54438 — Replantation Of Penis
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REPLANTATION OF PENIS (HCPCS 54438) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/54438?code_type=HCPCS
MLA (9th ed.)
“REPLANTATION OF PENIS (HCPCS 54438) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/54438?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“REPLANTATION OF PENIS (HCPCS 54438) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/54438?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,185–$6,571 (25th–75th percentile) across 1,118 hospitals · 734 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 54438 — 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 |
|---|---|---|---|---|---|---|---|
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | AMERICAS CHOICE | AMERICAS CHOICE PROVIDER NETWORK PPO | — | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART HPO | — | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | AETNA | AETNA NEW BUSINESS/AETNA MICHIGAN PREFERRED | — | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | AETNA | AETNA-COFINITY EXISTING BUSINESS PPOM | — | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | AMERICAS CHOICE | AMERICAS CHOICE PROVIDER NETWORK WC | — | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART DIRECT | — | — | — | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | AETNA | AETNA NEW BUSINESS/AETNA MICHIGAN PREFERRED | — | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | AMERICAS CHOICE | AMERICAS CHOICE PROVIDER NETWORK WC | — | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | AETNA | AETNA-COFINITY EXISTING BUSINESS PPOM | — | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | HEALTHSMART | HEALTHSMART DIRECT | — | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | AMERICAS CHOICE | AMERICAS CHOICE PROVIDER NETWORK PPO | — | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | HEALTHSMART | HEALTHSMART HPO | — | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| NORTHERN LIGHT MAYO HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT C A DEAN HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MAINE COAST HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MERCY HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-04-15 | MRF ↗ |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER OutpatientFacility | Harvard | Commercial | — | — | — | 2026-02-03 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $110.18 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $110.18 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $123.95 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $123.95 | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Uhc Comm Care | Medicaid | $132.00 | — | — | 2026-07-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Uhc | Ppo | $132.00 | — | — | 2026-07-17 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $156.80 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $156.80 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology UPW | Medicaid HMO | $156.80 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology UPW | Medicaid HMO | $156.80 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $156.80 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology UPW | Healthy Kids | $156.80 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology UPW | Medicaid HMO | $161.28 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $161.28 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology UPW | Healthy Kids | $161.28 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $161.28 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology UPW | Medicaid HMO | $164.27 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $164.27 | — | — | 2025-08-01 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $193.21 | — | — | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $193.21 | — | — | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $193.21 | — | — | 2026-07-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $197.12 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology UPW | Medicaid HMO | $197.12 | — | — | 2026-06-30 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Southwest Behavioral Health | Behavioral Health | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicaid | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Medicaid | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Healthy U | Medicaid | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Medicare Advantage | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Molina | Medicare Advantage | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Molina | Medicaid | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Selecthealth | Medicaid | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Cigna | Open Access Plus/Hmo/Ppo/Pos | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Cigna | Local Plus | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Southwest Behavioral Health | Behavioral Health | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Uhc | Medicare Advantage | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Healthy U | Medicaid | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Southwest Behavioral Health | Behavioral Health | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Healthy U | Medicaid | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peia | Other Governmental | $206.19 | — | — | 2026-05-06 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Medicare | $206.19 | — | — | 2026-05-06 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $206.19 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Medicare | $206.19 | — | — | 2026-05-06 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Aetna | Medicare | $206.19 | — | — | 2026-05-06 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Healthy U | Medicaid | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Selecthealth | Med Individual Aca | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Choice | Medicaid | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $206.19 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $206.19 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Signature Individual Aca | $206.19 | — | — | 2026-07-15 | 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.