37258 — Pr Revas Envsc Opn/Perc Iliac Vasc Terr W/Tl Stnt Plcmnt Uni Stfrw Init Ves
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Revas Envsc Opn/Perc Iliac Vasc Terr W/Tl Stnt Plcmnt Uni Stfrw Init Ves (CPT 37258) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/37258?code_type=CPT
MLA (9th ed.)
“PR Revas Envsc Opn/Perc Iliac Vasc Terr W/Tl Stnt Plcmnt Uni Stfrw Init Ves (CPT 37258) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/37258?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Revas Envsc Opn/Perc Iliac Vasc Terr W/Tl Stnt Plcmnt Uni Stfrw Init Ves (CPT 37258) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/37258?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11,075–$19,910 (25th–75th percentile) across 966 hospitals · 3,059 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 37258 — 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 |
|---|---|---|---|---|---|---|---|
| LEE MEMORIAL HOSPITAL BothFacility | HUMANA [250215] | HUMANA PPO [25021501] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $22,074.00 | — | 2026-07-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL UNITED HEALTHCARE CARE [700909] | $5.77 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL UNITED HEALTHCARE LABS [106809] | $5.77 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $5.77 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $6.48 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL HUMANA CARE LABS [700905] | $8.24 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | KINDFUL HOSPICE [20434] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY HOSPICE OKC [20252] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | TRICARE CONTRACTED [320380] | HB WASH TRICARE - HEALTHNET WEST | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICARE [20244] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | GENERIC MEDICARE MANAGED CARE [20137] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB WASH HUMANA MEDICARE W/SEQ IP 97% OP 100% NEW 010124 | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $8.98 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB WASH ESSENCE MEDICARE 99% W/O SEQ 1/1/23 100% W/O SEQ | $9.09 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB WASH CIGNA MANAGED MEDICARE 010122 103% W/SEQ 010123 102% W/SEQ | $9.10 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB WASH CIGNA MANAGED MEDICARE 010122 103% W/SEQ 010123 102% W/SEQ | $9.10 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB WASH WELLCARE HARMONY MCR 103% | $9.19 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB WASH PROVIDER PARTNERS 110% MCR | $9.83 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $10.80 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL WELLCARE CARE [700920] | $10.98 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL MERIDIAN HEALTH ADVANTAGE [700910] | $10.98 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL MED PLUS BLUE CARE [700903] | $10.98 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL HAP EMPOWERED [300613] | $11.03 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MIDWEST HEALTH CAID [300607] | $11.03 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $11.04 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $11.04 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | HEALTHSCOPE CONTRACTED [320182] | HB WASH DEC ORSCHELN MCR 125% | $11.19 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL BCN CARE LABS [700902] | $12.77 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | OMNICARE CARE [700906] | $13.73 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL MIDWEST HEALTHCARE CARE [700907] | $13.73 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL PRIORITY HEALTH CARE [700911] | $13.73 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL AMERIHEALTH CARITAS VIP [700921] | $13.73 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL GENERIC MEDICARE [700914] | $13.73 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL VACCN [106827] | $13.73 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL HAP CARE [700904] | $13.73 | $39,651.87 | $39,651.87 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | CENTIVO CONTRACTED [320505] | HB WASH CENTIVO 165% MEDICARE NEW 110124 | $15.00 | $29,623.56 | $19,255.31 | 2026-03-12 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $19.23 | $19,230.05 | $5,769.01 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $19.23 | $19,230.05 | $5,769.01 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $19.23 | $19,230.05 | $5,769.01 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $20.86 | $50,045.36 | $32,529.48 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL KANCARE HEALTHY BLUE MEDICAID | $20.86 | $50,045.36 | $32,529.48 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL KANCARE UHC MEDCAID | $20.86 | $50,045.36 | $32,529.48 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE [20213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $20.86 | $50,045.36 | $32,529.48 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB JOPL KANCARE HEALTHY BLUE MEDICAID | $20.86 | $50,045.36 | $32,529.48 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE [20213] | HB JOPL KANCARE UHC MEDCAID | $20.86 | $50,045.36 | $32,529.48 | 2026-06-09 | MRF ↗ |
| O'connor Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $35.00 | $50,127.31 | $32,582.75 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $35.00 | $50,127.31 | $32,582.75 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $35.00 | $50,127.31 | $32,582.75 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $35.00 | $50,127.31 | $32,582.75 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $35.70 | $50,127.31 | $32,582.75 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $35.70 | $50,127.31 | $32,582.75 | 2026-06-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-31 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-17 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-17 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-17 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-17 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-17 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-17 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB JOPL OK MEDICAID | $42.71 | $50,045.36 | $32,529.48 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICAID [20240] | HB JOPL OK MEDICAID | $42.71 | $50,045.36 | $32,529.48 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB JOPL OK MEDICAID | $42.71 | $50,045.36 | $32,529.48 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB JOPL OK MEDICAID | $42.71 | $50,045.36 | $32,529.48 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB ROGR PASSE EMPOWER | $44.45 | $50,127.31 | $32,582.75 | 2026-06-08 | MRF ↗ |
| O'connor Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | MEDI-CAL | MEDI-CAL | $50.00 | $1,034.00 | $155.10 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $50.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| NATIVIDAD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $50.00 | $1,152.00 | $1,152.00 | 2026-08-14 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $50.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $50.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $50.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $50.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $50.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $50.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $50.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $50.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $50.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $50.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $59.55 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $60.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $70.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $70.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $70.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $70.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $70.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $70.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA ELEVATE | MEDICA ELEVATE | $73.60 | $892.00 | $579.80 | 2026-08-10 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB ROGR PASSE AR TOTAL CARE | $79.45 | $50,127.31 | $32,582.75 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB ROGR PASSE AR TOTAL CARE | $79.45 | $50,127.31 | $32,582.75 | 2026-06-08 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA COMM - ALL OTHER PLANS | MEDICA COMM - ALL OTHER PLANS | $80.00 | $892.00 | $579.80 | 2026-08-10 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $80.00 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $83,238.00 | $14,982.84 | 2026-05-23 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Anthem BlueCross | Commercial | $89.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICAID [20240] | HB JEFN MO MEDICAID | $101.26 | $27,352.89 | $17,779.38 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MO MEDICAID BH CARVE OUT [320315] | HB JEFN MO MEDICAID | $101.26 | $27,352.89 | $17,779.38 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR MO MEDICAID | $109.89 | $50,127.31 | $32,582.75 | 2026-06-08 | MRF ↗ |
| VIERA HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $111.49 | $29,485.57 | $7,371.39 | 2026-07-15 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Butte County | Commercial | $115.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICAID PENDING [20241] | HB JEFN & WASH HOME STATE HEALTH PLAN MANAGED MEDICAID | $126.58 | $27,352.89 | $17,779.38 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | HOME STATE MEDICAID CONTRACTED [320189] | HB JEFN & WASH HOME STATE HEALTH PLAN MANAGED MEDICAID | $126.58 | $27,352.89 | $17,779.38 | 2026-06-10 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student_CIGNA Health Plans | $127.00 | $36,026.08 | $18,013.04 | 2025-12-31 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | UNITED HEALTHCARE MEDICAID CONTRACTED [320397] | HB JEFN UHC MANAGED MEDICAID | $131.64 | $27,352.89 | $17,779.38 | 2026-06-10 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $156.48 | $978.00 | $769.23 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $156.48 | $978.00 | $769.23 | 2026-07-15 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICAID PENDING [20241] | HB JEFN MISSOURI CARE HEALTH PLAN/HEALTHY BLUE | $167.08 | $27,352.89 | $17,779.38 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB JEFN MISSOURI CARE HEALTH PLAN/HEALTHY BLUE | $167.08 | $27,352.89 | $17,779.38 | 2026-06-10 | MRF ↗ |
| VALLEY MEDICAL CENTER Outpatient | GREAT WEST [190102] | CIGNA.COMMERCIAL.FACILITY.VMC | $168.42 | $83,099.92 | $58,169.94 | 2026-03-12 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $168.91 | $1,838.00 | $551.40 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicare | $171.15 | $978.00 | $769.23 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $183.80 | $1,838.00 | $551.40 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $185.64 | $1,838.00 | $551.40 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Outpatient | Curative | All Contracted Plans | $190.71 | $978.00 | $769.23 | 2026-07-15 | 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.