1411004 — Aicd Ohr Thn Sgl/du4
Cite this view
HANK Price Transparency. (n.d.). AICD OHR THN SGL/DU4 (OTHER 1411004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1411004?code_type=OTHER
“AICD OHR THN SGL/DU4 (OTHER 1411004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1411004?code_type=OTHER. Accessed .
“AICD OHR THN SGL/DU4 (OTHER 1411004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1411004?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18,500–$59,999 (25th–75th percentile) across 20 hospitals · 119 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1411004 — 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 |
|---|---|---|---|---|---|---|---|
| NEWPORT HOSPITAL Inpatient | Cigna | Cigna All | $310.00 | $99,999.00 | $23,499.77 | 2026-05-23 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Cigna | Cigna All | $310.00 | $99,999.00 | $23,499.77 | 2026-05-07 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Cigna | Cigna All | $470.00 | $99,999.00 | $32,999.67 | 2026-05-24 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Node Simply Mcr Adv | Node Simply Mcr Adv | $3,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $99,999.00 | $17,999.82 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | First Health | First Health | $3,500.00 | $99,999.90 | $14,999.99 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | First Health | First Health | $3,500.00 | $99,999.90 | $14,999.99 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $3,683.28 | $99,999.00 | $17,999.82 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $3,683.28 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Healthspring | Healthspring Commercial | $5,000.00 | $99,999.90 | $23,999.98 | 2026-05-24 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Healthspring | Healthspring Commercial | $5,000.00 | $99,999.90 | $23,999.98 | 2026-05-07 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Ga Non Par Medicaid | Non Par Medicaid Ga | $5,817.70 | $99,999.00 | $26,999.73 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Peach State Hlth Plan Mcaid Ga | Peach State Hlth Plan Mcaid Ga | $5,934.06 | $99,999.00 | $26,999.73 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Amerigroup Medicaid | Amerigroup Medicaid | $5,991.11 | $99,999.00 | $26,999.73 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Caresource Medicaid | Caresource Medicaid | $6,108.59 | $99,999.00 | $26,999.73 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Uhc Medicaid | Uhc Medicaid | $6,108.59 | $99,999.00 | $26,999.73 | 2026-05-06 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Uhc Apa | Uhc Apa | $8,280.00 | $89,999.95 | $32,399.98 | 2026-05-14 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Uhc Apa | Uhc Apa | $8,280.00 | $89,999.95 | $32,399.98 | 2026-05-24 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Uhc Apa | Uhc Apa | $8,370.00 | $89,999.95 | $37,799.98 | 2026-05-09 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $8,796.30 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $8,796.30 | $99,999.00 | $20,999.79 | 2026-05-24 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Ar Workers Comp | Ar Workers Comp | $9,000.00 | $89,999.95 | $32,399.98 | 2026-05-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Ar Workers Comp | Ar Workers Comp | $9,000.00 | $89,999.95 | $29,699.98 | 2026-05-06 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Ar Workers Comp | Ar Workers Comp | $9,000.00 | $89,999.95 | $32,399.98 | 2026-05-14 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Ar Work Comp | Ar Work Comp | $9,000.00 | $89,999.95 | $37,799.98 | 2026-05-09 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Uhc Apa | Uhc Apa | $9,539.99 | $89,999.95 | $29,699.98 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Department Of Health | Department Of Health | $9,565.64 | $99,999.00 | $26,999.73 | 2026-05-06 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Aetna | Aetna All | $9,899.99 | $99,999.90 | $23,999.98 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Aetna | Aetna All | $9,899.99 | $99,999.90 | $23,999.98 | 2026-05-24 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $9,999.90 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Aetna Qhp | Aetna Qhp | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-27 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Nhp | $9,999.90 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Outpatient | Us Department Of Labor | Node Us Dept Of Labor | $9,999.90 | $99,999.00 | $22,649.77 | 2026-05-06 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-24 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Aetna Performance | Aetna Performance | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-27 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Apa | $9,999.90 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Nhp | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-09 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Aetna Performance | Aetna Performance | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Nhp | $9,999.90 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $9,999.90 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Apa | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Apa | $9,999.90 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Aetna | Aetna All | $9,999.90 | $99,999.00 | $23,999.76 | 2026-05-06 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Aetna | Aetna | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna | Aetna All | $9,999.90 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $9,999.90 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna Performance | Aetna Performance | $9,999.90 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Aetna | Aetna Asbait | $9,999.90 | $99,999.00 | $35,999.64 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Aetna | Aetna | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna Qhp | Aetna Qhp | $9,999.90 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Aetna Qhp | Aetna Qhp | $9,999.90 | $99,999.00 | $23,999.76 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Aetna Performance | Aetna Performance | $9,999.90 | $99,999.00 | $23,999.76 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Aetna Qhp | Aetna Qhp | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-06 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Corvel | Corvel Acc And Health | $9,999.95 | $99,999.49 | $29,999.85 | 2026-05-13 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Corvel | Corvel Acc And Health | $9,999.95 | $99,999.49 | $29,999.85 | 2026-05-24 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Corvel | Corvel Acc And Health | $9,999.99 | $99,999.90 | $14,999.99 | 2026-05-24 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Corvel | Corvel Acc And Health | $9,999.99 | $99,999.90 | $14,999.99 | 2026-05-07 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Uhc Apa | Uhc Apa | $10,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Uhc Nhp | Uhc Nhp | $10,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $10,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Oscar | Oscar | $10,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $11,199.89 | $99,999.00 | $29,999.70 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $11,199.89 | $99,999.00 | $29,999.70 | 2026-05-24 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $11,999.99 | $99,999.95 | $11,999.99 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $13,399.87 | $99,999.00 | $38,999.61 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $13,399.87 | $99,999.00 | $38,999.61 | 2026-05-06 | MRF ↗ |
| MERIT HEALTH RIVER REGION Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $13,599.86 | $99,999.00 | $29,999.70 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $13,599.86 | $99,999.00 | $29,999.70 | 2026-05-13 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $14,039.99 | $89,999.95 | $29,699.98 | 2026-05-06 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $14,039.99 | $89,999.95 | $32,399.98 | 2026-05-14 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $14,039.99 | $89,999.95 | $37,799.98 | 2026-05-09 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $14,039.99 | $89,999.95 | $32,399.98 | 2026-05-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Az Medicaid Non Par | Az Medicaid Non Par | $14,409.86 | $99,999.00 | $17,999.82 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Medicaid | Az Medicaid | $14,409.86 | $99,999.00 | $23,999.76 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $14,409.86 | $99,999.00 | $17,999.82 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $14,409.86 | $99,999.00 | $17,999.82 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Az Medicaid | Az Medicaid | $14,409.86 | $99,999.00 | $17,999.82 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $14,409.86 | $99,999.00 | $23,999.76 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $14,409.86 | $99,999.00 | $17,999.82 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $14,409.86 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $14,409.86 | $99,999.00 | $23,999.76 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $14,409.86 | $99,999.00 | $23,999.76 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid | Az Medicaid | $14,409.86 | $99,999.00 | $17,999.82 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $14,409.86 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $14,409.86 | $99,999.00 | $23,999.76 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $14,409.86 | $99,999.00 | $23,999.76 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Medicaid | Az Medicaid | $14,409.86 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Mercy Care | Mercy Care Medicaid Az | $14,409.86 | $99,999.00 | $17,999.82 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $14,409.86 | $99,999.00 | $17,999.82 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $14,409.86 | $99,999.00 | $17,999.82 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid Non Par | Az Medicaid Non Par | $14,409.86 | $99,999.00 | $17,999.82 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $14,409.86 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $14,409.86 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $14,409.86 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $14,409.86 | $99,999.00 | $17,999.82 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $14,409.86 | $99,999.00 | $17,999.82 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $14,999.85 | $99,999.00 | $35,999.64 | 2026-05-06 | MRF ↗ |
| FLOWERS HOSPITAL Outpatient | Self Pay | Self Pay | $14,999.92 | $99,999.49 | $14,999.92 | 2026-05-13 | MRF ↗ |
| FLOWERS HOSPITAL Outpatient | Self Pay | Self Pay | $14,999.92 | $99,999.49 | $14,999.92 | 2026-05-24 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Self Pay | Self Pay | $14,999.98 | $99,999.90 | $14,999.99 | 2026-05-24 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Alamed | Alamed Work Comp Al | $14,999.98 | $99,999.90 | $23,999.98 | 2026-05-24 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Alamed | Alamed Work Comp Al | $14,999.98 | $99,999.90 | $23,999.98 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Self Pay | Self Pay | $14,999.98 | $99,999.90 | $14,999.99 | 2026-05-07 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Humana All | Humana All | $15,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Uhc Iex | Uhc Iex | $15,099.98 | $99,999.90 | $14,999.99 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Uhc Iex | Uhc Iex | $15,099.98 | $99,999.90 | $14,999.99 | 2026-05-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Magellan | Magellan Medicaid Az | $15,130.35 | $99,999.00 | $23,999.76 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Magellan Medicaid Az | Magellan Medicaid Az | $15,130.35 | $99,999.00 | $17,999.82 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Magellan | Magellan Medicaid Az | $15,130.35 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Magellan Medicaid Az | Magellan Medicaid Az | $15,130.35 | $99,999.00 | $17,999.82 | 2026-05-27 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Uhc La Medicaid Chip | Uhc La Medicaid Chip | $15,249.85 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Uhc La Medicaid | Uhc La Medicaid | $15,249.85 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | La Medicaid Non Par | La Medicaid Non Par | $15,249.85 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | La Medicaid Non Par | La Medicaid Non Par | $15,249.85 | $99,999.00 | $17,999.82 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Humana Health Benefit Plan Of La Medicaid | Humana Health Benefit Plan Of La Medicaid | $15,249.85 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Uhc La Medicaid | Uhc La Medicaid | $15,249.85 | $99,999.00 | $17,999.82 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Uhc La Medicaid Chip | Uhc La Medicaid Chip | $15,249.85 | $99,999.00 | $17,999.82 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Humana Health Benefit Plan Of La Medicaid | Humana Health Benefit Plan Of La Medicaid | $15,249.85 | $99,999.00 | $17,999.82 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | La Medicaid Non Par | La Medicaid Non Par | $15,249.85 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | La Medicaid Non Par | La Medicaid Non Par | $15,249.85 | $99,999.00 | $20,999.79 | 2026-05-24 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $15,299.85 | $99,999.00 | $41,999.58 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $15,418.55 | $99,999.00 | $23,999.76 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $15,418.55 | $99,999.00 | $17,999.82 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $15,418.55 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $15,418.55 | $99,999.00 | $17,999.82 | 2026-05-27 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Qualchoice Signature | Qualchoice Signature And Complete | $15,551.99 | $89,999.95 | $37,799.98 | 2026-05-09 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Qualchoice | Qualchoice Signature And Complete | $15,551.99 | $89,999.95 | $32,399.98 | 2026-05-14 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Qualchoice Complete | Qualchoice Signature And Complete | $15,551.99 | $89,999.95 | $29,699.98 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Qualchoice | Qualchoice Signature And Complete | $15,551.99 | $89,999.95 | $32,399.98 | 2026-05-24 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | United Healthcare | Uhc Apa | $17,199.98 | $99,999.90 | $14,999.99 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | United Healthcare | Uhc Apa | $17,199.98 | $99,999.90 | $14,999.99 | 2026-05-24 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna Hmo/Ppo | $17,349.83 | $99,999.00 | $22,649.77 | 2026-05-06 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $17,399.83 | $99,999.00 | $32,999.67 | 2026-05-24 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Cigna | Cigna All | $17,499.91 | $99,999.49 | $29,999.85 | 2026-05-13 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Cigna | Cigna All | $17,499.91 | $99,999.49 | $29,999.85 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Self Pay | Self Pay | $17,999.82 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Self Pay | Self Pay | $17,999.82 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Self Pay | Self Pay | $17,999.82 | $99,999.00 | $17,999.82 | 2026-05-24 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Self Pay | Self Pay | $17,999.82 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Self Pay | Self Pay | $17,999.82 | $99,999.00 | $17,999.82 | 2026-05-09 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Self Pay | Self Pay | $17,999.82 | $99,999.00 | $17,999.82 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Self Pay | Self Pay | $17,999.82 | $99,999.00 | $17,999.82 | 2026-05-27 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $17,999.99 | $99,999.95 | $17,999.99 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $18,400.00 | $99,999.99 | $27,000.00 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Bcbs | Bcbs Hix Pathway | $18,480.04 | $99,999.00 | $34,999.65 | 2026-05-06 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | Uhc Iex | Uhc Iex | $18,499.81 | $99,999.00 | $20,999.79 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Uhc Iex | Uhc Iex | $18,499.81 | $99,999.00 | $17,999.82 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Uhc Iex | Uhc Iex | $18,499.81 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | Uhc Iex | Uhc Iex | $18,499.81 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $18,799.81 | $99,999.00 | $23,499.77 | 2026-05-23 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $18,799.81 | $99,999.00 | $23,499.77 | 2026-05-07 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Outpatient | Self Pay | Self Pay | $18,899.99 | $89,999.95 | $18,899.99 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna | Aetna Asbait | $18,999.81 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $19,399.81 | $99,999.00 | $22,649.77 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna New Business | $19,999.80 | $99,999.00 | $26,999.73 | 2026-05-06 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Chs Group Health Plan | Chs Group Health Plan | $19,999.80 | $99,999.00 | $29,999.70 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Inpatient | Medpartners | Medpartners | $19,999.80 | $99,999.00 | $29,999.70 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Chs Group Health Plan | Chs Group Health Plan | $19,999.80 | $99,999.00 | $29,999.70 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | First Choice | First Choice Lgp | $19,999.80 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Inpatient | Medpartners | Medpartners | $19,999.80 | $99,999.00 | $29,999.70 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | First Choice | First Choice Lgp | $19,999.80 | $99,999.00 | $17,999.82 | 2026-05-24 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Aetna | Aetna Asa | $20,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Uhc Options Ppo | $20,000.00 | $99,999.00 | $22,649.77 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Uhc Hsa | $20,000.00 | $99,999.00 | $22,649.77 | 2026-05-06 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Outpatient | Uhc | Uhc Hsa | $20,000.00 | $99,999.00 | $22,129.78 | 2026-05-13 | MRF ↗ |
| NEWPORT HOSPITAL Outpatient | United Healthcare | Uhc Options Ppo | $20,000.00 | $99,999.00 | $23,499.77 | 2026-05-07 | MRF ↗ |
| NEWPORT HOSPITAL Outpatient | United Healthcare | Uhc Hsa | $20,000.00 | $99,999.00 | $23,499.77 | 2026-05-07 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Outpatient | Uhc | Uhc Options Ppo | $20,000.00 | $99,999.00 | $22,129.78 | 2026-05-13 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Outpatient | Uhc | Uhc Hsa | $20,000.00 | $99,999.00 | $26,999.73 | 2026-05-24 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Outpatient | Uhc | Uhc Options Ppo | $20,000.00 | $99,999.00 | $26,999.73 | 2026-05-24 | MRF ↗ |
| NEWPORT HOSPITAL Outpatient | United Healthcare | Uhc Options Ppo | $20,000.00 | $99,999.00 | $23,499.77 | 2026-05-23 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Outpatient | Uhc | Uhc Options Ppo | $20,000.00 | $99,999.00 | $22,129.78 | 2026-05-24 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Outpatient | Uhc | Uhc Hsa | $20,000.00 | $99,999.00 | $22,129.78 | 2026-05-24 | MRF ↗ |
| NEWPORT HOSPITAL Outpatient | United Healthcare | Uhc Hsa | $20,000.00 | $99,999.00 | $23,499.77 | 2026-05-23 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $20,299.80 | $99,999.00 | $22,129.78 | 2026-05-24 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $20,299.80 | $99,999.00 | $22,129.78 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | Self Pay | Self Pay | $20,999.79 | $99,999.00 | $20,999.79 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | Self Pay | Self Pay | $20,999.79 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Self Pay | Self Pay | $21,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center - Bentonville Outpatient | Self Pay | Self Pay | $21,599.99 | $89,999.95 | $21,599.99 | 2026-05-24 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Outpatient | Self Pay | Self Pay | $21,599.99 | $89,999.95 | $21,599.99 | 2026-05-14 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Cigna | Cigna All | $21,859.78 | $99,999.00 | $22,129.78 | 2026-05-24 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Cigna | Cigna All | $21,859.78 | $99,999.00 | $22,129.78 | 2026-05-13 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Outpatient | Humana | Humana Ky Mcd | $21,999.78 | $99,999.00 | $26,999.73 | 2026-05-24 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Outpatient | Self Pay | Self Pay | $22,129.78 | $99,999.00 | $22,129.78 | 2026-05-24 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Outpatient | Self Pay | Self Pay | $22,129.78 | $99,999.00 | $22,129.78 | 2026-05-13 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Bcbs | Bcbs Hmo | $22,588.89 | $99,999.00 | $34,999.65 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $22,649.77 | $99,999.00 | $22,649.77 | 2026-05-06 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Coventry Healthcare | Coventry Work Comp Al | $22,999.88 | $99,999.49 | $29,999.85 | 2026-05-24 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Coventry Healthcare | Coventry Work Comp Al | $22,999.88 | $99,999.49 | $29,999.85 | 2026-05-13 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Bcbs Az Pima Connect | Bcbs Az Pima Connect | $23,009.92 | $99,999.00 | $17,999.82 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Bcbs Pimaconnect | Bcbs Pimaconnect | $23,009.92 | $99,999.00 | $23,999.76 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Bcbs Az Pima Connect | Bcbs Az Pima Connect | $23,009.92 | $99,999.00 | $17,999.82 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Bcbs Pimaconnect | Bcbs Pimaconnect | $23,009.92 | $99,999.00 | $23,999.76 | 2026-05-27 | MRF ↗ |
| NEWPORT HOSPITAL Outpatient | Self Pay | Self Pay | $23,499.77 | $99,999.00 | $23,499.77 | 2026-05-23 | MRF ↗ |
| NEWPORT HOSPITAL Outpatient | Self Pay | Self Pay | $23,499.77 | $99,999.00 | $23,499.77 | 2026-05-07 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Uhc Hix | Uhc Hix | $23,899.76 | $99,999.00 | $17,999.82 | 2026-05-06 | 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.