2720362 — Hb Sealant Hemostatic 1
Cite this view
HANK Price Transparency. (n.d.). HB SEALANT HEMOSTATIC 1 (CDM 2720362) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2720362?code_type=CDM
“HB SEALANT HEMOSTATIC 1 (CDM 2720362) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2720362?code_type=CDM. Accessed .
“HB SEALANT HEMOSTATIC 1 (CDM 2720362) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2720362?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $27–$6,996 (25th–75th percentile) across 7 hospitals · 49 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 2720362 — 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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | Medicare Advantage | — | $747.28 | $485.73 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | CareMore Health Plan | Medicare Advantage | — | $747.28 | $485.73 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO | — | $747.28 | $485.73 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| NESS COUNTY HOSPITAL DISTRICT #2 OutpatientFacility | Celtic | Commercial/Exchange | $12.94 | $28.00 | $21.00 | 2026-03-02 | MRF ↗ |
| NESS COUNTY HOSPITAL DISTRICT #2 OutpatientFacility | Celtic | Commercial/Exchange | $12.94 | $28.00 | $21.00 | 2026-03-02 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $747.28 | $485.73 | 2025-11-26 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP MCR ADV | SWHP MCR ADV | $17.76 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SUPERIOR EPO/HMO - ALL PLANS | SUPERIOR EPO/HMO - ALL PLANS | $17.76 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $17.76 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CHOICECARE COMM - ALL OTHER PLANS | CHOICECARE COMM - ALL OTHER PLANS | $17.76 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MOLINA MCR ADV - ALL OTHER PLANS | MOLINA MCR ADV - ALL OTHER PLANS | $17.76 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CHOICECARE MCR ADV | CHOICECARE MCR ADV | $17.76 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | PPHP MCR ADV - ALL PLANS | PPHP MCR ADV - ALL PLANS | $17.76 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | WELLMED MCR ADV - ALL PLANS | WELLMED MCR ADV - ALL PLANS | $17.76 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | EPO | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | PPO | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| NESS COUNTY HOSPITAL DISTRICT #2 InpatientFacility | WPPA | Commercial | $22.96 | $28.00 | $21.00 | 2026-03-02 | MRF ↗ |
| NESS COUNTY HOSPITAL DISTRICT #2 InpatientFacility | WPPA | Commercial | $22.96 | $28.00 | $21.00 | 2026-03-02 | MRF ↗ |
| NESS COUNTY HOSPITAL DISTRICT #2 OutpatientFacility | WPPA | Commercial | $23.52 | $28.00 | $21.00 | 2026-03-02 | MRF ↗ |
| NESS COUNTY HOSPITAL DISTRICT #2 OutpatientFacility | WPPA | Commercial | $23.52 | $28.00 | $21.00 | 2026-03-02 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO, City of LA, Vivity | — | $747.28 | $485.73 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $747.28 | $485.73 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Inpatient | KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYSTEM dba DANIEL FREEMAN MARINA HOSPITAL | HMO | — | $747.28 | $485.73 | 2025-11-26 | MRF ↗ |
| NESS COUNTY HOSPITAL DISTRICT #2 InpatientFacility | Health Partners Plans | Commercial | $26.60 | $28.00 | $21.00 | 2026-03-02 | MRF ↗ |
| NESS COUNTY HOSPITAL DISTRICT #2 InpatientFacility | Health Partners Plans | Commercial | $26.60 | $28.00 | $21.00 | 2026-03-02 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | ALLIANCE WC - ALL PLANS | ALLIANCE WC - ALL PLANS | $26.64 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| NESS COUNTY HOSPITAL DISTRICT #2 InpatientFacility | UnitedHealthcare | Commercial | $27.16 | $28.00 | $21.00 | 2026-03-02 | MRF ↗ |
| NESS COUNTY HOSPITAL DISTRICT #2 InpatientFacility | UnitedHealthcare | Commercial | $27.16 | $28.00 | $21.00 | 2026-03-02 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | HMO | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | California Physicians' Service, dba Blue Shield of California | PPO | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | California Physicians' Service, dba Blue Shield of California | EPO | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | AETNA BETTER HLTH -ALL PLANS | AETNA BETTER HLTH -ALL PLANS | $30.24 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP MCAID | SWHP MCAID | $30.24 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MOLINA MCAID | MOLINA MCAID | $30.24 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $31.20 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | BCBS HMO | BCBS HMO | $33.60 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | BCBS BLUE OPTION | BCBS BLUE OPTION | $33.60 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $33.60 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | OCCUNET - ALL PLANS | OCCUNET - ALL PLANS | $36.00 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | BCBS PPO - ALL OTHER PLANS | BCBS PPO - ALL OTHER PLANS | $36.00 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP COMM - ALL OTHER PLANS | SWHP COMM - ALL OTHER PLANS | $38.40 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | PPO | — | $747.28 | $485.73 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | HMO | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | FIRST CARE HMO - ALL OTHER PLANS | FIRST CARE HMO - ALL OTHER PLANS | $40.80 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | FIRST CARE HMO SELF FUNDED | FIRST CARE HMO SELF FUNDED | $40.80 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $43.20 | $48.00 | $31.20 | 2026-10-12 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYSTEM dba DANIEL FREEMAN MARINA HOSPITAL | Medi-Cal | — | $747.28 | $485.73 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Health Net of California, Inc. | POS | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | PPO | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | California Physicians' Service, dba Blue Shield of California | POS | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | HMO | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $747.28 | $485.73 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | PPO | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHP/Medicare Advantage Special Needs HMO | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | California Physicians' Service, dba Blue Shield of California | HMO | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | HMO | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | VENTURA COUNTY MEDI-CAL MANAGED CARE COMMISSION (dba Gold Coast Health Plan) | Medi-Cal | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medi-Cal | — | $2,301.31 | $1,495.85 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | PPO | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $126.95 | $82.52 | 2025-11-26 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | EBMS-ALL PLANS | EBMS-ALL PLANS | $4,316.58 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | PARTNERS DIRECT-ALL PLANS | PARTNERS DIRECT-ALL PLANS | $6,698.14 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $6,995.83 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | VETERANS ADMIN - ALL PLANS | VETERANS ADMIN - ALL PLANS | $6,995.83 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $6,995.83 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | CELTIC MCR ADV | CELTIC MCR ADV | $6,995.83 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | ALTIUS HOSP EMPL | ALTIUS HOSP EMPL | $7,442.38 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | AMBETTER MARKETPLACE - ALL PLANS | AMBETTER MARKETPLACE - ALL PLANS | $7,695.42 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | CELTIC COMM - ALL OTHER PLANS | CELTIC COMM - ALL OTHER PLANS | $7,695.42 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | BLUE CROSS QHP | BLUE CROSS QHP | $7,926.13 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | AETNA COMM-ALL PLANS | AETNA COMM-ALL PLANS | $8,930.85 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | PACIFICSOURCE-ALL PLANS | PACIFICSOURCE-ALL PLANS | $8,930.85 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | ALTIUS NONPAR EMPL | ALTIUS NONPAR EMPL | $10,419.33 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | BLUE CROSS COMM-ALL OTHER PLANS | BLUE CROSS COMM-ALL OTHER PLANS | $10,568.17 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | SELECTHEALTH-ALL PLANS | SELECTHEALTH-ALL PLANS | $11,163.56 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | UHC COMM-ALL PLANS | UHC COMM-ALL PLANS | $11,163.56 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | REGENCE BLUE SHIELD-ALL PLANS | REGENCE BLUE SHIELD-ALL PLANS | $11,163.56 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | UHC ALL PAYER - ALL PLANS | UHC ALL PAYER - ALL PLANS | $13,396.28 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | AETNA COVENTRY - ALL PLANS | AETNA COVENTRY - ALL PLANS | $13,396.28 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | PREFERRED BENEFITS ADMIN | PREFERRED BENEFITS ADMIN | $13,396.28 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $13,396.28 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $13,842.82 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | ALTIUS COVENTRY-ALL OTHER PLANS | ALTIUS COVENTRY-ALL OTHER PLANS | $13,842.82 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $14,140.51 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $14,140.51 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | PROVIDRS CARE - ALL PLANS | PROVIDRS CARE - ALL PLANS | $14,140.51 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| ROOKS COUNTY HEALTH CENTER Outpatient | PREFERRED HLTHCARE - ALL OTHER PLANS | PREFERRED HLTHCARE - ALL OTHER PLANS | $14,140.51 | $14,884.75 | $11,163.56 | 2026-06-30 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | FIRST CHOICE HEALTH-ALL PLANS | FIRST CHOICE HEALTH-ALL PLANS | $14,140.51 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | BRIGHT PATH-ALL PLANS | BRIGHT PATH-ALL PLANS | $14,140.51 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |
| BINGHAM MEMORIAL HOSPITAL Outpatient | DESERET MUTUAL-ALL PLANS | DESERET MUTUAL-ALL PLANS | $14,140.51 | $14,884.75 | $10,419.33 | 2026-02-02 | MRF ↗ |