116048 — Revas/lith/ather Tib/per
Cite this view
HANK Price Transparency. (n.d.). REVAS/LITH/ATHER TIB/PER (CDM 116048) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/116048?code_type=CDM
“REVAS/LITH/ATHER TIB/PER (CDM 116048) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/116048?code_type=CDM. Accessed .
“REVAS/LITH/ATHER TIB/PER (CDM 116048) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/116048?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,704–$48,452 (25th–75th percentile) across 11 hospitals · 66 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 116048 — 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 |
|---|---|---|---|---|---|---|---|
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARKids | $9.66 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARPLUS | $9.66 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHPFC | $9.66 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHIP | $9.66 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STAR | $9.66 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | MCR | $10.67 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | CHIPPerinatal | $20.93 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | STAR | $20.93 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | STAR+PLUS | $20.93 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | CHIP | $20.93 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Amerigroup | MCDCHIPBH | $22.54 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Amerigroup | MGMCD | $22.54 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | CSN | $23.83 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | OpenAccessPlus | $25.76 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | MyBlueHealth | $26.24 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | EPO | $28.18 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | HMO | $28.18 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | United | OptionsPPO | $28.34 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | BAV | $28.98 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | PPO | $30.59 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Oscar | HIX | $31.39 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | ValueHMO | $31.88 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Childrens Health Plans | CHIP | $32.84 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | HMO | $36.23 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | EPOSOA | $37.03 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | PPO | $37.67 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Childrens Health Plans | STAR | $38.16 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Childrens Health Plans | STARKIDS | $38.16 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | TX Workforce Commission | GVT | $38.64 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Healthcare Highways | NarrowNetwork | $41.05 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | QHPExchange | $42.66 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Molina Healthcare | HIX | $43.47 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Evry Health | BroadNetwork | $43.95 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Humana | PPO | $51.38 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Humana | HMO | $51.38 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | NBHMO | $51.68 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | NBPOS | $51.68 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | NBPPO | $51.68 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | COMMPOS | $55.06 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | COMMHMO | $55.06 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | COMMPPO | $55.06 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | Traditional | $56.35 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Imagine Health | PPO | $56.35 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Curative Administrators | COMM | $64.40 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Christus (USFHP) | TRICARE | $64.40 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | OONPOS | $64.56 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | OONHMO | $64.56 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | OONPPO | $64.56 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | HealthSmart Preferred Care | ACCEL | $69.23 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | ASAPOS | $69.71 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | ASAHMO | $69.71 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | ASAPPO | $69.71 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Fidelis SecureCare of TX | MGMCR | $72.45 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Averde Health | Commercial | $72.45 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | United | GlobalAppendix | $72.45 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Multiplan | SAVILITYNETWORK | $80.50 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Coventry National First Health | COMM | $85.81 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Rockport Workers Comp | COMM | $88.55 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Physicians Cooperative of Texas | WC | $88.55 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Beech Street | WCOMP | $96.60 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | National Healthcare Solutions | COMM | $96.60 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Independent Medical System | COMM | $96.60 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | SouthWest Medical | WORKERSCOMP | $96.60 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Coastal Comp | COMM | $104.65 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | HealthSmart Preferred Care | PPO | $132.02 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $136.85 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Physicians, INC | COMM | $136.85 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Multiplan | COMPLEMENTARYPPO | $144.90 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Affiliated PPO | COMM | $144.90 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Beech Street | COMMPPO | $148.12 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Athletic Network | Premier | $300.00 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $161.00 | $161.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $3,078.42 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $3,078.42 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $6,112.01 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $6,112.01 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | OptionsPPO | $7,840.86 | $48,701.00 | $48,701.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | BCBS | Cap | $7,854.48 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | BCBS | BlueChoice | $7,854.48 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United | OptionsPPO | $8,236.30 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Vail Health | COMM | $8,389.64 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Vail Health | COMM | $8,532.76 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | CignaLocalPlusNetwork | $9,107.09 | $48,701.00 | $48,701.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | LocalPreferred | $9,321.37 | $48,701.00 | $48,701.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | CignaLocalPlusNetwork | $9,436.28 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | LocalPreferred | $9,501.74 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Medical Associates Health Plan | COMM | $10,309.00 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Preferred Health Choices | COMM | $10,309.00 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | United | OptionsPPO | $11,425.36 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Vail Health | COMM | $11,507.30 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | United | OptionsPPO | $11,620.27 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $11,883.04 | $48,701.00 | $48,701.00 | 2024-10-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-SBP | $12,125.50 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | LocalOpen | $12,545.38 | $48,701.00 | $48,701.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | LocalOpen | $12,785.35 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | NationalOpen | $12,842.45 | $48,701.00 | $48,701.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $12,872.62 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | NationalOpen | $13,090.80 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Vail Health | COMM | $13,176.39 | $86,686.77 | $86,686.77 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Vail Health | COMM | $13,427.59 | $88,339.41 | $88,339.41 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna | SureFit | $14,019.53 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | SureFit | $14,258.69 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna | Connect-NSBP | $14,295.50 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Kaiser | HMO | $14,308.42 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-NSBP | $14,539.37 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $14,610.30 | $48,701.00 | $48,701.00 | 2024-10-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Cigna | Connect-SBP | $14,611.24 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | United | OptionsPPO | $15,671.13 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna Transplant | COMM | $16,006.55 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna Better Health | MCD | $16,363.50 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Spirit Aerosystems | COMMOON | $16,460.94 | $48,701.00 | $48,701.00 | 2024-10-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Bright Health | OON | $16,558.50 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Aetna | MCRADVPPO | $16,558.50 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Aetna | MCRADVHMO | $16,558.50 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | MCRADVHMO | $16,840.97 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Bright Health | OON | $16,840.97 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | MCRADVPPO | $16,840.97 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Spirit Aerosystems | COMMOON | $17,454.40 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | United | OptionsPPO | $17,944.16 | $86,686.77 | $86,686.77 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Aetna | NBR | $17,993.57 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | United | OptionsPPO | $18,286.26 | $88,339.41 | $88,339.41 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | NBR | $18,300.52 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $19,202.78 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $19,202.78 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Cigna | SureFit | $19,229.30 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | Spirit | $19,472.57 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna | Broad | $19,594.22 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Cigna | Connect-NSBP | $19,607.83 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Broad | $19,928.48 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | Connect-SBP | $20,544.76 | $86,686.77 | $86,686.77 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Connect-SBP | $20,671.42 | $88,339.41 | $88,339.41 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna | Connect-SBP | $21,470.85 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Aetna | ExistingBusiness | $21,912.42 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $21,915.45 | $48,701.00 | $48,701.00 | 2024-10-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | SureFit | $22,018.44 | $86,686.77 | $86,686.77 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | ExistingBusiness | $22,286.21 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | SureFit | $22,438.21 | $88,339.41 | $88,339.41 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | Connect-NSBP | $22,451.87 | $86,686.77 | $86,686.77 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Aetna | MCRADVPPO | $22,711.78 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Bright Health | OON | $22,711.78 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Aetna | MCRADVHMO | $22,711.78 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Connect-NSBP | $22,879.91 | $88,339.41 | $88,339.41 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $23,364.63 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $23,364.63 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $23,364.63 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $23,364.63 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Colorado Program for Children with Special Needs | HCP | $23,577.36 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | First Health | PPO | $23,619.99 | $48,701.00 | $48,701.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Humana | $24,350.50 | $48,701.00 | $48,701.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United | GlobalBenefitPlan | $24,545.25 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Aetna | NBR | $24,680.13 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | United | GlobalBenefit | $24,837.75 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | First Health | PPO | $25,145.24 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | United | GlobalBenefit | $25,261.45 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Cigna | IFP | $25,373.21 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Cigna | IFP | $25,387.22 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Colorado Program for Children with Special Needs | HCP | $25,740.01 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Aetna | MCRADVPPO | $26,006.03 | $86,686.77 | $86,686.77 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Bright Health | OON | $26,006.03 | $86,686.77 | $86,686.77 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Aetna | MCRADVHMO | $26,006.03 | $86,686.77 | $86,686.77 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Aetna | ASA | $26,328.01 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Kaiser National Transplant | COMM | $26,493.60 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Emerging Therapy Solutions | MGMCR | $26,493.60 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Bright Health | OON | $26,501.82 | $88,339.41 | $88,339.41 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | MCRADVHMO | $26,501.82 | $88,339.41 | $88,339.41 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | MCRADVPPO | $26,501.82 | $88,339.41 | $88,339.41 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Aetna | MGMCR | $26,615.25 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Aetna | MGMCR | $26,629.95 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | ASA | $26,777.14 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Cigna | Broad | $26,875.60 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $27,197.72 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $27,197.72 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | Humana | $27,272.50 | $54,545.00 | $54,545.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Evernorth (Cigna Behavioral Health) | COMM | $28,068.28 | $56,136.56 | $56,136.56 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $28,094.34 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $28,094.34 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $28,094.34 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $28,094.34 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Colorado Program for Children with Special Needs | HCP | $28,149.45 | $55,195.00 | $55,195.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Aetna | NBR | $28,259.89 | $86,686.77 | $86,686.77 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | NBR | $28,798.65 | $88,339.41 | $88,339.41 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Aetna | ExistingBusiness | $30,055.25 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | Broad | $30,773.80 | $86,686.77 | $86,686.77 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Broad | $31,360.49 | $88,339.41 | $88,339.41 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $31,456.70 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $31,456.70 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Triwest Healthcare Alliance | Tricare | $31,655.65 | $48,701.00 | $48,701.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $33,100.52 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $33,100.52 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $33,100.52 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $33,100.52 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Lifeworks | MCR | $33,712.65 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Lifeworks | MCR | $33,731.27 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | United | GlobalBenefit | $34,067.66 | $75,705.92 | $75,705.92 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $34,090.70 | $48,701.00 | $48,701.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $34,221.30 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $34,221.30 | $74,719.00 | $74,719.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Aetna | ExistingBusiness | $34,414.65 | $86,686.77 | $86,686.77 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | ExistingBusiness | $35,070.75 | $88,339.41 | $88,339.41 | 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.