113049 — Spacer Spn 7d 16x14x12mm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SPACER SPN 7D 16X14X12MM (CDM 113049) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/113049?code_type=CDM
MLA (9th ed.)
“SPACER SPN 7D 16X14X12MM (CDM 113049) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/113049?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SPACER SPN 7D 16X14X12MM (CDM 113049) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/113049?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $444–$12,326 (25th–75th percentile) across 5 hospitals · 64 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 113049 — 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 |
|---|---|---|---|---|---|---|---|
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage HMO | $128.00 | $255.00 | $64.00 | 2026-03-26 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | CHPW MCAID | CHPW MCAID | $137.46 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | MOLINA MCAID | MOLINA MCAID | $140.45 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | AMERIGROUP MCAID-ALL PLANS | AMERIGROUP MCAID-ALL PLANS | $144.54 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | COORD CARE MCAID IP/OP ONLY | COORD CARE MCAID IP/OP ONLY | $147.27 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | HEALTHNET TRICARE-ALL PLANS | HEALTHNET TRICARE-ALL PLANS | $154.00 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $154.00 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | AETNA MCR ADV | AETNA MCR ADV | $154.00 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | REGENCE MEDICARE | REGENCE MEDICARE | $157.08 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | CHPW MCR ADV | CHPW MCR ADV | $171.07 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Texas Children's Health Plan | HMO | $179.00 | $255.00 | $64.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Prime Health Services | Commercial | $191.00 | $255.00 | $64.00 | 2026-03-26 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | MOLINA MARKETPLACE-ALL OTHER PLANS | MOLINA MARKETPLACE-ALL OTHER PLANS | $192.50 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield of Texas | PPO | $204.00 | $255.00 | $64.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $206.00 | $255.00 | $64.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $212.00 | $255.00 | $64.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Rockport | Commercial | $217.00 | $255.00 | $64.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Scott and White | Commercial | $230.00 | $255.00 | $64.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Multiplan | Commercial | $230.00 | $255.00 | $64.00 | 2026-03-26 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | UHC COMM/MARKETPLACE-ALL PLANS | UHC COMM/MARKETPLACE-ALL PLANS | $246.40 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Cigna | Medicare Advantage | $306.00 | $255.00 | $64.00 | 2026-03-26 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | REGENCE-ALL OTHER PLANS | REGENCE-ALL OTHER PLANS | $330.00 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | ELAP | COMM | $331.26 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | PREMERA-ALL PLANS | PREMERA-ALL PLANS | $374.00 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | CHPW COMMERCIAL-ALL OTHER PLANS | CHPW COMMERCIAL-ALL OTHER PLANS | $374.00 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Sterling Life Insurance | MCR | $391.00 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | COORD CARE CASCADE IP/OP ONLY | COORD CARE CASCADE IP/OP ONLY | $396.00 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $396.00 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | COORD CARE COMM/EXCHGE-ALL OTHER PLANS | COORD CARE COMM/EXCHGE-ALL OTHER PLANS | $396.00 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $396.00 | $440.00 | $352.00 | 2026-05-04 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | IFPLP | $398.82 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | PEHP | Exclusive | $431.66 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Bright Health | HIX | $437.92 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | OAPNBN | $450.43 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | University of Utah | HIXIndividual | $497.35 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | Exclusive | $517.68 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina | HIX | $522.38 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | PEHP | Summit | $555.22 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | PeakPreference | $563.04 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | University of Utah | HealthyPremierSSG | $572.42 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | University of Utah | HealthyPreferred | $572.42 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | DMBA (Deseret Mutual Benefit Admin) | PPO | $589.78 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | University of Utah | HealthyPremier | $624.04 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna UT Overstock | COMM | $625.60 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | NBNPPO | $688.16 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Humana ChoiceCare | PPO | $699.58 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Imagine Health Wise | PPO | $726.79 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | StandardNetwork | $735.08 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | MotivHealth | TPARental | $750.72 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Angle Insurance | COMM | $750.72 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | MotivHealth | COMM | $750.72 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | Non-ExclusivePPO | $869.58 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Select Health ER | COMM | $903.99 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | AetnaSignatureAdministrators | $907.12 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | UtahConnectedNetwork | $938.40 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Multiplan | Primary | $985.32 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | FirstHealth | $1,141.72 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Injury Care of Utah | WCOMP | $1,219.92 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | TriWest Healthcare Alliance | Veterans | $1,251.20 | $1,564.00 | $1,564.00 | 2024-10-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $2,157.12 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $2,157.12 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $2,295.79 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $2,619.36 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $2,619.36 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $2,619.36 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $2,696.40 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | United | OptionsPPO | $3,836.59 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $4,206.38 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueEssentials | $4,206.38 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Cigna Lifesource | COMM | $4,468.32 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | BCBS | EPOSOA | $4,560.77 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | IMO Med - Select Network | WC | $4,622.40 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | BCBS | Traditional | $4,915.15 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | BCBS | PPO | $4,915.15 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Sendero | ACHP | $4,930.56 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Shared Health | MGMCR | $5,392.80 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | WC | $5,700.96 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | COMM | $5,700.96 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Texas Workforce Commission | WCOMP | $6,009.12 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | NaphCare | MGMCR | $6,933.60 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Seven Corners | GVT | $6,933.60 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Averde Health | COMM | $6,933.60 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $6,933.60 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Comanche County | LOCALGOV | $7,704.00 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Austin FC | WORKERSCOMP | $7,704.00 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | National ChoiceCare | WC | $7,704.00 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Emerging Therapy Solutions | MGMCR | $7,704.00 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Independent Medical Systems | COMM | $8,474.40 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Accel | $8,474.40 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Physicians Cooperative of Texas | WC | $8,474.40 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Prime Health | WC | $9,244.80 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | National Health Care | COMM | $10,015.20 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $10,015.20 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Emerging Therapy Solutions | COMM | $10,631.52 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Texas Municipal League | COMM | $10,785.60 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Occunet | COMM | $10,785.60 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | MedCorp Southwest | COMM | $11,556.00 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | COMM | $12,326.40 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPRockportCommunityNetwork | $12,326.40 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Beech Street | COMMPPO | $13,867.20 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Medical Control Network Solutions | MedicalControlNetwork | $13,867.20 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Multiplan | COMMPPO | $13,867.20 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | BCE Emergis Corporation | COMMPPO | $13,867.20 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPNewtonHealthcareNetwork | $13,867.20 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Optum | MCD | $15,408.00 | $15,408.00 | $15,408.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior | HIX | $17,407.95 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $17,507.42 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | BCBS | BlueAdvantage | $18,303.22 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | BCBS | BlueEssentials | $22,381.65 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | BCBS | BlueEssentialsAccess | $22,381.65 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | BCBS | HealthSelectOpenAccess(EPOSOA) | $23,774.29 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | BCBS | PPO | $25,166.92 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Healthcare Highways | NarrowNetwork | $25,365.87 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Molina Healthcare | HIX | $26,857.98 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Averde Health | COMM | $32,826.42 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | HealthSmart Preferred Care | SOUTHTEXASISDRATES | $42,773.82 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | HealthSmart Preferred Care | ACCEL | $42,773.82 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | BCBS | Traditional | $44,763.30 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | United | GlobalBenefitPlan | $44,763.30 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | First Health | Exclusive | $57,197.55 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | First Health | NonExclusive | $57,197.55 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | National Healthcare Solutions | COMM | $59,684.40 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | SouthWest Medical | WORKERSCOMP | $59,684.40 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | HealthSmart Preferred Care | PPO | $61,673.88 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | USA Managed Care | CHIP | $64,658.10 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | PPO Next/ Medical Control | COMMPPO | $74,605.50 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | USA Managed Care | COMM | $79,579.20 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | MultiPlan | COMMPPO | $79,579.20 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Beech Street | COMMPPO | $79,579.20 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $84,552.90 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Focus Healthcare | PPO | $94,500.30 | $99,474.00 | $99,474.00 | 2026-03-01 | MRF ↗ |