39503 — Repair Of Diaphragm Hernia
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Repair of diaphragm hernia (OTHER 39503) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/39503?code_type=OTHER
MLA (9th ed.)
“Repair of diaphragm hernia (OTHER 39503) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/39503?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Repair of diaphragm hernia (OTHER 39503) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/39503?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,675–$14,102 (25th–75th percentile) across 121 hospitals · 295 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 39503 — 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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $13.03 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $19.44 | — | — | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $52.00 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $54.08 | — | — | 2026-05-09 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $170.22 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Ppo | $193.25 | — | — | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $259.99 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $265.95 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $265.95 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $265.95 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $270.39 | — | — | 2026-05-09 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Wi Ma Professional | Wi Ma Professional | $270.85 | $21,918.00 | $21,918.00 | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $272.99 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $281.91 | — | — | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $283.91 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $287.23 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $287.23 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $287.23 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $292.55 | — | — | 2026-05-09 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $297.71 | — | — | 2026-05-06 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $297.71 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $297.71 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $297.71 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $297.71 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $297.71 | — | — | 2026-05-07 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $332.44 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $332.44 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $332.44 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $332.44 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $332.44 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $345.74 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $345.74 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $345.74 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $372.33 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $372.33 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $372.33 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $372.33 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $372.33 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $372.33 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $372.33 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $372.33 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $385.63 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Health Net] | $385.63 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $385.63 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Health Net] | $385.63 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $406.90 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $406.90 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Molina] | $406.90 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Molina] | $406.90 | — | — | 2026-05-09 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $500.00 | — | — | 2026-05-13 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $531.48 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $531.48 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $531.48 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $531.48 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $531.48 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $531.48 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $531.48 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $531.48 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $531.48 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $531.48 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $547.42 | — | — | 2026-05-08 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $550.14 | $12,711.50 | $8,898.05 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $550.14 | $12,711.50 | $8,898.05 | 2026-05-22 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $553.61 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $553.61 | — | — | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $563.84 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $563.84 | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $563.84 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $563.84 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $563.84 | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $569.32 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $574.79 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $580.26 | — | — | 2026-05-08 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $648.00 | — | — | 2026-05-06 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $648.00 | — | — | 2026-05-23 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $648.00 | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $648.00 | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Bcbs Of Tennessee | Tenncare Select | $648.00 | — | — | 2026-05-06 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $668.20 | $2,600.00 | $762.06 | 2026-05-31 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $730.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Tiered Freedom Plan | $775.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan - Dhp | $775.00 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $783.14 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $783.14 | — | — | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Humana Choicecare | Medicare | $794.12 | — | — | 2026-05-09 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $803.64 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Medicare Advantage | $803.64 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $803.64 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Aetna | Commercial | $803.64 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $803.64 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Commercial | $803.64 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Medicare Advantage | $803.64 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Cigna | Commercial | $803.64 | — | — | 2026-05-06 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Medicare | $810.01 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $810.01 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $810.85 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $810.85 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $810.85 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $810.85 | — | — | 2026-05-14 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $811.76 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $811.76 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $811.76 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $811.76 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $811.76 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $811.76 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $819.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Freedom Blue Mcr Adv | $819.48 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $819.48 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Community Blue Mcr Adv | $832.42 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Complete Blue Mcr Adv | $832.42 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Windsor | Medicare | $833.83 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Wellcare | Medicare | $833.83 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Cigna Healthspring | Medicare | $833.83 | — | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $853.27 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $853.27 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $853.27 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $853.27 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $853.27 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $853.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $862.18 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $862.18 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $862.61 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $862.61 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $862.61 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $862.61 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $862.61 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $862.61 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcr Advantage | $862.61 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $862.61 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $862.61 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $862.61 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $862.61 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $862.61 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $862.61 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $862.61 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicare | Traditional Medicare | $862.61 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $862.61 | — | — | 2026-05-23 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $17,556.00 | $8,778.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Rmsco | Rmsco | — | $17,556.00 | $8,778.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Aetna | Aetna | — | $17,556.00 | $8,778.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Pomco | Pomco | — | $17,556.00 | $8,778.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Blue Shield Of Neny | Blue Shield Senior | $865.00 | $17,556.00 | $8,778.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Coventry | Coventry | — | $17,556.00 | $8,778.00 | 2026-05-13 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Optum | Vaccnoptum | $874.53 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Perennial Advantage | Perennial Advantage | $874.53 | — | — | 2026-05-27 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $879.86 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $879.86 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $879.86 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $879.86 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $888.49 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $888.49 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $888.49 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Uhc | Mcr Advantage | $888.49 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $888.49 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $888.49 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $888.49 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Healthy U | Medicaid | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Southwest Behavioral Health | Behavioral Health | $891.52 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Healthy U | Medicaid | $891.52 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $891.52 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Medicaid | $891.52 | — | — | 2026-05-13 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $891.52 | — | — | 2026-05-13 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uhc | Medicare Advantage | $891.52 | — | — | 2026-05-13 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Choice | Medicaid | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Choice | Medicaid | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Selecthealth | Med Individual Aca | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $891.52 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $891.52 | — | — | 2026-05-13 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $891.52 | — | — | 2026-05-09 | 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.