110915 — Tape Label Phenylephrine Mg/ml Dti Violet Anesth 1in Core 1 1/2inx500in Paper Remov Wound Out
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TAPE LABEL PHENYLEPHRINE MG/ML DTI VIOLET ANESTH 1IN CORE 1 1/2INX500IN PAPER REMOV WOUND OUT (CDM 110915) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/110915?code_type=CDM
MLA (9th ed.)
“TAPE LABEL PHENYLEPHRINE MG/ML DTI VIOLET ANESTH 1IN CORE 1 1/2INX500IN PAPER REMOV WOUND OUT (CDM 110915) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/110915?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“TAPE LABEL PHENYLEPHRINE MG/ML DTI VIOLET ANESTH 1IN CORE 1 1/2INX500IN PAPER REMOV WOUND OUT (CDM 110915) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/110915?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $115–$29,368 (25th–75th percentile) across 5 hospitals · 82 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 110915 — 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 | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna | Behavioral Health | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Vaya | Medicaid Tailored Plan | $0.61 | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna Whole Health | Behavioral Health | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alignment Medicare | Medicare Advantage | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Apex | Medicare Advantage | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Devoted | Medicare Advantage | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Behavioral Health | Behavioral Health | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Trillium | Medicaid Tailored Plan | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Partners | Medicaid Tailored Plan | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Evernorth | Behavioral Health | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Liberty | Medicare Advantage | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Medicare Advantage | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Behavioral Health | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Managed Care | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | IEX Individual Managed Care | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Ambetter | Managed Care | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicaid Managed Care | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Vaya | Medicaid Tailored Plan | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare/Optum Behavioral Health | Behavioral Health | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Optum Transplant | Transplant Services | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna LifeSource | Transplant Services | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Health Blue | Medicaid Managed Care | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | HealthTeam | Medicare Advantage | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Value | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HMO/PPO | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Distinctions Transplant Services | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HPN | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Local Individual | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alliance | Medicaid Tailored Plan | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Transplant Services | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Medicare Advantage | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Magellan | Behavioral Health | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Medicaid Managed Care | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Managed Care | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Complete | Medicaid Managed Care | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Medicare Advantage | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Transplant Services | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Adult) | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Pediatrics) | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicaid Managed Care | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna North Carolina Preferred | Managed Care | $0.87 | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Humana ChoiceCare | Managed Care | $1.47 | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | DirectNet | Managed Care | $1.58 | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Cigna LifeSource | Transplant Services | $1.61 | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cone Health | Managed Care | $1.88 | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Healthgram | Managed Care | $1.88 | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | First Carolina Care | Managed Care | $2.14 | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Private Healthcare Systems | Managed Care | $2.20 | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | First Health (Aetna) | Managed Care | $2.28 | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Multiplan | Managed Care | $2.41 | $2.68 | $1.34 | 2025-10-21 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Regence Blue Shield | MGMCR | $50.00 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | HIX | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | IdahoEnvironmentalCoalition | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | CWI | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | COMM | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | HIX | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | PPO | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | EverNorth BH | COMM | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | HIX | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | PPO | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | — | $3,439.00 | $3,439.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | HIX | $1,336.53 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | PPO | $1,336.53 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | PPO | $1,336.53 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | ELAP | COMM | $1,390.65 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | $1,407.11 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | MED | $1,490.92 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | IFPLP | $1,654.73 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | IdahoEnvironmentalCoalition | $1,737.93 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | $1,764.40 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Public Employees | SummitExclusive | $1,789.81 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | $1,852.62 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | $1,852.62 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | $1,852.62 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | $1,852.62 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | OAPNBN | $1,870.86 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Bright Health | HIX | $1,891.12 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | CWI | $1,984.95 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina | HIX | $2,053.22 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | Exclusive | $2,147.77 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | University of Utah | HIXIndividual | $2,147.77 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | $2,148.16 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | $2,205.50 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Public Employees | Summit | $2,296.36 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | $2,346.65 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | $2,346.65 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | $2,346.65 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | $2,364.30 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | FocalPointPlus | $2,392.27 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $2,426.05 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | University of Utah | HealthyPremierSSG | $2,471.96 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | University of Utah | HealthyPreferred | $2,471.96 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | DMBA (Deseret Mutual Benefit Admin) | PPO | $2,476.02 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Aetna | PeakPreference | $2,498.98 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $2,549.56 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | $2,646.60 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | FocalPoint | $2,657.70 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | RealValue | $2,657.70 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | Participating | $2,657.70 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | Individual | $2,657.70 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | Traditional | $2,657.70 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | Preferred | $2,657.70 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Regence | PPO | $2,657.70 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | University of Utah | HealthyPremier | $2,694.85 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna UT Overstock | COMM | $2,701.60 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Moda | COMM | $2,748.05 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | $2,840.68 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | $2,840.68 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | NBNPPO | $2,850.19 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Imagine Health Wise | PPO | $2,993.37 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | MotivHealth | MotivNet | $3,106.84 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | MotivHealth | Wasatch | $3,106.84 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | MotivHealth | WasatchPlus | $3,106.84 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | MotivHealth | TPARental | $3,106.84 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | MotivHealth | MotivSelect | $3,106.84 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | $3,308.25 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | $3,308.25 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Aetna | StandardNetwork | $3,309.46 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | $3,528.80 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | $3,528.80 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | Non-ExclusivePPO | $3,599.88 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Humana ChoiceCare | COMM | $3,705.24 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | $3,705.24 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Public Employees | PrefferedNetwork | $3,734.96 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | $3,749.35 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | $3,749.35 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Select Health ER | COMM | $3,903.81 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | $3,969.90 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | $3,969.90 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | $3,969.90 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | $3,969.90 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | $4,014.01 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | COMM | $4,014.01 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Aetna | AetnaSignatureAdministrators | $4,187.48 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | $4,190.45 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | $4,190.45 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | $4,190.45 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Aetna | UtahConnectedNetwork | $4,322.56 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Aetna | FirstHealth | $4,390.10 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | $4,411.00 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | $4,411.00 | $4,411.00 | $4,411.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Multiplan | Primary | $4,525.18 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Select Health CHIP | MCD | $5,065.50 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | FedMed | COMM | $5,740.90 | $6,754.00 | $6,754.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $23,663.78 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $23,663.78 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $23,663.78 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $23,663.78 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | MyBlueHealth | $25,185.02 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $25,185.02 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | AmbetterHMO | $28,734.59 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $28,734.59 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | AmbetterEPO | $28,734.59 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $28,734.59 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $28,734.59 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | ValueHMO | $28,734.59 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $29,579.72 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueAdvantage | $29,579.72 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | United | OptionsPPO | $42,087.72 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | United | OptionsPPO | $42,087.72 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueEssentialsAccess | $46,144.37 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $46,144.37 | $169,027.00 | $169,027.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueEssentials | $46,144.37 | $169,027.00 | $169,027.00 | 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.