43775 — Lap Sleeve Gastrectomy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lap sleeve gastrectomy (OTHER 43775) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43775?code_type=OTHER
MLA (9th ed.)
“Lap sleeve gastrectomy (OTHER 43775) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43775?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Lap sleeve gastrectomy (OTHER 43775) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43775?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $995–$12,941 (25th–75th percentile) across 177 hospitals · 421 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 43775 — 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 |
|---|---|---|---|---|---|---|---|
| MCLAREN CARO REGION | Mclaren Health Plan Community | — | $15.43 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Mclaren Health Advantage Ppo | — | $15.43 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Mclaren Health - Commercial Hmo | — | $15.43 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $16.00 | — | — | 2026-05-27 | MRF ↗ |
| MCLAREN CARO REGION | Hap Alliance Health & Life Ins Co-Allh | — | $17.72 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Bpp (Blue Preferred Partner) | — | $18.72 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Fep | — | $18.72 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Ppo | — | $18.72 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Aetna | — | $19.47 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp | — | $20.83 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ | — | $20.83 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Uhc Medicaid/Chip | — | $21.32 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare | — | $21.32 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp | — | $22.05 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ | — | $22.05 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Ppo | $22.41 | — | — | 2026-05-27 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Hmo | — | $23.97 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Ppo | — | $23.97 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicare Advantage | — | $24.75 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicare | — | $24.99 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $32.82 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $34.19 | — | — | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $35.66 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $37.08 | — | — | 2026-05-09 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $62.14 | — | — | 2026-05-27 | MRF ↗ |
| MCLAREN CARO REGION | Hap Alliance Health & Life Ins Co-Allh Op Rate Type | — | $72.30 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Aetna Op Rate Type | — | $79.50 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp Op Rate Type | — | $85.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ Op Rate Type | — | $85.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Uhc Medicaid/Chip Op Rate Type | — | $87.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Uhc Medicaid/Chip Ip Rate Type | — | $87.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Ip Rate Type | — | $87.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Op Rate Type | — | $87.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ Ip Rate Type | — | $90.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp Ip Rate Type | — | $90.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $92.43 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $92.43 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $92.43 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $92.43 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Hmo Op Rate Type | — | $97.84 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Ppo Op Rate Type | — | $97.84 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Bpp (Blue Preferred Partner) Op Rate Type | — | $98.52 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Ppo Op Rate Type | — | $98.52 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Fep Op Rate Type | — | $98.52 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicaid Op Rate Type | — | $100.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicaid | — | $100.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicare Advantage Op Rate Type | — | $101.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicaid Op Rate Type | — | $102.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicaid | — | $102.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicare Op Rate Type | — | $102.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $107.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $107.01 | — | — | 2026-05-24 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Govt Programs/ Special Products | $132.70 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Govt Programs/ Special Products | $132.70 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $137.13 | — | — | 2026-05-06 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $137.13 | — | — | 2026-05-06 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $137.13 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $137.13 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $137.13 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $137.13 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $137.13 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $137.13 | — | — | 2026-05-07 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $140.62 | $187.50 | $93.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $140.62 | $187.50 | $93.75 | 2026-05-23 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Commercial | $147.16 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Commercial | $147.16 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $150.00 | $187.50 | $93.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $150.00 | $187.50 | $93.75 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $153.12 | $218.75 | $109.38 | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Humana Choicecare | Medicare | $153.29 | — | — | 2026-05-09 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $155.16 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Aetna | Commercial | $155.16 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $155.16 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $155.16 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Commercial | $155.16 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Medicare Advantage | $155.16 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Cigna | Commercial | $155.16 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $155.16 | — | — | 2026-05-06 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $156.35 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Medicare | $156.35 | — | — | 2026-05-09 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $156.36 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $156.36 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $156.36 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $156.36 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $156.36 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $156.36 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $156.36 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $156.36 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $156.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $156.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $156.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $156.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Freedom Blue Mcr Adv | $158.44 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $158.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $158.44 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-23 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Windsor | Medicare | $160.95 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Community Blue Mcr Adv | $160.95 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Wellcare | Medicare | $160.95 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Cigna Healthspring | Medicare | $160.95 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Complete Blue Mcr Adv | $160.95 | — | — | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $164.06 | $218.75 | $109.38 | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $164.70 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $164.70 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $164.70 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $164.70 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $164.70 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $164.70 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $166.54 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $166.54 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcr Advantage | $166.78 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicare | Traditional Medicare | $166.78 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Perennial Advantage | Perennial Advantage | $169.03 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Optum | Vaccnoptum | $169.03 | — | — | 2026-05-27 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $170.12 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $170.12 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $170.12 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $170.12 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Uhc | Mcr Advantage | $171.79 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $171.79 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $171.79 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $171.79 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $171.79 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $171.79 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $171.79 | — | — | 2026-05-23 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Med Individual Aca | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $172.08 | — | — | 2026-05-14 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Medicaid | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $172.08 | — | — | 2026-05-14 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $172.08 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $172.08 | — | — | 2026-05-14 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Uhc | Medicare Advantage | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $172.08 | — | — | 2026-05-14 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Molina | Medicare Advantage | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Medicaid | $172.08 | — | — | 2026-05-13 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $172.08 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Medicare Advantage | $172.08 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $172.08 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uhc | Medicare Advantage | $172.08 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $172.08 | — | — | 2026-05-13 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $172.08 | — | — | 2026-05-14 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Medicaid | $172.08 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $172.08 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Healthy U | Medicaid | $172.08 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Southwest Behavioral Health | Behavioral Health | $172.08 | — | — | 2026-05-13 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $172.08 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Value Individual Aca | $172.08 | — | — | 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.