62380 — Ndsc Dcmprn 1 Ntrspc Lumbar
Cite this view
HANK Price Transparency. (n.d.). Ndsc dcmprn 1 ntrspc lumbar (OTHER 62380) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/62380?code_type=OTHER
“Ndsc dcmprn 1 ntrspc lumbar (OTHER 62380) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/62380?code_type=OTHER. Accessed .
“Ndsc dcmprn 1 ntrspc lumbar (OTHER 62380) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/62380?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,224–$10,039 (25th–75th percentile) across 172 hospitals · 356 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 62380 — 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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $36.82 | — | — | 2026-05-27 | MRF ↗ |
| OZARK HEALTH Both | Medicaid Arkansas | Default | $51.00 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | — | — | — | 2026-05-23 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $82.65 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Ppo | $82.81 | — | — | 2026-05-27 | MRF ↗ |
| OZARK HEALTH Both | Caresource Ar | Default | $115.77 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Arkansas Total Care | Default | $115.77 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Empower Arkansas Mcd Rep | Default | $118.09 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $148.98 | — | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $156.00 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $156.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $169.91 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $169.91 | — | — | 2026-05-23 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $170.59 | — | — | 2026-05-27 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Uhc | Commercial | $182.61 | — | — | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Uhc | Commercial | $182.61 | — | — | 2026-05-09 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $205.02 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $205.02 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $205.02 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $205.02 | — | — | 2026-05-08 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | $212.70 | — | — | 2026-05-09 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $215.76 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectshare | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectvalue | $215.76 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectvalue | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectvalue | $215.76 | — | — | 2026-05-14 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Selectvalue | $215.76 | — | — | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectvalue | $215.76 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Fehbp | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectshare | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectvalue | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectshare | $215.76 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $215.76 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Fehbp | $215.76 | — | — | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectshare | $215.76 | — | — | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Fehbp | $215.76 | — | — | 2026-05-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectshare | $215.76 | — | — | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $215.76 | — | — | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Fehbp | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Fehbp | $215.76 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Fehbp | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectshare | $215.76 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectvalue | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectshare | $215.76 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectvalue | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectshare | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $215.76 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectvalue | $215.76 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $215.76 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Fehbp | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Fehbp | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Fehbp | $215.76 | — | — | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Fehbp | $215.76 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectshare | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectvalue | $215.76 | — | — | 2026-05-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectvalue | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $215.76 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectshare | $215.76 | — | — | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Fehbp | $215.76 | — | — | 2026-05-14 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Selectshare | $215.76 | — | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $234.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $234.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $234.01 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $234.01 | — | — | 2026-05-24 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $34,312.00 | $24,018.40 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $34,312.00 | $24,018.40 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $42,548.00 | $29,783.60 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $42,548.00 | $29,783.60 | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $260.01 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $260.01 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $260.01 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $260.01 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $260.01 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $260.01 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $260.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $260.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $260.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $260.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $260.01 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $260.01 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $260.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $260.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $260.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $260.01 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $260.01 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $260.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $260.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $260.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $260.01 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $260.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $260.01 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $260.01 | — | — | 2026-05-24 | MRF ↗ |
| MCLAREN FLINT | Medicaid - Psych | — | $275.00 | $28,378.26 | $14,189.13 | 2026-05-06 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Commercial | $281.03 | — | — | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $312.25 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $314.43 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Silver Bow County Employees | $314.43 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Other | $314.43 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Group Health | $314.43 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $314.43 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $314.43 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna - Commercial | $314.43 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Ppo | $314.43 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Other | $314.43 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Boon-Chapman | $316.19 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Health | $316.19 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $316.19 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Health | $316.19 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Other | $316.19 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Healthcomp Tpa | $316.19 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $316.19 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Other | $316.19 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | $344.81 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | $344.81 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Geha | Geha | $344.81 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | United Healthcare | $344.81 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | $344.81 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | $344.81 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | $344.81 | — | — | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Managed Medicaid | $347.01 | — | — | 2026-05-09 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Superior | Medicaid | $391.60 | — | — | 2026-05-14 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Superior | Medicaid | $391.60 | — | — | 2026-05-23 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Molina | Medicaid | $411.18 | — | — | 2026-05-14 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Molina | Medicaid | $411.18 | — | — | 2026-05-23 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $439.47 | $1,710.00 | $501.20 | 2026-05-31 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Commercial | $448.81 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $454.79 | $8,930.00 | $4,465.00 | 2026-05-23 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $454.79 | $8,930.00 | $4,465.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $454.79 | $8,930.00 | $4,465.00 | 2026-05-14 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional Facility | $454.79 | $8,930.00 | $4,465.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $454.79 | $8,930.00 | $4,465.00 | 2026-05-09 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional Facility | $454.79 | $8,930.00 | $4,465.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $454.79 | $8,930.00 | $4,465.00 | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $577.29 | — | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $604.52 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $604.52 | — | — | 2026-05-14 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Both | Anthem Blue Cross Blue Shield | Hmo | $616.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $649.97 | $1,710.00 | $501.20 | 2026-05-31 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $658.40 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $658.40 | — | — | 2026-05-14 | MRF ↗ |
| OZARK HEALTH Both | Blue Cross Blue Shield Of Ar | Medicare Advantage | $660.03 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Medicare A Ar Jh | Default | $660.03 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Humana | Medicare Advantage | $660.03 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | United Healthcare | Medicare Advantage | $673.50 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Va Community Care Network Vaccn Region 1-3 Optum | Default | $673.50 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Allwell Mcr Adv | Default | $679.83 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $679.83 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Aetna Medicare Advantage | Default | $686.97 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Superior Health Plan Mcr Adv | Default | $693.04 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Both | Anthem Blue Cross Blue Shield | Ppoonly | $698.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $699.39 | $1,710.00 | $501.20 | 2026-05-31 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Uhc | Commercial | $707.61 | — | — | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $707.64 | — | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $741.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $741.02 | — | — | 2026-05-14 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $764.88 | $1,710.00 | $501.20 | 2026-05-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicare | Professional | $766.41 | $8,930.00 | $4,465.00 | 2026-05-23 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicare | Professional | $766.41 | $8,930.00 | $4,465.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicare | Professional | $766.41 | $8,930.00 | $4,465.00 | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicare | Professional | $766.41 | $8,930.00 | $4,465.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicare | Professional | $766.41 | $8,930.00 | $4,465.00 | 2026-05-09 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicare | Professional | $766.41 | $8,930.00 | $4,465.00 | 2026-05-09 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicare | Professional | $766.41 | $8,930.00 | $4,465.00 | 2026-05-09 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $794.44 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $794.44 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $807.07 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $807.07 | — | — | 2026-05-14 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Neighborhood Health Medicaid | Neighborhood Health Medicaid | $822.03 | — | — | 2026-05-13 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | $824.20 | — | — | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Ambetter From Arkansas | Default | $841.88 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Uhc | Commercial | $867.40 | — | — | 2026-05-09 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $887.49 | $1,710.00 | $501.20 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $887.49 | $1,710.00 | $501.20 | 2026-05-31 | MRF ↗ |
| OZARK HEALTH Both | Aetna | Default | $898.00 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $906.78 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $906.78 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $906.78 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $906.78 | — | — | 2026-05-14 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $914.25 | — | — | 2026-05-09 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Commercial | $936.28 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Commercial | $936.28 | — | — | 2026-05-24 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $960.37 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $973.83 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $973.83 | — | — | 2026-05-23 | MRF ↗ |
| OZARK HEALTH Both | Qual Choice Of Arkansas | Default | $1,000.15 | $2,245.00 | $1,167.40 | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $1,007.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $1,007.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $1,007.53 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $1,007.53 | — | — | 2026-05-14 | 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.