6271563 — Kit/set Non Routine Surg Lvl 12
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). KIT/SET NON ROUTINE SURG LVL 12 (CDM 6271563) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6271563?code_type=CDM
MLA (9th ed.)
“KIT/SET NON ROUTINE SURG LVL 12 (CDM 6271563) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6271563?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“KIT/SET NON ROUTINE SURG LVL 12 (CDM 6271563) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6271563?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,211–$8,499 (25th–75th percentile) across 29 hospitals · 68 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 6271563 — 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 |
|---|---|---|---|---|---|---|---|
| BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,616.57 | $11,580.00 | $2,304.42 | 2026-09-23 | MRF ↗ |
| BANNER DEL E. WEBB MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $1,794.90 | 2026-09-22 | MRF ↗ |
| BANNER BAYWOOD MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $2,698.14 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $2,489.70 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $1,945.44 | 2026-03-02 | MRF ↗ |
| PAGE HOSPITAL OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $7,573.32 | 2026-09-22 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $2,350.74 | 2026-09-25 | MRF ↗ |
| BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $2,468.62 | 2026-03-02 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| University Physicians Hospital At Kino, The OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $2,443.38 | 2026-09-25 | MRF ↗ |
| BANNER BOSWELL MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $1,806.48 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $2,095.98 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER IRONWOOD MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $1,887.54 | 2026-03-02 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $2,443.38 | 2026-10-13 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $2,478.12 | 2026-03-02 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $1,668.68 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,119.14 | $11,580.00 | $2,304.42 | 2026-09-23 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS OutpatientFacility | Aetna | Medicare Advantage | $2,153.88 | $11,580.00 | $2,443.38 | 2026-10-13 | MRF ↗ |
| BANNER DEL E. WEBB MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,153.88 | $11,580.00 | $1,794.90 | 2026-09-22 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Aetna | Medicare Advantage | $2,153.88 | $11,580.00 | $2,350.74 | 2026-09-25 | MRF ↗ |
| University Physicians Hospital At Kino, The OutpatientFacility | Aetna | Medicare Advantage | $2,153.88 | $11,580.00 | $2,443.38 | 2026-09-25 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,316.00 | $11,580.00 | $2,478.12 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $2,316.00 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $2,316.00 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,316.00 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Aetna | Medicare Advantage | $2,316.00 | $11,580.00 | $2,489.70 | 2026-03-02 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,316.00 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,316.00 | $11,580.00 | $2,095.98 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,316.00 | $11,580.00 | $1,945.44 | 2026-03-02 | MRF ↗ |
| BANNER BOSWELL MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,316.00 | $11,580.00 | $1,806.48 | 2026-03-02 | MRF ↗ |
| BANNER IRONWOOD MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,316.00 | $11,580.00 | $1,887.54 | 2026-03-02 | MRF ↗ |
| BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,316.00 | $11,580.00 | $2,468.62 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Aetna | Qualified Health Plan | $2,605.50 | $11,580.00 | $2,489.70 | 2026-03-02 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $2,941.32 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $2,941.32 | $11,580.00 | $2,095.98 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Aetna | Qualified Health Plan | $2,941.32 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $2,941.32 | $11,580.00 | $1,945.44 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $2,941.32 | $11,580.00 | $2,478.12 | 2026-03-02 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $2,941.32 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| BANNER BOSWELL MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $2,941.32 | $11,580.00 | $1,806.48 | 2026-03-02 | MRF ↗ |
| BANNER IRONWOOD MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $2,941.32 | $11,580.00 | $1,887.54 | 2026-03-02 | MRF ↗ |
| BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $2,941.32 | $11,580.00 | $2,468.62 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Aetna | Qualified Health Plan | $2,941.32 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER MCKEE MEDICAL CENTER OutpatientFacility | Banner Health | Banner Choice Plus/Banner Select | $2,976.06 | $11,580.00 | $3,416.10 | 2026-03-02 | MRF ↗ |
| BANNER NORTH COLORADO MEDICAL CENTER OutpatientFacility | Banner Health | Banner Choice Plus/Banner Select | $2,976.06 | $11,580.00 | $3,416.10 | 2026-03-02 | MRF ↗ |
| BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility | Aetna | Commercial | $3,010.80 | $11,580.00 | $5,593.14 | 2026-02-12 | MRF ↗ |
| BANNER WYOMING MEDICAL CENTER OutpatientFacility | Banner Health | Banner Choice Plus/Banner Select | $3,126.60 | $11,580.00 | $4,863.60 | 2026-09-22 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Molina Healthcare | Medicaid/CHIP | — | $11,580.00 | $5,755.26 | 2026-03-02 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Aetna | Medicare Advantage | $3,230.82 | $11,580.00 | $5,755.26 | 2026-03-02 | MRF ↗ |
| BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $2,468.62 | 2026-03-02 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $2,489.70 | 2026-03-02 | MRF ↗ |
| BANNER DEL E. WEBB MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $1,794.90 | 2026-09-22 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $2,095.98 | 2026-03-02 | MRF ↗ |
| BANNER BAYWOOD MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $2,698.14 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $1,945.44 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $2,304.42 | 2026-09-23 | MRF ↗ |
| University Physicians Hospital At Kino, The OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $2,443.38 | 2026-09-25 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $2,478.12 | 2026-03-02 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $2,350.74 | 2026-09-25 | MRF ↗ |
| BANNER IRONWOOD MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $1,887.54 | 2026-03-02 | MRF ↗ |
| BANNER BOSWELL MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $1,806.48 | 2026-03-02 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $3,474.00 | $11,580.00 | $2,443.38 | 2026-10-13 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | HealthSpring Life & Health Insurance Company, Inc. | Medicare Advantage | $3,589.80 | $11,580.00 | $5,755.26 | 2026-03-02 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Banner Health | Banner Choice Plus/Banner Select | $3,589.80 | $11,580.00 | $5,755.26 | 2026-03-02 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Medicare | Traditional Medicare | $3,589.80 | $11,580.00 | $5,755.26 | 2026-03-02 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Medica | Medicare Advantage | $3,589.80 | $11,580.00 | $5,755.26 | 2026-03-02 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Anthem Blue Cross Blue Shield Colorado | Medicare | $3,589.80 | $11,580.00 | $5,755.26 | 2026-03-02 | MRF ↗ |
| University Physicians Hospital At Kino, The OutpatientFacility | Aetna | Banner Employee Plans | $3,659.28 | $11,580.00 | $2,443.38 | 2026-09-25 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Aetna | Banner Employee Plans | $3,659.28 | $11,580.00 | $2,350.74 | 2026-09-25 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS OutpatientFacility | Aetna | Banner Employee Plans | $3,659.28 | $11,580.00 | $2,443.38 | 2026-10-13 | MRF ↗ |
| BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility | Banner Health | Banner Choice Plus/Banner Select | $3,705.60 | $11,580.00 | $5,593.14 | 2026-02-12 | MRF ↗ |
| BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility | Hometown Health | Seniorcare | $3,705.60 | $11,580.00 | $5,593.14 | 2026-02-12 | MRF ↗ |
| BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility | Optum | Medicare | $3,705.60 | $11,580.00 | $5,593.14 | 2026-02-12 | MRF ↗ |
| BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility | SilverSummit Healthplan | Medicare Advantage | $3,705.60 | $11,580.00 | $5,593.14 | 2026-02-12 | MRF ↗ |
| BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility | TriWest Healthcare Alliance Corp - VA CCN | Tricare | $3,705.60 | $11,580.00 | $5,593.14 | 2026-02-12 | MRF ↗ |
| BANNER DEL E. WEBB MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $3,786.66 | $11,580.00 | $1,794.90 | 2026-09-22 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Aetna | Banner Employee Plans | $3,890.88 | $11,580.00 | $2,489.70 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $3,890.88 | $11,580.00 | $2,478.12 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $3,890.88 | $11,580.00 | $1,945.44 | 2026-03-02 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $3,890.88 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Aetna | Banner Employee Plans | $3,890.88 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER BOSWELL MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $3,890.88 | $11,580.00 | $1,806.48 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $3,890.88 | $11,580.00 | $2,095.98 | 2026-03-02 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $3,890.88 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| BANNER IRONWOOD MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $3,890.88 | $11,580.00 | $1,887.54 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Aetna | Banner Employee Plans | $3,890.88 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $3,890.88 | $11,580.00 | $2,468.62 | 2026-03-02 | MRF ↗ |
| BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $3,927.94 | $11,580.00 | $5,593.14 | 2026-02-12 | MRF ↗ |
| BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility | United Healthcare | UHC Medicare Advantage | $4,053.00 | $11,580.00 | $2,304.42 | 2026-09-23 | MRF ↗ |
| BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility | Wellpoint (fka Amerigroup) | Medicare Advantage HMO | $4,053.00 | $11,580.00 | $2,304.42 | 2026-09-23 | MRF ↗ |
| BANNER BOSWELL MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $4,053.00 | $11,580.00 | $1,806.48 | 2026-03-02 | MRF ↗ |
| BANNER IRONWOOD MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $4,053.00 | $11,580.00 | $1,887.54 | 2026-03-02 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $4,053.00 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $4,053.00 | $11,580.00 | $2,095.98 | 2026-03-02 | MRF ↗ |
| BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $4,053.00 | $11,580.00 | $2,468.62 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility | University of Arizona (Kasser Medical Treatment Center) | Commerical | $4,053.00 | $11,580.00 | $2,350.74 | 2026-09-25 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Hospice of the Valley | Medicare | $4,053.00 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Hospice of the Valley | Medicare | $4,053.00 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $4,053.00 | $11,580.00 | $1,945.44 | 2026-03-02 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS InpatientFacility | University of Arizona (Kasser Medical Treatment Center) | Commerical | $4,053.00 | $11,580.00 | $2,443.38 | 2026-10-13 | MRF ↗ |
| University Physicians Hospital At Kino, The InpatientFacility | University of Arizona (Kasser Medical Treatment Center) | Commerical | $4,053.00 | $11,580.00 | $2,443.38 | 2026-09-25 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $4,053.00 | $11,580.00 | $2,478.12 | 2026-03-02 | MRF ↗ |
| BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility | UPMC Health Plan | Medicare Advantage | $4,053.00 | $11,580.00 | $2,304.42 | 2026-09-23 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $4,053.00 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| BANNER BAYWOOD MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $4,053.00 | $11,580.00 | $2,698.14 | 2026-03-02 | MRF ↗ |
| BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility | Aetna | Joint Venture | $4,053.00 | $11,580.00 | $2,304.42 | 2026-09-23 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Aetna | Joint Venture | $4,168.80 | $11,580.00 | $2,350.74 | 2026-09-25 | MRF ↗ |
| BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $4,238.28 | $11,580.00 | $2,304.42 | 2026-09-23 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Assist Health Group | AHG Specialty Network | $4,307.76 | $11,580.00 | $5,755.26 | 2026-03-02 | MRF ↗ |
| BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility | Aetna | Designated Group | $4,597.26 | $11,580.00 | $2,304.42 | 2026-09-23 | MRF ↗ |
| BANNER DEL E. WEBB MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $1,794.90 | 2026-09-22 | MRF ↗ |
| BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $2,468.62 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $4,632.00 | $11,580.00 | $2,489.70 | 2026-03-02 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $4,632.00 | $11,580.00 | $1,945.44 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $2,095.98 | 2026-03-02 | MRF ↗ |
| BANNER BOSWELL MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $1,806.48 | 2026-03-02 | MRF ↗ |
| BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $2,304.42 | 2026-09-23 | MRF ↗ |
| BANNER BAYWOOD MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $2,698.14 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER IRONWOOD MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $1,887.54 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $2,443.38 | 2026-10-13 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| University Physicians Hospital At Kino, The OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $2,443.38 | 2026-09-25 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Arizona Priority Care | Medicare Advantage | $4,632.00 | $11,580.00 | $2,350.74 | 2026-09-25 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Aetna | Designated Group | $4,689.90 | $11,580.00 | $2,350.74 | 2026-09-25 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $4,713.06 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Banner Health | Medicare Advantage | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Wellpoint | Medicare Advantage HMO | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Care 1st | Medicare Advantage | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Arizona | Medicare Advantage | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | TriWest Healthcare Alliance Corp - VA CCN | Tricare | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Kaiser Foundation Health Plan | Medicare Advantage | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER FORT COLLINS MEDICAL CENTER OutpatientFacility | Banner Health | Banner Choice Plus/Banner Select | $4,747.80 | $11,580.00 | $2,698.14 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | UPMC Health Plan | Medicare Advantage | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER LASSEN MEDICAL CENTER OutpatientFacility | Banner Health | Banner Choice Plus/Banner Select | $4,747.80 | $11,580.00 | $5,396.28 | 2026-02-12 | MRF ↗ |
| BANNER LASSEN MEDICAL CENTER OutpatientFacility | United Healthcare | UHC Medicare Advantage | $4,747.80 | $11,580.00 | $5,396.28 | 2026-02-12 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Mercy Care | Mercy Care Advantage | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Health Net | Medicare | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicare Advantage | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Banner University Health Plan | Medicare Advantage | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Gila River Health Care Corporation | Managed Care Program | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER LASSEN MEDICAL CENTER OutpatientFacility | Anthem Blue Cross California | Medicare Advantage | $4,747.80 | $11,580.00 | $5,396.28 | 2026-02-12 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | United Healthcare | UHC Medicare Advantage | $4,747.80 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility | TriWest Healthcare Alliance Corp - VA CCN | Tricare | $4,747.80 | $11,580.00 | $5,593.14 | 2026-02-12 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $4,766.33 | $11,580.00 | $5,755.26 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Colorado | Medicare | $4,863.60 | $11,580.00 | $5,755.26 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Banner Health | Banner Choice Plus/Banner Select | $4,863.60 | $11,580.00 | $5,755.26 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Longevity | Medicare Advantage | $4,863.60 | $11,580.00 | $5,755.26 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | TriWest Healthcare Alliance Corp - VA CCN | Tricare | $4,863.60 | $11,580.00 | $5,755.26 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Medica | Medicare Advantage | $4,863.60 | $11,580.00 | $5,755.26 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | United Healthcare | UHC Medicare Advantage | $4,863.60 | $11,580.00 | $5,755.26 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $4,863.60 | $11,580.00 | $5,755.26 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Kaiser CPMG (Colorado Permanente Medical Group) | Medicare PPO | $4,960.87 | $11,580.00 | $5,755.26 | 2026-09-23 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Carelon | Medicare Advantage | $4,985.19 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | $5,032.67 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| OGALLALA COMMUNITY HOSPITAL OutpatientFacility | TriWest Healthcare Alliance Corp - VA CCN | Tricare | $5,095.20 | $11,580.00 | $5,639.46 | 2026-02-12 | MRF ↗ |
| OGALLALA COMMUNITY HOSPITAL OutpatientFacility | Medica | Medicare Advantage | $5,095.20 | $11,580.00 | $5,639.46 | 2026-02-12 | MRF ↗ |
| OGALLALA COMMUNITY HOSPITAL OutpatientFacility | Banner Health | Banner Choice Plus/Banner Select | $5,095.20 | $11,580.00 | $5,639.46 | 2026-02-12 | MRF ↗ |
| OGALLALA COMMUNITY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Wyoming | Medicare Advantage | $5,095.20 | $11,580.00 | $5,639.46 | 2026-02-12 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $5,155.42 | $11,580.00 | $5,755.26 | 2026-09-23 | MRF ↗ |
| BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility | United Healthcare | Doctor's Plan | $5,176.26 | $11,580.00 | $2,304.42 | 2026-09-23 | MRF ↗ |
| BANNER GOLDFIELD MEDICAL CENTER InpatientFacility | Plotkin Health | Plotkin Health | $5,211.00 | $11,580.00 | $2,468.62 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER InpatientFacility | Plotkin Health | Plotkin Health | $5,211.00 | $11,580.00 | $2,478.12 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX InpatientFacility | Plotkin Health | Plotkin Health | $5,211.00 | $11,580.00 | $2,489.70 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $5,211.00 | $11,580.00 | $2,489.70 | 2026-03-02 | MRF ↗ |
| BANNER CASA GRANDE MEDICAL CENTER InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $5,211.00 | $11,580.00 | $2,304.42 | 2026-09-23 | MRF ↗ |
| BANNER IRONWOOD MEDICAL CENTER InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $5,211.00 | $11,580.00 | $1,887.54 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Plotkin Health | Plotkin Health | $5,211.00 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Aetna | Broad Network | $5,211.00 | $11,580.00 | $2,350.74 | 2026-09-25 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $5,211.00 | $11,580.00 | $2,350.74 | 2026-09-25 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $5,211.00 | $11,580.00 | $1,794.90 | 2026-03-02 | MRF ↗ |
| PAGE HOSPITAL InpatientFacility | Plotkin Health | Plotkin Health | $5,211.00 | $11,580.00 | $7,573.32 | 2026-09-22 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Plotkin Health | Plotkin Health | $5,211.00 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER DEL E. WEBB MEDICAL CENTER InpatientFacility | Plotkin Health | Plotkin Health | $5,211.00 | $11,580.00 | $1,794.90 | 2026-09-22 | MRF ↗ |
| BANNER GOLDFIELD MEDICAL CENTER InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $5,211.00 | $11,580.00 | $2,468.62 | 2026-03-02 | MRF ↗ |
| University Physicians Hospital At Kino, The InpatientFacility | Plotkin Health | Plotkin Health | $5,211.00 | $11,580.00 | $2,443.38 | 2026-09-25 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER InpatientFacility | Plotkin Health | Plotkin Health | $5,211.00 | $11,580.00 | $2,095.98 | 2026-03-02 | MRF ↗ |
| BANNER BAYWOOD MEDICAL CENTER InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $5,211.00 | $11,580.00 | $2,698.14 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $5,211.00 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $5,211.00 | $11,580.00 | $2,095.98 | 2026-03-02 | MRF ↗ |
| BANNER BOSWELL MEDICAL CENTER InpatientFacility | Plotkin Health | Plotkin Health | $5,211.00 | $11,580.00 | $1,806.48 | 2026-03-02 | MRF ↗ |
| BANNER BAYWOOD MEDICAL CENTER InpatientFacility | Plotkin Health | Plotkin Health | $5,211.00 | $11,580.00 | $2,698.14 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER InpatientFacility | Plotkin Health | Plotkin Health | $5,211.00 | $11,580.00 | $4,550.94 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER InpatientFacility | Plotkin Health | Plotkin Health | $5,211.00 | $11,580.00 | $1,945.44 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $5,211.00 | $11,580.00 | $1,922.28 | 2026-03-02 | MRF ↗ |
| BANNER BOSWELL MEDICAL CENTER InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $5,211.00 | $11,580.00 | $1,806.48 | 2026-03-02 | MRF ↗ |
| BANNER DEL E. WEBB MEDICAL CENTER InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $5,211.00 | $11,580.00 | $1,794.90 | 2026-09-22 | 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.