31017 — O/2 Cannula
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). O/2 CANNULA (CDM 31017) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/31017?code_type=CDM
MLA (9th ed.)
“O/2 CANNULA (CDM 31017) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/31017?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“O/2 CANNULA (CDM 31017) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/31017?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3–$330 (25th–75th percentile) across 10 hospitals · 70 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 31017 — 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 |
|---|---|---|---|---|---|---|---|
| MOUNTAIN VIEW HOSPITAL Outpatient | ELAP | COMM | $1.22 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Sterling Life Insurance | MCR | $1.44 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | ELAP | COMM | $1.46 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | IFPLP | $1.47 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | PEHP | Exclusive | $1.59 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Bright Health | HIX | $1.61 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | OAPNBN | $1.66 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Sterling Life Insurance | MCR | $1.73 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Cigna | IFPLP | $1.76 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Aetna | PeakPreference | $1.78 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | University of Utah | HIXIndividual | $1.83 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | Exclusive | $1.90 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | PEHP | Exclusive | $1.90 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina | HIX | $1.92 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Bright Health | HIX | $1.93 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Cigna | OAPNBN | $1.99 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | PEHP | Summit | $2.04 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | University of Utah | HealthyPreferred | $2.10 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | University of Utah | HealthyPremierSSG | $2.10 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | DMBA (Deseret Mutual Benefit Admin) | PPO | $2.17 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | University of Utah | HIXIndividual | $2.19 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Cigna | Exclusive | $2.28 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | University of Utah | HealthyPremier | $2.29 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Aetna | StandardNetwork | $2.30 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina | HIX | $2.30 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Universal Healthcare | MCR | $2.30 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna UT Overstock | COMM | $2.30 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Aetna | PeakPreference | $2.42 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | PEHP | Summit | $2.45 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | NBNPPO | $2.53 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | University of Utah | HealthyPremierSSG | $2.53 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | University of Utah | HealthyPreferred | $2.53 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana ChoiceCare | PPO | $2.57 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | DMBA (Deseret Mutual Benefit Admin) | PPO | $2.60 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Imagine Health Wise | PPO | $2.67 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | University of Utah | HealthyPremier | $2.75 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | MotivHealth | COMM | $2.76 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Cigna UT Overstock | COMM | $2.76 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Angle Insurance | COMM | $2.76 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Universal Healthcare | MCR | $2.76 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | MotivHealth | TPARental | $2.76 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Aetna | AetnaSignatureAdministrators | $2.82 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Magellan Behavioral Health | TRICARE | $2.88 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Aetna | UtahConnectedNetwork | $2.93 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Cigna | NBNPPO | $3.04 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Humana ChoiceCare | PPO | $3.09 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Aetna | StandardNetwork | $3.17 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | Non-ExclusivePPO | $3.20 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Imagine Health Wise | PPO | $3.21 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | MotivHealth | COMM | $3.31 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | MotivHealth | TPARental | $3.31 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Angle Insurance | COMM | $3.31 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Select Health ER | COMM | $3.32 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Union Pacific Railroad | COMM | $3.74 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Cigna | Non-ExclusivePPO | $3.84 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Multiplan | Primary | $3.85 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Aetna | AetnaSignatureAdministrators | $3.93 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Select Health ER | COMM | $3.99 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Aetna | UtahConnectedNetwork | $4.00 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | EverNorth BH | COMM | $4.03 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Aetna | FirstHealth | $4.14 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Multiplan | Primary | $4.35 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Union Pacific Railroad | COMM | $4.49 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Injury Care of Utah | WCOMP | $4.49 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Magellan BH | COMMBH | $4.60 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | TriWest Healthcare Alliance | Veterans | $4.60 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | USA Managed Care | PPO | $4.89 | $5.75 | $5.75 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Aetna | FirstHealth | $5.04 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Injury Care of Utah | WCOMP | $5.38 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | USA Managed Care | PPO | $5.87 | $6.90 | $6.90 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Aetna | MGMCR | $17.70 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Cigna | NBR | $21.71 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Lifeworks | MCR | $22.42 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Universal Healthcare Group | MCR | $25.96 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Molina | MCD | $32.73 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | United | MGMCD | $32.73 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Anthem BCBS | MGMCD | $32.73 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Humana CareSource | MGMCD | $33.05 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Virginia Health Network | ULTRA | $41.30 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Aetna | SharedSavings | $44.84 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | United | OptionsPPO | $50.27 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Cigna | PPO | $52.04 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Cigna | HMO | $52.04 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | United | GlobalBenefitPlan | $53.10 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Coventry Cares | MCD | $65.45 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Aetna | Broad | $66.08 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Greenvbrier Sporting Club | COMM | $70.80 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $72.18 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Virginia Health Network | WC | $84.96 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Virginia Health Network | COMM | $84.96 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | CorVel | WorkersComp | $84.96 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Richfield Retirement Community | COMM | $88.50 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | GM Southwest | COMM | $88.50 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Richfield Nursing Center | COMM | $88.50 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Signature Advantage | MCRHMO | $88.83 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Multiplan | PHCS | $90.86 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | One Health Plan | POS | $94.40 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | John W Hancock | COMM | $94.40 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | One Health Plan | PPO | $94.40 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Graham-White Manufacturing | COMM | $94.40 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Community Care Network | COMM | $94.40 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | OccuNet Workers Comp | WorkersComp | $94.40 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | PHCS | COMM | $100.30 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Patients Choice | COMM | $103.84 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Star Transportation | COMM | $106.20 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | 4Most | COMM | $106.20 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | American Postal Workers Union | COMM | $106.20 | $118.00 | $118.00 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Humana Choicecare | COMM | $122.95 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Humana | COMM | $122.95 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Nebraska Medicaid | Managed Medicaid | $129.27 | $417.00 | — | 2026-03-31 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Anthem | PathwayHMO | $145.30 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Cigna | HMO | $150.54 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Cigna | PPO | $150.54 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $161.75 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Anthem | Traditional/HMO/PPO | $170.92 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Aetna | Commercial | $205.23 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | United | GlobalBenefitPlan | $210.38 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | CDM Health | COMMHMO | $229.07 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Plumbers and Pipefitters Local 572 | COMMPPO | $233.75 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice CHI | All Products | $291.90 | $417.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Ambetter | All Products | $291.90 | $417.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | Select Blue | $300.24 | $417.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | UHC | TNMC - University Regents | $316.92 | $417.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | BluePrint | $330.26 | $417.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | All Products | $333.60 | $417.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice Elevate | All Products | $333.60 | $417.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | UHC | All Products | $350.28 | $417.00 | — | 2026-03-31 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Southern Kentucky Rehab | COMM | $350.63 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Humana | Tricare | $350.63 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Avera Health Plan | All Products | $354.45 | $417.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Wellmark | All Products | $354.45 | $417.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Centivo | All Products | $354.45 | $417.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Aetna | All Products | $366.96 | $417.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Sanford Health Plan | All Products | $366.96 | $417.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice | All Products | $366.96 | $417.00 | — | 2026-03-31 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Tim Davis and Associates | COMM | $374.00 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Occupational MC Alliance | COMM | $374.00 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Up and Up | COMM | $374.00 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | IHG Interplan | COMM | $397.38 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $429.19 | $420.61 | 2025-03-17 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $429.19 | $420.61 | 2025-08-04 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Fortified Provider Network | COMM | $420.75 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Fortified Provider Network | WCOMP | $420.75 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | USA Managed Care | COMM | $420.75 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | MultiPlan | COMM | $420.75 | $467.50 | $467.50 | 2024-10-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Health Services Coalition | COMM | $984.64 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Imperial NV | MCR | $1,086.00 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | United | OptionsPPO | $1,513.16 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Centene | HIX | $1,520.40 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Select Health | HIX | $1,563.84 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | CIGNA | OAP | $1,621.76 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Select Health | COMM | $1,668.82 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SILVER HILL HOSPITAL INC OutpatientFacility | AETNA ADULT | PPO/POS | $1,841.64 | $2,980.00 | $2,980.00 | 2024-12-24 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | HMO | $2,186.48 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | PPO | $2,186.48 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | CMN Global | COMM | $3,040.80 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | NV Health & Welfare Trust | COMM | $4,344.00 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MultiPlan | INTERNATIONAL | $4,561.20 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MultiPlan | COMPLEMENTARY | $5,285.20 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Olympus MedSave USA | COMM | $5,430.00 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MedCare International | COMM | $5,430.00 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | First Health | WC | $5,792.00 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Elevance (Anthem BCBS) | MCR | $7,240.00 | $7,240.00 | $7,240.00 | 2026-03-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $23,943.00 | $23,943.00 | $11,732.07 | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $23,943.00 | $23,943.00 | $11,732.07 | 2026-01-01 | MRF ↗ |