORD CARE MCAID IP/OP ONLY | $43.18 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $45.15 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | HEALTHNET TRICARE-ALL PLANS | HEALTHNET TRICARE-ALL PLANS | $45.15 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | AETNA MCR ADV | AETNA MCR ADV | $45.15 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | REGENCE MEDICARE | REGENCE MEDICARE | $46.05 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Regence Blue Shield | MGMCR | $50.00 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | CHPW MCR ADV | CHPW MCR ADV | $50.16 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | MOLINA MARKETPLACE-ALL OTHER PLANS | MOLINA MARKETPLACE-ALL OTHER PLANS | $56.44 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | UHC COMM/MARKETPLACE-ALL PLANS | UHC COMM/MARKETPLACE-ALL PLANS | $72.24 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | REGENCE-ALL OTHER PLANS | REGENCE-ALL OTHER PLANS | $96.75 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | PREMERA-ALL PLANS | PREMERA-ALL PLANS | $109.65 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | CHPW COMMERCIAL-ALL OTHER PLANS | CHPW COMMERCIAL-ALL OTHER PLANS | $109.65 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | HIX | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | PPO | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | HIX | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | EverNorth BH | COMM | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | HIX | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | PPO | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | COMM | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | CWI | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | IdahoEnvironmentalCoalition | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | — | $1,127.00 | $1,127.00 | 2024-10-01 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | COORD CARE CASCADE IP/OP ONLY | COORD CARE CASCADE IP/OP ONLY | $116.10 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $116.10 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | COORD CARE COMM/EXCHGE-ALL OTHER PLANS | COORD CARE COMM/EXCHGE-ALL OTHER PLANS | $116.10 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $116.10 | $129.00 | $103.20 | 2026-05-04 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | PPO | $360.27 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | PPO | $360.27 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | HIX | $360.27 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | $379.29 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | MED | $401.88 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | IdahoEnvironmentalCoalition | $468.47 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | $475.60 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $492.85 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $492.85 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $492.85 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $492.85 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | $499.38 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | $499.38 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | $499.38 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | $499.38 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | CWI | $535.05 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | $579.04 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | $594.50 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | $632.55 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | $632.55 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | $632.55 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | $637.30 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $653.95 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $687.24 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | $713.40 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Moda | COMM | $740.75 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | $765.72 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | $765.72 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | $891.75 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | $891.75 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | $951.20 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | $951.20 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | $998.76 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Humana ChoiceCare | COMM | $998.76 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | $1,010.65 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | $1,010.65 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | $1,070.10 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | $1,070.10 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | $1,070.10 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | $1,070.10 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | COMM | $1,081.99 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | $1,081.99 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | $1,129.55 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | $1,129.55 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | $1,129.55 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | $1,189.00 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | $1,189.00 | $1,189.00 | $1,189.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $1,379.98 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $1,379.98 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $1,468.69 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $1,675.69 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $1,675.69 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $1,675.69 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $1,724.97 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Imperial Insurance | MGMCR | $1,872.83 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Oscar | HIX | $1,892.54 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Oscar | HMO | $1,892.54 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Oscar | PPO | $2,109.40 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Oscar | EPO | $2,109.40 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Oscar | POS | $2,109.40 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | MODA | HIX | $2,316.39 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | United | OptionsPPO | $2,454.39 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | BCBS | BlueEssentials | $2,690.96 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $2,690.96 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Covenant Management Systems | HMO | $2,838.82 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Healthcare Highways | EPO | $2,868.39 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | BCBS | EPOSOA | $2,917.67 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Healthcare Highways | PPO | $2,957.10 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | IMO Med - Select Network | WC | $2,957.10 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | BCBS | PPO | $3,144.38 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | BCBS | Traditional | $3,144.38 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Nomi Health | COMMTier1OutofNetwork | $3,154.24 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Sendero | ACHP | $3,154.24 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Cigna | NewBusinessNetwork | $3,164.10 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Cigna | OpenAccessPlus | $3,371.09 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Cigna | OpenAccess | $3,371.09 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Cigna | HMO | $3,371.09 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Shared Health | MGMCR | $3,449.95 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Aetna | QHPExchange(HIX) | $3,479.52 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | MODA Health | EPO | $3,548.52 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Evry Health | BroadNetwork | $3,627.38 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | WC | $3,647.09 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | MODA Health | PPO | $3,647.09 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | COMM | $3,647.09 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Nomi Health | COMMTier1 | $3,647.09 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Nomi Health | Tier2OutofNetwork | $3,647.09 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Texas Workforce Commission | WCOMP | $3,844.23 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Curative Administrators | COMM | $3,942.80 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Harbor Health Team | COMMPPO | $3,942.80 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Cigna | PPO | $4,041.37 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $4,435.65 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | NaphCare | MGMCR | $4,435.65 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Averde Health | COMM | $4,435.65 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Aetna | NarrowNetwork | $4,445.51 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Aetna | Meritain | $4,622.93 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Aetna | COMM | $4,622.93 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Austin FC | WORKERSCOMP | $4,928.50 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | National ChoiceCare | WC | $4,928.50 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Comanche County | LOCALGOV | $4,928.50 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Aetna | ASA | $5,391.78 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Physicians Cooperative of Texas | WC | $5,421.35 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Accel | $5,421.35 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Independent Medical Systems | COMM | $5,421.35 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Aetna | OON | $5,441.06 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Prime Health | WC | $5,914.20 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | First Health | PPO | $6,209.91 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | National Health Care | COMM | $6,407.05 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $6,407.05 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | First Health | PPO | $6,830.90 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Texas Municipal League | COMM | $6,899.90 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Occunet | COMM | $6,899.90 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | First Health | PPO | $7,087.18 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Preferred Health Arrangement | COMM | $7,392.75 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | MedCorp Southwest | COMM | $7,392.75 | $9,857.00 | $9,857.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPRockportCommunityNetwork | $7,885.60 | $9,857.00 | $9,857.00 | 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.