43848 — Revision Gastroplasty
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Revision gastroplasty (OTHER 43848) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43848?code_type=OTHER
MLA (9th ed.)
“Revision gastroplasty (OTHER 43848) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43848?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Revision gastroplasty (OTHER 43848) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43848?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,519–$12,911 (25th–75th percentile) across 135 hospitals · 361 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 43848 — 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 |
|---|---|---|---|---|---|---|---|
| HARRIS HEALTH Both | Bcbs Tx | Blue Advantage | $1.31 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Bcbs Tx | Blue Advantage | $1.31 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Bcbs Tx | Ppo Pos | $1.45 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Bcbs Tx | Ppo Pos | $1.45 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Tx Childrens | Medicaid | $1.68 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicaid | $1.68 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Tx Childrens | Medicaid | $1.68 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $1.68 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicaid | $1.68 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $1.68 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $1.72 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $1.72 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $1.73 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $1.73 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Tx Childrens | Medicaid | $2.02 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $2.02 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicaid | $2.02 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicaid | $2.02 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Tx Childrens | Medicaid | $2.02 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $2.02 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $2.06 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $2.06 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $2.08 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $2.08 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $3.34 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $3.34 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $4.00 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $4.00 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $4.34 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Hmo | $4.34 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Hmo | $4.34 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $4.34 | $6.68 | $6.68 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Hmo | $5.20 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $5.20 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $5.20 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Hmo | $5.20 | $8.00 | $8.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Tx Childrens | Medicaid | $9.63 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicaid | $9.63 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $9.63 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicaid | $9.63 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $9.63 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Tx Childrens | Medicaid | $9.63 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $9.82 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $9.82 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $9.92 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $9.92 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $10.74 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Ppo | $11.43 | — | — | 2026-05-27 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $19.10 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $19.10 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $24.56 | — | — | 2026-05-27 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Hmo | $24.83 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Hmo | $24.83 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $24.83 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $24.83 | $38.20 | $38.20 | 2026-05-22 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $30.05 | — | — | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $53.68 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $55.83 | — | — | 2026-05-09 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $57.10 | — | — | 2026-05-27 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $118.62 | $948.25 | $948.25 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $118.62 | $948.25 | $948.25 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $118.62 | $948.25 | $948.25 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $118.62 | $948.25 | $948.25 | 2026-05-22 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $148.74 | $1,215.18 | $335.39 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $148.74 | $1,215.18 | $335.39 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $149.15 | $1,316.44 | $402.83 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $160.74 | $1,316.44 | $402.83 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $160.74 | $1,316.44 | $402.83 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $165.74 | $1,316.44 | $402.83 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $167.45 | $1,215.18 | $335.39 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $167.45 | $1,215.18 | $335.39 | 2026-05-23 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Govt Programs/ Special Products | $170.29 | $948.25 | $948.25 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Govt Programs/ Special Products | $170.29 | $948.25 | $948.25 | 2026-05-22 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $185.66 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $185.66 | — | — | 2026-05-14 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $202.94 | $1,215.18 | $335.39 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $202.94 | $1,215.18 | $335.39 | 2026-05-08 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $204.93 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $204.93 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $204.93 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $204.93 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $204.93 | — | — | 2026-05-06 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $204.93 | — | — | 2026-05-06 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Commercial | $254.18 | $948.25 | $948.25 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Commercial | $254.18 | $948.25 | $948.25 | 2026-05-22 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $258.83 | $1,215.18 | $335.39 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $258.83 | $1,215.18 | $335.39 | 2026-05-23 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $268.42 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Humana Choicecare | Medicare | $268.87 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $271.77 | — | — | 2026-05-09 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $272.05 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $272.05 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Commercial | $272.05 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Medicare Advantage | $272.05 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $272.05 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Aetna | Commercial | $272.05 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Cigna | Commercial | $272.05 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $273.99 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $273.99 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $273.99 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $273.99 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $273.99 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $273.99 | — | — | 2026-05-13 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $274.25 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Medicare | $274.25 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $274.34 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $274.34 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $274.34 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $274.34 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $274.34 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $274.34 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $276.10 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $276.10 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $277.26 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $277.26 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Freedom Blue Mcr Adv | $277.26 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $279.15 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Complete Blue Mcr Adv | $281.63 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Community Blue Mcr Adv | $281.63 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Cigna Healthspring | Medicare | $282.31 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Wellcare | Medicare | $282.31 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Windsor | Medicare | $282.31 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $282.64 | — | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $285.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $285.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $285.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $285.10 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $289.52 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $289.52 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $291.85 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $291.85 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $291.85 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $291.85 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $291.85 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $291.85 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $291.85 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $291.85 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $291.85 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $291.85 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $291.85 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $291.85 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $291.85 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $291.85 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $291.85 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $291.85 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcr Advantage | $291.85 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicare | Traditional Medicare | $291.85 | — | — | 2026-05-09 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Perennial Advantage | Perennial Advantage | $294.89 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Optum | Vaccnoptum | $294.89 | — | — | 2026-05-27 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $297.68 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $297.68 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $297.68 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $297.68 | — | — | 2026-05-23 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $299.99 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Value Individual Aca | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Highmark Blue Cross | Medicare | $299.99 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Signature Individual Aca | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Uhc | Medicare Advantage | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $299.99 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $299.99 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Med Individual Aca | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Molina | Medicare Advantage | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $299.99 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Peak Health | Medicare | $299.99 | — | — | 2026-05-14 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $299.99 | — | — | 2026-05-14 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $299.99 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $299.99 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Healthy U | Medicaid | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $299.99 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | United Healthcare | Medicare | $299.99 | — | — | 2026-05-14 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Signature Individual Aca | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicaid | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Medicaid | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Medicaid | $299.99 | — | — | 2026-05-13 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $299.99 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Value Individual Aca | $299.99 | — | — | 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.