31821 — C/t Facet Nrv Dest Addl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). C/T FACET NRV DEST ADDL (CDM 31821) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/31821?code_type=CDM
MLA (9th ed.)
“C/T FACET NRV DEST ADDL (CDM 31821) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/31821?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“C/T FACET NRV DEST ADDL (CDM 31821) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/31821?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $54–$1,034 (25th–75th percentile) across 6 hospitals · 43 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 31821 — 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 |
|---|---|---|---|---|---|---|---|
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | BCBS | BlueChoice | $11.32 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | BCBS | Cap | $11.32 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United | OptionsPPO | $11.87 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | CignaLocalPlusNetwork | $13.60 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | WPPA | UnifiedHealth | $13.68 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | WPPA | WPPAPrimeNetwork | $13.68 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | WPPA | ProviderCareNetwork | $13.68 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | LocalPreferred | $13.70 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Centene | HIX | $14.15 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Medical Associates Health Plan | COMM | $14.86 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Preferred Health Choices | COMM | $14.86 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | OptionsPPO | $14.87 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | CignaLocalPlusNetwork | $17.27 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | WPPA | UnifiedHealthPlan | $17.64 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | WPPA | PrimeNetwork | $17.64 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | WPPA | ProviderCareNetwork | $17.64 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | LocalPreferred | $17.67 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | LocalOpen | $18.43 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Centene | COMM | $18.47 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $18.55 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | NationalOpen | $18.87 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $22.53 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna Better Health | MCD | $23.59 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | LocalOpen | $23.79 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | NationalOpen | $24.35 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Spirit Aerosystems | COMMOON | $25.16 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $27.70 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | Spirit | $28.07 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Spirit Aerosystems | COMMOON | $31.21 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United | GlobalBenefitPlan | $35.38 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | First Health | PPO | $36.24 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | Humana | $39.31 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $41.55 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | First Health | PPO | $44.78 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Humana | $46.17 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Regence Blue Shield | MGMCR | $50.00 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Triwest Healthcare Alliance | Tricare | $51.10 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $55.03 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Triwest Healthcare Alliance | Tricare | $60.02 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $64.64 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $66.83 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | USA Managed Care | COMM | $66.83 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | BeechStreetCOMMPPO | $70.76 | $78.62 | $78.62 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $78.49 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | USA Managed Care | COMM | $78.49 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | BeechStreetCOMMPPO | $83.11 | $92.34 | $92.34 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | EverNorth BH | COMM | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | HIX | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | PPO | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | HIX | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | PPO | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | HIX | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | — | $1,917.29 | $1,917.29 | 2024-10-01 | MRF ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Nebraska Medicaid | Managed Medicaid | $268.15 | $865.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice CHI | All Products | $605.50 | $865.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Ambetter | All Products | $605.50 | $865.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | Select Blue | $622.80 | $865.00 | — | 2026-03-31 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | PPO | $639.03 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | HIX | $639.03 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | PPO | $639.03 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | UHC | TNMC - University Regents | $657.40 | $865.00 | — | 2026-03-31 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | $672.78 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | BluePrint | $685.08 | $865.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice Elevate | All Products | $692.00 | $865.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | All Products | $692.00 | $865.00 | — | 2026-03-31 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | MED | $712.85 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | UHC | All Products | $726.60 | $865.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Centivo | All Products | $735.25 | $865.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Avera Health Plan | All Products | $735.25 | $865.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Wellmark | All Products | $735.25 | $865.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Aetna | All Products | $761.20 | $865.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Sanford Health Plan | All Products | $761.20 | $865.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice | All Products | $761.20 | $865.00 | — | 2026-03-31 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | $843.61 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | $885.79 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | $885.79 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | $885.79 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | $1,027.09 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | $1,054.51 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | $1,122.00 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | $1,122.00 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | $1,122.00 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | $1,130.43 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $1,159.96 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $1,219.01 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | $1,265.41 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $1,304.87 | $1,278.77 | 2025-03-17 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $1,304.87 | $1,278.77 | 2025-08-04 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Moda | COMM | $1,313.92 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | $1,358.21 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | $1,358.21 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | $1,581.77 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | $1,581.77 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | $1,687.22 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | $1,687.22 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Humana ChoiceCare | COMM | $1,771.58 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | $1,771.58 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | $1,792.67 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | $1,792.67 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | $1,898.12 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | $1,898.12 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | $1,898.12 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | $1,898.12 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | $1,919.21 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | $2,003.57 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | $2,003.57 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | $2,003.57 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | $2,109.02 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | $2,109.02 | $2,109.02 | $2,109.02 | 2026-03-01 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Ambetter | Commercial | $8,119.00 | $18,002.00 | $14,402.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Healthscope | Commercial | $10,801.00 | $18,002.00 | $14,402.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Anthem | Commercial | $13,718.00 | $18,002.00 | $14,402.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $13,862.00 | $18,002.00 | $14,402.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | MultiPlan | Commercial | $14,402.00 | $18,002.00 | $14,402.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Centene | Commercial | $18,002.00 | $18,002.00 | $14,402.00 | 2026-06-22 | MRF ↗ |