220488 — Electrd Surg Wnd 90d
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ELECTRD SURG WND 90D (CDM 220488) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/220488?code_type=CDM
MLA (9th ed.)
“ELECTRD SURG WND 90D (CDM 220488) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/220488?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ELECTRD SURG WND 90D (CDM 220488) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/220488?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $751–$3,058 (25th–75th percentile) across 9 hospitals · 87 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 220488 — 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 |
|---|---|---|---|---|---|---|---|
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Regence Blue Shield | MGMCR | $50.00 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | PPO | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | HIX | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | HIX | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | HIX | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | PPO | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | EverNorth BH | COMM | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | — | $1,446.93 | $1,446.93 | 2024-10-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STAR | $194.45 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARKids | $194.45 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHIP | $194.45 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHPFC | $194.45 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARPLUS | $194.45 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Superior Health | STARPLUS | $215.88 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Superior Health | STAR | $215.88 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Superior Health | CHPFC | $215.88 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STARKids | $215.88 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STARPLUS | $215.88 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | CHPFC | $215.88 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Superior Health | STARKids | $215.88 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Superior Health | CHIP | $215.88 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | CHIP | $215.88 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STAR | $215.88 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHIP | $242.34 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARPLUS | $242.34 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHPFC | $242.34 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARKids | $242.34 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STAR | $242.34 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | MCR | $267.79 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | ELAP | COMM | $273.42 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Sterling Life Insurance | MCR | $322.74 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | IFPLP | $329.19 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | PEHP | Exclusive | $356.30 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Bright Health | HIX | $361.47 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | OAPNBN | $371.79 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Superior Health | STAR | $399.24 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | CHIP | $399.24 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STAR | $399.24 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Superior Health | STARKids | $399.24 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Superior Health | CHIP | $399.24 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Superior Health | CHPFC | $399.24 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | CHPFC | $399.24 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Superior Health | STARPLUS | $399.24 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STARPLUS | $399.24 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STARKids | $399.24 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Aetna | PeakPreference | $400.19 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | University of Utah | HIXIndividual | $410.52 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | Exclusive | $427.30 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina | HIX | $431.18 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | PEHP | Summit | $458.29 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Community First Health Plans | MCDSTAR | $466.68 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Community First Health Plans | CHIP | $466.68 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Community First Health Plans | CHIPPerinate | $466.68 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | University of Utah | HealthyPreferred | $472.49 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | University of Utah | HealthyPremierSSG | $472.49 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | HIX | $482.26 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | PPO | $482.26 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | PPO | $482.26 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | DMBA (Deseret Mutual Benefit Admin) | PPO | $486.82 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCDBH | $503.72 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIP | $503.72 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Amerigroup | MCD | $503.72 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Amerigroup | CHIPBH | $503.72 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Amerigroup | CHIP | $503.72 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First | MCDSTAR | $503.72 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Community First | CHIP | $503.72 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First | CHIP | $503.72 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Community First | MCDSTAR | $503.72 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCD | $503.72 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIPBH | $503.72 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Amerigroup | MCDBH | $503.72 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | $507.73 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | University of Utah | HealthyPremier | $515.09 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Aetna | StandardNetwork | $516.38 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Universal Healthcare | MCR | $516.38 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna UT Overstock | COMM | $516.38 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | STAR | $525.07 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | CHIP | $525.07 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | CHIPPerinatal | $525.07 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | STAR+PLUS | $525.07 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | MED | $537.97 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Amerigroup | CHIPBH | $544.46 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Amerigroup | MCDBH | $544.46 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Amerigroup | MCD | $544.46 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Amerigroup | CHIP | $544.46 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | NBNPPO | $568.02 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana ChoiceCare | PPO | $577.44 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | CSN | $597.77 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Imagine Health Wise | PPO | $599.90 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Angle Insurance | COMM | $619.66 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | MotivHealth | TPARental | $619.66 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | MotivHealth | COMM | $619.66 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Aetna | AetnaSignatureAdministrators | $632.57 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | $636.65 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Magellan Behavioral Health | TRICARE | $645.48 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | OpenAccessPlus | $646.24 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | MyBlueHealth | $658.36 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Aetna | UtahConnectedNetwork | $658.38 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | $668.48 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | $668.48 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | $668.48 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | United | OptionsPPO | $678.55 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRPOS | $683.62 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Imperial Insurance | MCRPPO | $683.62 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Imperial Insurance | MCRPFFS | $683.62 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Imperial Insurance | DualEligible | $683.62 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Imperial Insurance | MCRSNP | $683.62 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Imperial Insurance | MCRPOS | $683.62 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Imperial Insurance | MCRHMO | $683.62 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRPFFS | $683.62 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | DualEligible | $683.62 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRHMO | $683.62 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRSNP | $683.62 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRPPO | $683.62 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | EPO | $706.83 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | HMO | $706.83 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | Non-ExclusivePPO | $717.77 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Oscar | EPO | $719.60 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | PPO | $719.60 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | EPO | $719.60 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | POS | $719.60 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | BroadNetworkHIX | $719.60 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Oscar | BroadNetworkHIX | $719.60 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Oscar | PPO | $719.60 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Oscar | POS | $719.60 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | BAV | $727.02 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Imperial Insurance | MCRHMO | $738.91 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Imperial Insurance | MCRSNP | $738.91 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Imperial Insurance | MCRPPO | $738.91 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Imperial Insurance | MCRPFFS | $738.91 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Imperial Insurance | MCRPOS | $738.91 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Imperial Insurance | DualEligible | $738.91 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Select Health ER | COMM | $746.17 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | PPO | $767.41 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | $775.12 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Oscar | POS | $777.80 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Oscar | PPO | $777.80 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Oscar | EPO | $777.80 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Oscar | BroadNetworkHIX | $777.80 | $3,889.00 | $3,889.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Oscar | HIX | $787.61 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | $795.81 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | ValueHMO | $799.72 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Union Pacific Railroad | COMM | $839.12 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | $846.74 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | $846.74 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | $846.74 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | $853.11 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Multiplan | Primary | $864.94 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $875.39 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Molina | QHP | $899.50 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Molina | QHP | $899.50 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | EverNorth BH | COMM | $903.66 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | QHPExchange | $904.74 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | HMO | $908.77 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $919.96 | $1,591.62 | $1,591.62 | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | United | OptionsPPO | $928.28 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | United | OptionsPPO | $928.28 | $3,598.00 | $3,598.00 | 2025-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | EPOSOA | $928.97 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Aetna | FirstHealth | $929.48 | $1,290.95 | $1,290.95 | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIP | $931.56 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First | MCDSTAR | $931.56 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIPBH | $931.56 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCD | $931.56 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCDBH | $931.56 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First | CHIP | $931.56 | $6,654.00 | $6,654.00 | 2025-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | PPO | $945.13 | $4,039.00 | $4,039.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | $954.97 | $1,591.62 | $1,591.62 | 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.