37289 — Hc Revsc Evsc Tpvt Athrc Sf Ea
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC REVSC EVSC TPVT ATHRC SF EA (CPT 37289) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/37289?code_type=CPT
MLA (9th ed.)
“HC REVSC EVSC TPVT ATHRC SF EA (CPT 37289) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/37289?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HC REVSC EVSC TPVT ATHRC SF EA (CPT 37289) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/37289?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,271–$14,636 (25th–75th percentile) across 479 hospitals · 1,537 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 37289 — 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 |
|---|---|---|---|---|---|---|---|
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $8,984.00 | — | 2026-07-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $8.35 | $8,353.79 | $2,506.14 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $8.35 | $8,353.79 | $2,506.14 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $8.35 | $8,353.79 | $2,506.14 | 2026-04-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR [40246] | FS UMR Froedtert South Employees | $31.80 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | NETWORK HEALTH MP EXCHANGE [40456] | FS NETWORK HEALTH PLAN ACA/MARKETPLACE | $38.16 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-17 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-31 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-31 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-17 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-31 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-17 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-31 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-08-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | NETWORK HEALTH GLOBAL [41401] | FS Network Health Plan Mng Care | $44.01 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | NETWORK HEALTH PLAN [40401] | FS Network Health Plan Mng Care | $44.01 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | NETWORK HEALTH PLAN FTH EMP [40459] | FS HPS | $44.84 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR [40246] | FS United Health Care | $47.70 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR INDEMNITY [70246] | FS United Health Care | $47.70 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR [40246] | FS HealthEOS | $49.61 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR [40246] | FS TRILOGY (MANAGED CARE PHO) | $50.88 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $91.72 | $998.00 | $299.40 | 2026-07-15 | MRF ↗ |
| CROOK COUNTY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $95.00 | — | — | 2026-04-01 | MRF ↗ |
| CROOK COUNTY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $95.00 | — | — | 2026-04-01 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $99.80 | $998.00 | $299.40 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $100.80 | $998.00 | $299.40 | 2026-07-15 | MRF ↗ |
| VIERA HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $111.49 | $14,500.00 | $3,625.00 | 2026-07-15 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student_CIGNA Health Plans | $127.00 | $16,418.00 | $8,209.00 | 2025-12-31 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Wellsense | $127.44 | $998.00 | $299.40 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $147.14 | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Geisinger Pa Medicaid | Geisinger Pa Medicaid | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye | Medicaid | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Student Health | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Aetna | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Partners Pennsylvania Medicaid | Health Partners Pennsylvania Medicaid | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Multiplan | Multiplan | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Maryland Physician Care | Maryland Physician Care | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Molina Oh | Managed Medicaid | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Cigna | Cigna | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Humana | Managed Medicaid | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource Oh | Managed Medicaid | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna Rental | First Health | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Peak Health | Peak Health | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | University Of Pennsylvania Health Plan | University Of Pennsylvania Health Plan | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource | Caresource | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Pa | Medicaid | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Healthcare | United Healthcare | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $15,399.00 | $7,699.50 | 2026-07-15 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products Non MD | $162.90 | $27,585.56 | $5,517.11 | 2026-03-27 | MRF ↗ |
| SGMC HEALTH Outpatient | South Georgia Purchasing Alliance, Inc. | Commercial | $173.97 | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Choicecare | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Chaprall Boats Inc | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Amerigroup Community Care | Managed Medicaid | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Novanet Inc | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | One Health | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Aetna All Plans | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Private Healthcare Systems | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Beech Street Corp | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Cigna | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Coventry National Network | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Peachstate Health Plan | Managed Medicaid | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Caresource | Managed Medicaid | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Non | Contracted Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | United Healthcare Va | Government | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Wellcare | Managed Medicaid | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | United Healthcare | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | First Medical Network | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Blue Cross Blue Shield Of Ga | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Coventry Hmo | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Coventry Leased Ppo | Commercial | — | $911.00 | $683.25 | 2026-07-15 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $176.30 | $23,410.86 | $14,748.84 | 2026-03-25 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina | Managed Medicaid | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | First Choice Health | Commercial | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Aetna | Commercial & Rental Networks | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | United Healthcare | All Payer Appendix | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Pacificsource | Voyager (Commercial) | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | Commercial | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Pacificsource | Navigator (Commercial) | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Blue Cross Of Id | Commercial (Trad, Ppo, Pos) | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Blue Cross Of Id | Idaho Medicaid Plus | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Pacific Steel | Commercial | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Deseret Mutual Benefit Administrators | Commercial | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | America'S Choice Provider Network | Ind. And Group | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Mountain Health Co-Op | Commercial | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana | Choicecare Medicare Advantage | $185.44 | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Provider Network Of America | Commercial | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | University Of Utah Health Plan | University Of Utah Health Plan | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Multiplan | Commercial | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Town & Country Provider Network | Commercial | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Blue Cross Of Id - Oon | Emergency Only | — | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - WASECA BothFacility | ACUTE REHABILITATION [1140122] | MEDICARE CAH ACUTE REHAB [1335] | $191.67 | $9,279.00 | $8,165.52 | 2026-03-31 | MRF ↗ |
| MONUMENT HEALTH SPEARFISH HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $192.37 | $6,151.00 | $4,920.80 | 2026-05-26 | MRF ↗ |
| Monument Health Orthopedic and Specialty Hospital Outpatient | UHC MCR ADV | UHC MCR ADV | $192.37 | $6,151.00 | $4,920.80 | 2026-06-04 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Anthem BlueCross | Commercial | $193.00 | $714.00 | $357.00 | 2025-10-29 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products MD | $193.45 | $27,585.56 | $5,517.11 | 2026-03-27 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Blue Cross Of Id | Idaho Medicaid Plus | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Anasazi Medical Payment Solutions | Medicare Adv. | $195.20 | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Pacificsource | Navigator | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Pacificsource | Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Deseret Mutual Benefit Administrators | Commercial | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Blue Cross Of Id - Oon | Emergency Only | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Mount Carmel Health Plan | Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Pacificsource | Voyager | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Aetna | Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | First Choice Health | Commercial | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Regence Blue Shield Of Id Community Care | Tricare | $195.20 | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Town & Country Provider Network | Commercial | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Blue Cross Of Id | Commercial (Trad, Ppo, Pos) | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Mount Carmel Health Plan | Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Humana | Choicecare Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Three Rivers Provider Network | Commercial | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Provider Network Of America | Commercial | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Cigna | Commercial | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Molina Healthcare | Medicare Advantage And Dual Eligible | $195.20 | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Multiplan | Commercial | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | United Healthcare | Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Selecthealth | Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Optum | Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Blue Cross Of Id | Medicare Advantage And Dual Eligible | $195.20 | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Blue Cross Connected Care | Blue Cross Connected Care | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina | Medicare Advantage And Dual Eligible | $195.20 | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Molina Healthcare | Managed Medicaid | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | America'S Choice Provider Network | Ind. And Group | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | University Of Utah Health Plan | University Of Utah Health Plan | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Blue Cross Of Id | Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Aetna | Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Pacificsource | Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Regence Blue Shield Of Id Community Care | Va Pccc | $195.20 | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Anasazi Medical Payment Solutions | Medicare Adv. | $195.20 | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC Outpatient | Premier Technology | Commercial | — | $9,000.00 | $9,000.00 | 2026-07-15 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Optum Care Network Id | Medicare Advantage | $195.20 | $9,000.00 | $9,000.00 | 2026-08-01 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | ANTHEM MCR ADV | ANTHEM MCR ADV | $195.79 | $27,069.00 | $18,948.30 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | MDWISE HEALTH IN-ALL PLANS | MDWISE HEALTH IN-ALL PLANS | $195.79 | $27,069.00 | $18,948.30 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | ANTHEM MCR ADV | ANTHEM MCR ADV | $195.79 | $27,069.00 | $18,948.30 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | MDWISE HEALTH IN-ALL PLANS | MDWISE HEALTH IN-ALL PLANS | $195.79 | $27,069.00 | $18,948.30 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | ANTHEM HIP | ANTHEM HIP | $195.79 | $27,069.00 | $18,948.30 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | ANTHEM HIP | ANTHEM HIP | $195.79 | $27,069.00 | $18,948.30 | 2026-03-31 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | CELTIC MCR ADV | CELTIC MCR ADV | $195.89 | $23,410.86 | $14,748.84 | 2026-03-25 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $195.89 | $23,410.86 | $14,748.84 | 2026-03-25 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | UHC MCR ADV | UHC MCR ADV | $195.89 | $23,410.86 | $14,748.84 | 2026-03-25 | 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.