58571 — Tlh W/t/o 250 G Or Less
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TLH W/T/O 250 G OR LESS (HCPCS 58571) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/58571?code_type=HCPCS
MLA (9th ed.)
“TLH W/T/O 250 G OR LESS (HCPCS 58571) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/58571?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TLH W/T/O 250 G OR LESS (HCPCS 58571) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/58571?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,766–$13,460 (25th–75th percentile) across 2,491 hospitals · 4,975 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 58571 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Also priced as a different code
The same procedure is billed under different code systems depending on the setting. These facilities price it under a code you won’t see in the CPT/HCPCS 58571 table above — including hospitals that only publish the bundled version.
2,960 facilities · 839 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
2,996 facilities · 873 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
An MS-DRG / APR-DRG price is the hospital’s single bundled charge for the entire inpatient stay — operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies — so it’s a broader, usually higher figure than the CPT/HCPCS 58571 line above, which prices the procedure alone. Neither includes the surgeon’s or anesthesiologist’s professional fees, which are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$3,766
$9,845 typical
$13,460
The middle 50% of negotiated facility rates for this procedure, measured across 2,491 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $9,845 |
| Surgeon (professional fee) Estimate national typical Medicare $829 × 1.4 commercial. | $1,160 |
| Likely subtotal | $11,005 |
You might also be billed (if it applies to your case)
| Anesthesia Estimate ~97% of cases · modeled 00840, ~140 min typical. Medicare $314 × 3.14 commercial. | $987 |
| Pathology Estimate ~97% of cases · modeled Medicare $35 × 2.166 commercial. | $76 |
| Assistant surgeon Estimate ~20% of cases · modeled 16% of the surgeon's fee (CMS modifier convention). | $186 |
| Typical added cost weighted by how often each applies | ~$1,068 |
Surgical episode (typical)
~$12,073
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $3,766–$13,460.
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$15,858
- Some components show how often they typically apply (modeled from clinical/coding literature, not claims-measured); the total is the expected typical cost.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban general surgery 1.4x proxy
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national
- Pathology (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: in-house pt_negotiated_rates 88305-26 ÷ CMS PFS-26 (n=16216); supersedes 1.18 global proxy
- Assistant surgeon (estimate)
- rule: 16% of primary surgeon (CMS Pub 100-04)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| LOURDES COUNSELING CENTER OutpatientFacility | UNITEDHEALTHCARE OF WASHINGTON INC | HMO | $18.83 | $7,964.41 | $3,185.76 | 2026-07-10 | MRF ↗ |
| LOURDES COUNSELING CENTER OutpatientFacility | UNITEDHEALTHCARE OF WASHINGTON INC | HMO | $18.83 | $7,964.41 | $3,185.76 | 2026-07-10 | MRF ↗ |
| LOURDES MEDICAL CENTER Outpatient | UNITEDHEALTHCARE OF WASHINGTON INC | HMO | $18.83 | $7,964.41 | $3,185.76 | 2025-09-24 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $3,454.00 | $2,417.80 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $3,454.00 | $2,417.80 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $3,454.00 | $2,417.80 | 2026-07-14 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Mangaged Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $25.93 | $497.00 | $94.43 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $25.93 | $365.00 | $69.35 | 2026-01-25 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $27.23 | $15,125.00 | $9,977.13 | 2024-12-31 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $28.52 | $3,020.00 | $1,963.00 | 2026-05-07 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | PACIFIC ADMIN PPO - ALL PLANS | PACIFIC ADMIN PPO - ALL PLANS | $29.27 | $2,275.00 | $728.00 | 2026-05-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $2,766.00 | $2,074.50 | 2026-03-18 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $37.68 | $2,618.00 | $2,618.00 | 2026-07-09 | MRF ↗ |
| LOURDES COUNSELING CENTER OutpatientFacility | AETNA | POS | $39.80 | $7,964.41 | $3,185.76 | 2026-07-10 | MRF ↗ |
| LOURDES MEDICAL CENTER Outpatient | AETNA | POS | $39.80 | $7,964.41 | $3,185.76 | 2025-09-24 | MRF ↗ |
| LOURDES COUNSELING CENTER OutpatientFacility | AETNA | POS | $39.80 | $7,964.41 | $3,185.76 | 2026-07-10 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $2,356.00 | $2,356.00 | 2025-03-18 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Signature Individual Aca | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Sm Individual Aca | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $51.86 | $3,775.00 | $3,775.00 | 2026-02-13 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Regence Bcbs | Blueoption | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Pehp | Advantage Non-State | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Tanner Llc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Franklin County | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Utah Tech | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Pehp | Advantage Non-State | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Byu Athletics | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Franklin County | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Uhc | Non-Options Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Emi | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Campbell Scientific | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Utah Tech | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Emi Health | Network Care | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Ifit | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Deseret Mutual | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Pehp | Advantage Non-State | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Byu Athletics | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Byu Athletics | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Awh Connected | Connected Utah | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Ifit | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Emi | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Awh Connected | Connected Utah | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Emi Health | Network Care | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Ifit | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Franklin County | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Tanner Llc | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Ifit | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Deseret Mutual | All Other | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Lw Miller | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Emi Health | Mint | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Uhc | Non-Options Ppo | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Juniper Systems | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Juniper Systems | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Campbell Scientific | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Pehp | Advantage Non-State | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Ifit | Commercial | — | — | — | 2026-07-17 | MRF ↗ |
| LDS HOSPITAL Outpatient | Ifit | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Deseret Mutual | All Other | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Lw Miller | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Deseret Mutual | All Other | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Campbell Scientific | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Lw Miller | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Juniper Systems | Commercial | — | — | — | 2026-07-17 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Emi | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Emi | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Campbell Scientific | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Emi | Mint | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Byu Risk Management | Workers Comp | — | — | — | 2026-07-17 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Emi Health | Network Care | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Emi Health | Network Care | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Emi Health | Network Care | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Uhc | Non-Options Ppo | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Deseret Mutual | Select | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Pehp | Advantage State | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Deseret Mutual | Select | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Lw Miller | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Byu Athletics | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Campbell Scientific | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Byu Athletics | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Awh Connected | Connected Utah | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Awh Connected | Connected Utah | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Juniper Systems | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Uhc | Non-Options Ppo | — | — | — | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Pehp | Advantage State | — | — | — | 2026-07-31 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Pehp | Advantage State | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Emi Health | Mint | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Regence Bcbs | Blueoption | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Pehp | Advantage State | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Utah Tech | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Tanner Llc | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Utah Tech | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Utah Tech | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Emi | Commercial | — | — | — | 2026-07-17 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Byu Athletics | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Tanner Llc | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Awh Connected | Connected Utah | — | — | — | 2026-07-17 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Uhc | Non-Options Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Tanner Llc | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Franklin County | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Regence Bcbs | Blueoption | — | — | — | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Pehp | Advantage State | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Emi | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Juniper Systems | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Utah Tech | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Emi Health | Mint | — | — | — | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Emi Health | Network Care | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Franklin County | Commercial | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Pehp | Advantage State | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Regence Bcbs | Blueoption | — | — | — | 2026-07-17 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Deseret Mutual | Select | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Deseret Mutual | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Emi | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Regence Bcbs | Cardiac Care | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Awh Connected | Connected Utah | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Tanner Llc | Commercial | — | — | — | 2026-07-17 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Lw Miller | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Franklin County | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Ifit | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Uhc | Non-Options Ppo | — | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Blueoption | — | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Juniper Systems | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Regence Bcbs | Blueoption | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Emi | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Deseret Mutual | Select | — | — | — | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Regence Bcbs | Blueoption | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Uhc | Non-Options Ppo | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Lw Miller | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Ifit | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Juniper Systems | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Deseret Mutual | All Other | — | — | — | 2026-07-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Tanner Llc | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Uhc | Charter | — | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Awh Connected | Connected Utah | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Juniper Systems | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Franklin County | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Pehp | Advantage Non-State | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Lw Miller | Commercial | — | — | — | 2026-07-17 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Tanner Llc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Emi Health | Network Care | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Campbell Scientific | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Pehp | Advantage Non-State | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Campbell Scientific | Commercial | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Uhc | Non-Options Ppo | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Byu Athletics | Commercial | — | — | — | 2026-07-17 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Lw Miller | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Deseret Mutual | Select | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Deseret Mutual | All Other | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Emi Health | Mint | — | — | — | 2026-07-17 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Utah Tech | Commercail | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Regence Bcbs | Blueoption | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Pehp | Advantage State | — | — | — | 2026-07-31 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Pehp | Advantage Non-State | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Franklin County | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Pehp | Advantage Non-State | — | — | — | 2026-07-31 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Emi Health | Mint | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Emi Health | Mint | — | — | — | 2026-07-31 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Pehp | Advantage State | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Awh Connected | Connected Utah | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Deseret Mutual | Select | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Emi Health | Mint | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Emi Health | Network Care | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Deseret Mutual | All Other | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Campbell Scientific | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Byu Athletics | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | BCBS OREGON NON-PAR - ALL OTHER PLANS | BCBS OREGON NON-PAR - ALL OTHER PLANS | $60.61 | $2,618.00 | $2,618.00 | 2026-07-09 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | BCBS OREGON PAR | BCBS OREGON PAR | $60.61 | $2,618.00 | $2,618.00 | 2026-07-09 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $497.00 | $99.40 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | $497.00 | $99.40 | 2026-05-24 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Ifit | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Uhc | Options Ppo | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Awh Connected | Connected Utah | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Uhc | Non-Options Ppo | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Pehp | Advantage Non-State | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Pehp | Capital Care | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Deseret Mutual | Select | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Uhc | Charter | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Managed Care Admin | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Byu Athletics | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Deseret Mutual | All Other | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Prodegi Corp Benefit | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Pehp | Advantage State | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Juniper Systems | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Utah Tech | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Lw Miller | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Tanner Llc | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Regence Bcbs | Blueoption | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Franklin County | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Emi Health | Mint | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Emi Health | Network Care | — | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Emi | Commercial | — | — | — | 2026-08-01 | 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.