248063 — Coil Axium Prime 3d Frame 18x40mm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). COIL AXIUM PRIME 3D FRAME 18X40MM (CDM 248063) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/248063?code_type=CDM
MLA (9th ed.)
“COIL AXIUM PRIME 3D FRAME 18X40MM (CDM 248063) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/248063?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“COIL AXIUM PRIME 3D FRAME 18X40MM (CDM 248063) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/248063?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,582–$145,140 (25th–75th percentile) across 24 hospitals · 103 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 248063 — 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 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | CHIP | $100.62 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STAR | $100.62 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STARPLUS | $100.62 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STARKids | $100.62 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | CHPFC | $100.62 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | HIX | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | COMM | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | CWI | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | IdahoEnvironmentalCoalition | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | PPO | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | PPO | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | HIX | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | HIX | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | EverNorth BH | COMM | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | — | $4,636.00 | $4,636.00 | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIP | $234.78 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First | MCDSTAR | $234.78 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIPBH | $234.78 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCD | $234.78 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCDBH | $234.78 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First | CHIP | $234.78 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | DualEligible | $318.63 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRSNP | $318.63 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRPFFS | $318.63 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRHMO | $318.63 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRPOS | $318.63 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRPPO | $318.63 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | EPO | $335.40 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | POS | $335.40 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | PPO | $335.40 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | BroadNetworkHIX | $335.40 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Molina | QHP | $419.25 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | United | OptionsPPO | $432.67 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | QHPHIX | $447.76 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Cigna | NBN | $498.07 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Cigna Lifesource | COMM | $519.87 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First Health Plans | COMM | $519.87 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | MBH | $521.55 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Healthcare Highways | NarrowNetwork | $526.58 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | TRAD | $534.96 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Focus Health Solutions | COMM | $536.64 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Cigna | OpenAccessPlus | $558.44 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | PPO | $563.81 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | HMO | $563.81 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior | AmbetterValueHMO | $586.95 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Valenz | COMM | $586.95 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | NarrowNetwork | $610.43 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | HPN | $630.55 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | EPO | $630.55 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | BAV | $632.23 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Evry Health | Broad | $633.91 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior | AmbetterEPO | $637.26 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior | AmbetterHMO | $637.26 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | NewBusinessRates | $655.71 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Cigna | PPO | $675.83 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | CommercialBaseNetwork | $675.83 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | First Health | COMM | $744.59 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Fidelis SecureCare | MGMCR | $754.65 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | HMO | $766.39 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | OON | $793.22 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | EPOSOA | $801.61 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Emerging Therapy Solutions | MCR | $804.96 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | PPO | $835.15 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TX Healthcare Foundation | PPO | $838.50 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | National ChoiceCare | WORKERSCOMP | $838.50 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Texas Healthcare Foundation HEB | HEBEmployee | $838.50 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | ASA | $858.62 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | HealthSmart Preferred Care | Accel | $922.35 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Physician Cooperative of Texas | WORKERSCOMP | $922.35 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Independent Medical Systems | PPO | $922.35 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | San Antonio Employers Health Alliance | PPO | $1,006.20 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | HAA Preferred Partners | LOGOV | $1,006.20 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | National Healthcare Solutions | PPO | $1,090.05 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $1,090.05 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | PHCS | PrimaryPPO | $1,123.59 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | MultiPlan, Inc. | PRIMARYPPO | $1,123.59 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TML Intergovernmental EBP | PPO | $1,173.90 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Emerging Therapy Solutions | COMM | $1,207.44 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $1,257.75 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | MultiPlan, Inc. | COMPLEMENTARYPPO | $1,257.75 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | PHCS | Complimentary | $1,257.75 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $1,257.75 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | DirectCare America | PPO | $1,341.60 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Admar Corporation | PPO | $1,341.60 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | USA Managed Care | PPO | $1,341.60 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | United Payors United Providers | PPO | $1,341.60 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Blue Bell | PPO | $1,341.60 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Admar Corporation | EPO | $1,341.60 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Galaxy Health Network | COMM | $1,425.45 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | MedicalControl | PPO | $1,425.45 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Managed Healthcare | PPO | $1,425.45 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | HIX | $1,573.78 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | PPO | $1,573.78 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | PPO | $1,573.78 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | $1,656.89 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Optum | MCD | $1,677.00 | $1,677.00 | $1,677.00 | 2025-01-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | MED | $1,755.57 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | IdahoEnvironmentalCoalition | $2,046.44 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | $2,077.60 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | $2,181.48 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | $2,181.48 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | $2,181.48 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | $2,181.48 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | CWI | $2,337.30 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | $2,529.48 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | $2,597.00 | $5,194.00 | $5,194.00 | 2026-03-01 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Fidelis | Fidelis - Exchange | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Fidelis | Fidelis - Exchange | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $2,755.38 | — | $3,581.99 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $2,755.38 | — | $3,926.93 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $2,755.38 | — | $3,926.93 | 2026-03-31 | 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.