4813322101 — Hc Insert Pulse Gen Mult Leads
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC INSERT PULSE GEN MULT LEADS (OTHER 4813322101) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4813322101?code_type=OTHER
MLA (9th ed.)
“HC INSERT PULSE GEN MULT LEADS (OTHER 4813322101) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4813322101?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“HC INSERT PULSE GEN MULT LEADS (OTHER 4813322101) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4813322101?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $23,513–$50,332 (25th–75th percentile) across 31 hospitals · 87 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 4813322101 — 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 |
|---|---|---|---|---|---|---|---|
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $578.53 | $57,852.67 | $43,389.50 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $752.08 | $57,852.67 | $43,389.50 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $809.94 | $57,852.67 | $43,389.50 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $809.94 | $57,852.67 | $43,389.50 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $1,041.35 | $57,852.67 | $43,389.50 | 2026-05-09 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $1,099.20 | $57,852.67 | $43,389.50 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Donor Connect | Other | $1,388.46 | $57,852.67 | $43,389.50 | 2026-05-14 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $1,562.02 | $57,852.67 | $43,389.50 | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $1,562.02 | $57,852.67 | $43,389.50 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $2,082.70 | $57,852.67 | $43,389.50 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $2,082.70 | $57,852.67 | $43,389.50 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $2,371.96 | $57,852.67 | $43,389.50 | 2026-05-22 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Bcbs | Healthy Blue | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Bcbs | Healthy Blue | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Medicaid | Medicaid | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Medicaid | Medicaid | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Select Health | Medicaid | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| McLeod Health Seacoast Both | Bcbs | Healthy Blue | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Medicaid | Medicaid | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-14 | MRF ↗ |
| McLeod Health Seacoast Both | Medicaid | Medicaid | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Bcbs | Healthy Blue | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Medicaid | Medicaid | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Medicaid | Medicaid | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | Healthy Blue | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | Healthy Blue | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| McLeod Health Seacoast Both | Select Health | Medicaid | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Medicaid | Medicaid | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Medicaid | Medicaid | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-24 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Select Health | Medicaid | $2,933.60 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Absolute Total Care | Medicaid | $3,021.61 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| McLeod Health Seacoast Both | Absolute Total Care | Medicaid | $3,021.61 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Absolute Total Care | Medicaid | $3,021.61 | $29,391.00 | $20,867.61 | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Select Health | Medicaid | $3,021.61 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Absolute Total Care | Medicaid | $3,021.61 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Absolute Total Care | Medicaid | $3,021.61 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Select Health | Medicaid | $3,021.61 | $29,391.00 | $20,867.61 | 2026-05-24 | MRF ↗ |
| McLeod Health Seacoast Both | Molina | Medicaid | $3,080.28 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Molina | Medicaid | $3,080.28 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Molina | Medicaid | $3,080.28 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Molina | Medicaid | $3,080.28 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Molina | Medicaid | $3,080.28 | $29,391.00 | $20,867.61 | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Select Health | Medicaid | $3,080.28 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Molina | Medicaid | $3,080.28 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Absolute Total Care | Medicaid | $3,373.64 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $3,760.42 | $57,852.67 | $43,389.50 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $3,760.42 | $57,852.67 | $43,389.50 | 2026-05-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $4,180.27 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $4,180.27 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $4,180.27 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $4,180.27 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Self Funded | Kaiser Self Funded | $5,197.09 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Self Funded | Kaiser Self Funded | $5,197.09 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $5,197.09 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $5,197.09 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Self Funded | Kaiser Self Funded | $5,197.09 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $5,197.09 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $5,197.09 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $5,197.09 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Self Funded | Kaiser Self Funded | $5,197.09 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $5,197.09 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $5,197.09 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $5,197.09 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $5,197.09 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $5,197.09 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $5,197.09 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $5,197.09 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $5,223.69 | $22,380.85 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $5,223.69 | $22,380.85 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $5,273.92 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $5,273.92 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $5,273.92 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $5,273.92 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Allegiance | Cigna Sclhs Employees | $5,649.01 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Mrp | Kaiser Mrp Out Of State | $5,649.01 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $5,649.01 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Allegiance | Cigna Sclhs Employees | $5,649.01 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Allegiance | Cigna Sclhs Employees | $5,649.01 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $5,649.01 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Mrp | Kaiser Permanente Mcr | $5,649.01 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $5,649.01 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $5,649.01 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $5,649.01 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Snp | Kaiser Snp | $5,649.01 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Co Public Option | $5,750.69 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Co Public Option | $5,750.69 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Connect Exchange | $5,750.69 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Surefit | $5,750.69 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Co Public Option | $5,750.69 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Surefit | $5,750.69 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Connect Exchange | $5,750.69 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Connect Exchange | $5,750.69 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Co Public Option | $5,750.69 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Surefit | $5,750.69 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Surefit | $5,750.69 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Connect Exchange | $5,750.69 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Bcbs | Hix | $5,760.64 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Hmo | Kp Select Hmo | $6,665.83 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Perm Hmo | Kp Select Hmo | $6,665.83 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kp Select Hmo | $6,665.83 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Perm Hmo | Kp Select Hmo | $6,665.83 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | Hix | $7,083.23 | $29,391.00 | $20,867.61 | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | Hix | $7,083.23 | $29,391.00 | $20,867.61 | 2026-05-13 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $7,989.96 | $22,380.85 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Colorado Preferred | $8,405.73 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Colorado Preferred | $8,405.73 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Colorado Preferred | $8,405.73 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Colorado Preferred | $8,405.73 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $8,905.34 | $22,380.85 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $8,905.34 | $22,380.85 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $8,905.34 | $22,380.85 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $8,905.34 | $22,380.85 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $8,990.97 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $8,990.97 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $8,990.97 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Bcbs/Anthem | Bcbs Co Federal | $8,990.97 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $8,990.97 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $8,990.97 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Bcbs/Anthem | Bcbs Co Federal | $8,990.97 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Bcbs/Anthem | Bcbs Co Federal | $8,990.97 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $8,990.97 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $8,990.97 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $8,990.97 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $8,990.97 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $8,990.97 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $8,990.97 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha-Asa | $9,015.82 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Preferred One | Preferred One | $9,015.82 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Indemnity | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Other | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Epo | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Preferred One | Preferred One | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha-Asa | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Ppo | $9,015.82 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Src | $9,015.82 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Other | $9,015.82 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Other | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Pos/Qpos | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Ppo | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Indemnity | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Src | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Src | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Ppo | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Preferred One | Preferred One | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Pos/Qpos | $9,015.82 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha-Asa | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Christian Brothers Emp Ben Trst | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | $9,015.82 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha-Asa | $9,015.82 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Other | $9,015.82 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Indemnity | $9,015.82 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Ppo | $9,015.82 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Hmo/Epo | $9,015.82 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Hmo/Epo | $9,015.82 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Pos/Qpos | $9,015.82 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Src | $9,015.82 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Preferred One | Preferred One | $9,015.82 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aetna | Aetna Indemnity | $9,015.82 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $9,399.96 | $22,380.85 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Ppo | $9,399.96 | $22,380.85 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $9,490.34 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Choicecare Humana | Choicecare Humana Ppo | $9,490.34 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Choicecare Humana | Choicecare Humana Ppo | $9,490.34 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $9,490.34 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Ppo | $9,490.34 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $9,490.34 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $9,490.34 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Choicecare Humana | Choicecare Humana Ppo | $9,490.34 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $9,519.72 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Hmo | Kaiser Out Of State | $9,519.72 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $9,519.72 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Self Funded | Kaiser Self Funded | $9,519.72 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Self Funded | Kaiser Self Funded | $9,519.72 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $9,519.72 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kaiser Out Of State | $9,519.72 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $9,519.72 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Self Funded | Kaiser Self Funded | $9,519.72 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $9,519.72 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Self Funded | Kaiser Self Funded | $9,519.72 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $9,519.72 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $9,519.72 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Perm Hmo | Kaiser Out Of State | $9,519.72 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $9,519.72 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Perm Hmo | Kaiser Out Of State | $9,519.72 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $9,715.53 | $22,380.85 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $9,715.53 | $22,380.85 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $9,808.95 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $9,808.95 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $9,808.95 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $9,808.95 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | $9,829.28 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | $9,829.28 | $22,596.05 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | $9,829.28 | $22,596.05 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | $9,829.28 | $22,596.05 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Pathway | $10,253.79 | $29,481.85 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Indemnity | $11,173.62 | $29,481.85 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $11,173.62 | $29,481.85 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $11,173.62 | $29,481.85 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $11,173.62 | $29,481.85 | — | 2026-05-17 | 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.