Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV

62365 — Remove Spine Infusion Device

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $5,749

Usually $2,795–$8,153 (25th–75th percentile) across 1,629 hospitals · 3,428 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 62365 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$2,795 $5,749 typical $8,153

The middle 50% of negotiated facility rates for this procedure, measured across 1,629 hospitals. The the surgeon's fee 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. $5,749
Surgeon (professional fee) Estimate national typical Medicare $296 × 1.22 commercial. $361
Likely subtotal $6,110
Surgical episode (typical) ~$6,110
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: HCCI 2017 national

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
MERCY HOSPITAL SPRINGFIELD OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB SPRG KANCARE HEALTHY BLUE MEDICAID $7.52 $17,175.65 $11,164.17 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB SPRG KANCARE HEALTHY BLUE MEDICAID $7.52 $17,175.65 $11,164.17 2026-03-12 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $15.29 $8,495.00 $6,783.66 2024-12-31 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Martins Point Default $18.00 $50.00 $37.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Federal $18.54 $50.00 $37.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Ppo $18.54 $50.00 $37.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Default $18.54 $50.00 $37.50 2026-05-18 MRF ↗
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility Wellpoint NJ Family Care $22.33 2026-03-04 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $24.27 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $24.27 2026-04-14 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility Univera Medicare Managed Care Plan $29.21 2026-04-01 MRF ↗
OLEAN GENERAL HOSPITAL OutpatientFacility Univera Medicare Managed Care Plan $29.21 2026-04-01 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Medicare $29.46 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $29.46 2026-04-14 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 ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Commercial $34.67 2026-04-14 MRF ↗
Tyler Memorial Hospital OutpatientFacility None 2026-01-01 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $40.37 $299.00 $224.25 2026-01-16 MRF ↗
ADVENTIST HEALTH TULARE Outpatient HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $43.56 $165.00 $31.35 2026-01-31 MRF ↗
ADVENTIST HEALTH TULARE Outpatient UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY $43.56 $165.00 $31.35 2026-01-31 MRF ↗
ADVENTIST HEALTH TULARE Outpatient CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $43.56 $165.00 $31.35 2026-01-31 MRF ↗
ADVENTIST HEALTH TULARE Outpatient MEDI-CAL MEDI-CAL $43.56 $165.00 $31.35 2026-01-31 MRF ↗
ADVENTIST HEALTH TULARE Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $43.56 $165.00 $31.35 2026-01-31 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Harvard Pilgrim Healthcare Default $46.50 $50.00 $37.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Harvard Pilgrim Healthcare Pos $46.50 $50.00 $37.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both United Healthcare Default $47.50 $50.00 $37.50 2026-05-18 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
EAST COOPER 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 ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility VA Health All $54.99 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Montana Health CoOp All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Interwest Health All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Pacific Source All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility First Health Network All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Tricare All $54.99 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Prime Health All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Humana Medicare Advantage $54.99 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Coventry All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility UHC Medicare Advantage $54.99 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Blue Cross Blue Shield Medicare Advantage $54.99 2026-03-28 MRF ↗
PALMDALE REGIONAL MEDICAL CENTER Both Iehp Medicaid $56.63 $6,295.00 $2,518.00 2026-05-23 MRF ↗
PALMDALE REGIONAL MEDICAL CENTER Both Iehp Medicaid $56.63 $6,295.00 $2,518.00 2026-05-14 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility MagnaCare All Products $57.57 2025-12-31 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED AT&T-ALL PLANS UNITED AT&T-ALL PLANS $62.04 $299.00 $224.25 2026-01-16 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $63.75 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $64.15 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $64.15 2026-03-18 MRF ↗
PALMDALE REGIONAL MEDICAL CENTER Both Anthem Blue Cross Blue Shield Medicaid $71.50 $6,295.00 $2,518.00 2026-05-23 MRF ↗
PALMDALE REGIONAL MEDICAL CENTER Both Anthem Blue Cross Blue Shield Medicaid $71.50 $6,295.00 $2,518.00 2026-05-14 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $73.06 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $73.52 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $73.52 2026-03-18 MRF ↗
ATRIUM HEALTH PINEVILLE OutpatientFacility Molina Managed Medicaid $75.38 $14,333.25 $7,166.63 2025-12-04 MRF ↗
CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility Molina Managed Medicaid $75.38 $14,333.25 $7,166.63 2025-12-04 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $79.55 2026-03-18 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Medicare A AZ JF Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Health Choice Pathway MCR Adv Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Aetna Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Tricare West Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Humana Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both United Healthcare Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Aetna Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Cigna Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both United Healthcare Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Presbyterian Health Plan MCR Adv Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Health Choice Pathway MCR Adv Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Great West Healthcare AZ PPO $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Medicare A AZ JF Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Cigna Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Arizona Foundation for Medical Care (AFMC) PPO $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Blue Cross Blue Shield of AZ Federal $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Blue Cross Blue Shield of AZ Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Presbyterian Health Plan MCR Adv Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Blue Cross Blue Shield of AZ Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Great West Healthcare AZ PPO $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both United Healthcare Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Tricare East Region DOS lt 01012025 Federal $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Blue Cross Blue Shield of AZ Federal $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Arizona Foundation for Medical Care (AFMC) PPO $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Cigna Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both ASAGEHA Federal $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Humana Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both United Healthcare Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Aetna Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Sierra Health and Life MCR Adv Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Tricare East Region DOS lt 01012025 Federal $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both VA Community Care Network VACCN Region 4 Triwest Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Sierra Health and Life MCR Adv Medicare Advantage $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Cigna Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Blue Cross Blue Shield of AZ Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Aetna Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both VA Community Care Network VACCN Region 4 Triwest Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both ASAGEHA Federal $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Tricare West Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both Blue Cross Blue Shield of AZ Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both UMR Wausau/UHIS Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both UMR Wausau/UHIS Default $5,933.97 $3,382.36 2026-03-16 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $80.05 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $80.05 2026-03-18 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $83.01 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $83.01 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9397_UNITED HEALTHCARE VWIN 20250101 $83.01 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $83.01 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $83.01 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $83.01 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $83.01 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $83.01 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $83.01 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $83.01 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $83.01 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $89.27 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $89.27 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $89.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $89.27 2026-01-01 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.