33157 — Spacer Avs As Peek 10 X 12 X 14mm 4deg
Cite this view
HANK Price Transparency. (n.d.). SPACER AVS AS PEEK 10 X 12 X 14MM 4DEG (CDM 33157) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/33157?code_type=CDM
“SPACER AVS AS PEEK 10 X 12 X 14MM 4DEG (CDM 33157) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/33157?code_type=CDM. Accessed .
“SPACER AVS AS PEEK 10 X 12 X 14MM 4DEG (CDM 33157) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/33157?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $804–$2,174 (25th–75th percentile) across 15 hospitals · 61 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 33157 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 794_MHKS SMARTHEALTH INPATIENT 20241001 | $90.87 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 655_MHKS SMARTHEALTH OUTPATIENT 20230101 | $90.87 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | AETNA | 780_MHKS AETNA 20240701 | $125.82 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | FIRST HEALTH | 115_FIRST HEALTH 20130101 | $128.15 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CORE SOURCE | 283_CORE SOURCE 20180101 | $128.15 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | COVENTRY | 669_MHKS COVENTRY 20170101 | $128.15 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MEDICA | 799_MEDICA HEALTHIER YOU 20241001 | $149.12 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | PROVIDRS CARE | 867_MHKS PROVIDRS CARE 20250701 | $158.44 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | UHC | 844_MHKS UNITED HEALTH CARE 20250101 | $170.09 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MULTIPLAN | 106_MULTIPLAN PHCS MHKS 20180601 | $186.40 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CENTURY | 668_CENTURY 20130101 | $205.04 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CIGNA | 778_MHKS CIGNA 20240701 | $207.37 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CAP | 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101 | $209.70 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CHOICE | 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101 | $209.70 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | HUMANA | 870_HUMANA 20250101 | $209.70 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | NON-CONTRACTED | 275_NON-CONTRACTED 20170101 | $233.00 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $233.00 | $233.00 | $93.20 | 2026-01-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Athletic Network | Premier | $300.00 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Athletic Network | Premier | $300.00 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | CHIP | $326.07 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | STARPLUS | $326.07 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | CHIP | $326.07 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | STARKids | $326.07 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | STAR | $326.07 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | CHPFC | $326.07 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | STARPLUS | $326.07 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | STARKids | $326.07 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | CHPFC | $326.07 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | STAR | $326.07 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Independence Blue Cross | Medicare Advantage | $392.16 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Jefferson Health Plan | CHIP/Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Independence Blue Cross | Medicare Advantage | $392.16 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Highmark Wholecare | Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Jefferson Health Plan | CHIP/Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Jefferson Health Plan | CHIP/Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Jefferson Health Plan | CHIP/Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Independence Blue Cross | Medicare Advantage | $392.16 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Independence Blue Cross | Medicare Advantage | $392.16 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | Independence Blue Cross | Medicare Advantage | $392.16 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | Jefferson Health Plan | CHIP/Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Independence Blue Cross | Medicare Advantage | $392.16 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Jefferson Health Plan | CHIP/Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL OutpatientFacility | Independence Blue Cross | Medicare Advantage | $392.16 | $4,085.00 | $3,676.50 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Jefferson Health Plan | CHIP/Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $430.15 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | AmeriHealth Caritas | Medicaid | $430.15 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Jefferson Health Plan | CHIP/Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $430.15 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $430.15 | $4,085.00 | $3,676.50 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL InpatientFacility | Cigna | Commercial | $430.15 | $4,085.00 | $3,676.50 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | Jefferson Health Plan | CHIP/Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $430.15 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Highmark Wholecare | Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $430.15 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $430.15 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Jefferson Health Plan | CHIP/Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Jefferson Health Plan | CHIP/Medicaid | — | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $430.15 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $430.15 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | AmeriHealth Caritas | Medicaid | $430.15 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Aetna | Commercial | $447.31 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Aetna | Medical Rental | $447.31 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Aetna | Commercial | $447.31 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Aetna | Commercial | $447.31 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Aetna | Commercial | $447.31 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Aetna | Commercial | $447.31 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Aetna | Medical Rental | $447.31 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Aetna | Medical Rental | $447.31 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Aetna | Medical Rental | $447.31 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Aetna | Medical Rental | $447.31 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Aetna | Medical Rental | $447.31 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Aetna | Commercial | $447.31 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Aetna | Medical Rental | $447.31 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Aetna | Commercial | $447.31 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medical Rental | $447.31 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Aetna | Medical Rental | $447.31 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Aetna | Commercial | $447.31 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Aetna | Commercial | $447.31 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL OutpatientFacility | Aetna | Commercial | $447.31 | $4,085.00 | $3,676.50 | 2026-02-27 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL OutpatientFacility | Aetna | Medical Rental | $447.31 | $4,085.00 | $3,676.50 | 2026-02-27 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Aetna | Medicare | $661.77 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Aetna | Medicare | $661.77 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Aetna | Medicare | $661.77 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Aetna | Medicare | $661.77 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Aetna | Medicare | $661.77 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL OutpatientFacility | Aetna | Medicare | $661.77 | $4,085.00 | $3,676.50 | 2026-02-27 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare | $661.77 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Aetna | Medicare | $661.77 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Aetna | Medicare | $661.77 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Aetna | Medicare | $661.77 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Community Health Choice MCD | CHIPPerinatal | $706.49 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Community Health Choice MCD | STAR+PLUS | $706.49 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Community Health Choice MCD | STAR | $706.49 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Community Health Choice MCD | CHIP | $706.49 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Community Health Choice MCD | CHIP | $706.49 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Community Health Choice MCD | STAR+PLUS | $706.49 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Community Health Choice MCD | STAR | $706.49 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Community Health Choice MCD | CHIPPerinatal | $706.49 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Amerigroup | MGMCD | $760.83 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Amerigroup | MCDCHIPBH | $760.83 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Amerigroup | MCDCHIPBH | $760.83 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Amerigroup | MGMCD | $760.83 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Cigna | CSN | $804.31 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Cigna | CSN | $804.31 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Cigna | OpenAccessPlus | $869.52 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Cigna | OpenAccessPlus | $869.52 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | MyBlueHealth | $885.82 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | BCBS | MyBlueHealth | $885.82 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior | EPO | $951.04 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior | HMO | $951.04 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior | EPO | $951.04 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior | HMO | $951.04 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Childrens Health Plans | CHIP | $956.47 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Childrens Health Plans | CHIP | $956.47 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | BCBS | BAV | $978.21 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | BAV | $978.21 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Cigna | PPO | $1,032.56 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Cigna | PPO | $1,032.56 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Oscar | HIX | $1,059.73 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Oscar | HIX | $1,059.73 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS InpatientFacility | Oscar | Commercial | $1,060.06 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS InpatientFacility | Oscar | Commercial | $1,060.06 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM InpatientFacility | Oscar | Commercial | $1,060.06 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital InpatientFacility | Oscar | Commercial | $1,060.06 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS InpatientFacility | Oscar | Commercial | $1,060.06 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| St. Luke's Allentown Hospital InpatientFacility | Oscar | Commercial | $1,060.06 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS InpatientFacility | Oscar | Commercial | $1,060.06 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL InpatientFacility | Oscar | Commercial | $1,060.06 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS InpatientFacility | Oscar | Commercial | $1,060.06 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS InpatientFacility | Oscar | Commercial | $1,060.06 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL InpatientFacility | Oscar | Commercial | $1,062.10 | $4,085.00 | $3,676.50 | 2026-02-27 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior | ValueHMO | $1,076.03 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior | ValueHMO | $1,076.03 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL InpatientFacility | United Healthcare | Commercial | $1,094.78 | $4,085.00 | $3,676.50 | 2026-02-27 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | United | OptionsPPO | $1,097.77 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | United | OptionsPPO | $1,097.77 | $5,434.50 | $5,434.50 | 2026-03-01 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL OutpatientFacility | United Healthcare | Commercial | $1,102.95 | $4,085.00 | $3,676.50 | 2026-02-27 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL InpatientFacility | United Healthcare | Commercial | $1,102.95 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | United Healthcare | Commercial | $1,115.20 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM InpatientFacility | UPMC Health Plan | Commercial | $1,116.84 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS InpatientFacility | UPMC Health Plan | Commercial | $1,116.84 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL InpatientFacility | UPMC Health Plan | Commercial | $1,116.84 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS InpatientFacility | UPMC Health Plan | Commercial | $1,116.84 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS InpatientFacility | UPMC Health Plan | Commercial | $1,116.84 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL InpatientFacility | UPMC Health Plan | Commercial | $1,116.84 | $4,085.00 | $3,676.50 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS InpatientFacility | UPMC Health Plan | Commercial | $1,116.84 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS InpatientFacility | UPMC Health Plan | Commercial | $1,116.84 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL InpatientFacility | UPMC Health Plan | Commercial | $1,116.84 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS InpatientFacility | UPMC Health Plan | Commercial | $1,116.84 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital InpatientFacility | UPMC Health Plan | Commercial | $1,116.84 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| St. Luke's Allentown Hospital InpatientFacility | UPMC Health Plan | Commercial | $1,116.84 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Cigna | Commercial | $1,118.06 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Cigna | Commercial | $1,118.06 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | $1,118.06 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | Cigna | Commercial | $1,118.06 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Cigna | Commercial | $1,118.06 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Cigna | Commercial | $1,118.06 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Cigna | Commercial | $1,118.06 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Cigna | Commercial | $1,118.06 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Cigna | Commercial | $1,118.06 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Cigna | Commercial | $1,118.06 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | UPMC Health Plan | Commercial | $1,119.70 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | UPMC Health Plan | Commercial | $1,119.70 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | UPMC Health Plan | Commercial | $1,119.70 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | UPMC Health Plan | Commercial | $1,119.70 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | UPMC Health Plan | Commercial | $1,119.70 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | UPMC Health Plan | Commercial | $1,119.70 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | UPMC Health Plan | Commercial | $1,119.70 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL OutpatientFacility | UPMC Health Plan | Commercial | $1,119.70 | $4,085.00 | $3,676.50 | 2026-02-27 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | UPMC Health Plan | Commercial | $1,119.70 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | UPMC Health Plan | Commercial | $1,119.70 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | UPMC Health Plan | Commercial | $1,119.70 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | UPMC Health Plan | Commercial | $1,119.70 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | UPMC Health Plan | Commercial | $1,123.78 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL InpatientFacility | UPMC Health Plan | Commercial | $1,124.60 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Geisinger | Commercial | $1,148.29 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Geisinger | Commercial | $1,148.29 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Geisinger | Commercial | $1,148.29 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Geisinger | Commercial | $1,148.29 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Geisinger | Commercial | $1,148.29 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Geisinger | Commercial | $1,148.29 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Geisinger | Commercial | $1,148.29 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Geisinger | Commercial | $1,148.29 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | Geisinger | Commercial | $1,148.29 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL OutpatientFacility | Geisinger | Commercial | $1,148.29 | $4,085.00 | $3,676.50 | 2026-02-27 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Geisinger | Commercial | $1,148.29 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL InpatientFacility | Geisinger | Commercial | $1,148.70 | $4,085.00 | $3,390.55 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS InpatientFacility | Geisinger | Commercial | $1,148.70 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS InpatientFacility | Geisinger | Commercial | $1,148.70 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS InpatientFacility | Geisinger | Commercial | $1,148.70 | $4,085.00 | $3,390.55 | 2026-02-26 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL InpatientFacility | Geisinger | Commercial | $1,148.70 | $4,085.00 | $3,676.50 | 2026-02-27 | 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.