Price Transparencybeta 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 →

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6277917 — Dressing Specialty Lvl 08

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 $3,663

Usually $3,128–$5,212 (25th–75th percentile) across 30 hospitals · 69 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 6277917 — 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 $970.22 $6,950.00 $1,383.05 2026-09-23 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,077.25 2026-03-02 MRF ↗
BANNER OCOTILLO MEDICAL CENTER OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,487.30 2026-03-02 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,153.70 2026-03-02 MRF ↗
BANNER ESTRELLA MEDICAL CENTER OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,257.95 2026-03-02 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,077.25 2026-03-02 MRF ↗
PAGE HOSPITAL OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $4,545.30 2026-09-22 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,494.25 2026-03-02 MRF ↗
University Physicians Hospital At Kino, The OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,466.45 2026-09-25 MRF ↗
BANNER BAYWOOD MEDICAL CENTER OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,619.35 2026-03-02 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,410.85 2026-09-25 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER DEL E. WEBB MEDICAL CENTER OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,077.25 2026-09-22 MRF ↗
BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,167.60 2026-03-02 MRF ↗
BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,466.45 2026-10-13 MRF ↗
BANNER BOSWELL MEDICAL CENTER OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,084.20 2026-03-02 MRF ↗
BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,481.60 2026-03-02 MRF ↗
BANNER IRONWOOD MEDICAL CENTER OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,132.85 2026-03-02 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Arizona Physicians IPA Medicaid $1,001.50 $6,950.00 $1,153.70 2026-03-02 MRF ↗
BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility Aetna Medicare Advantage $1,271.85 $6,950.00 $1,383.05 2026-09-23 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility Aetna Medicare Advantage $1,292.70 $6,950.00 $1,410.85 2026-09-25 MRF ↗
BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS OutpatientFacility Aetna Medicare Advantage $1,292.70 $6,950.00 $1,466.45 2026-10-13 MRF ↗
BANNER DEL E. WEBB MEDICAL CENTER OutpatientFacility Aetna Medicare Advantage $1,292.70 $6,950.00 $1,077.25 2026-09-22 MRF ↗
University Physicians Hospital At Kino, The OutpatientFacility Aetna Medicare Advantage $1,292.70 $6,950.00 $1,466.45 2026-09-25 MRF ↗
BANNER BOSWELL MEDICAL CENTER OutpatientFacility Aetna Medicare Advantage $1,390.00 $6,950.00 $1,084.20 2026-03-02 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Aetna Medicare Advantage $1,390.00 $6,950.00 $1,153.70 2026-03-02 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Aetna Medicare Advantage $1,390.00 $6,950.00 $1,077.25 2026-03-02 MRF ↗
BANNER OCOTILLO MEDICAL CENTER OutpatientFacility Aetna Medicare Advantage $1,390.00 $6,950.00 $1,487.30 2026-03-02 MRF ↗
BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility Aetna Medicare Advantage $1,390.00 $6,950.00 $1,167.60 2026-03-02 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Aetna Medicare Advantage $1,390.00 $6,950.00 $1,077.25 2026-03-02 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Aetna Medicare Advantage $1,390.00 $6,950.00 $1,153.70 2026-03-02 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility Aetna Medicare Advantage $1,390.00 $6,950.00 $1,494.25 2026-03-02 MRF ↗
BANNER ESTRELLA MEDICAL CENTER OutpatientFacility Aetna Medicare Advantage $1,390.00 $6,950.00 $1,257.95 2026-03-02 MRF ↗
BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility Aetna Medicare Advantage $1,390.00 $6,950.00 $1,481.60 2026-03-02 MRF ↗
BANNER IRONWOOD MEDICAL CENTER OutpatientFacility Aetna Medicare Advantage $1,390.00 $6,950.00 $1,132.85 2026-03-02 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility Aetna Qualified Health Plan $1,563.75 $6,950.00 $1,494.25 2026-03-02 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Aetna Qualified Health Plan $1,765.30 $6,950.00 $1,077.25 2026-03-02 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Aetna Qualified Health Plan $1,765.30 $6,950.00 $1,077.25 2026-03-02 MRF ↗
BANNER BOSWELL MEDICAL CENTER OutpatientFacility Aetna Qualified Health Plan $1,765.30 $6,950.00 $1,084.20 2026-03-02 MRF ↗
BANNER IRONWOOD MEDICAL CENTER OutpatientFacility Aetna Qualified Health Plan $1,765.30 $6,950.00 $1,132.85 2026-03-02 MRF ↗
BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility Aetna Qualified Health Plan $1,765.30 $6,950.00 $1,481.60 2026-03-02 MRF ↗
BANNER ESTRELLA MEDICAL CENTER OutpatientFacility Aetna Qualified Health Plan $1,765.30 $6,950.00 $1,257.95 2026-03-02 MRF ↗
BANNER OCOTILLO MEDICAL CENTER OutpatientFacility Aetna Qualified Health Plan $1,765.30 $6,950.00 $1,487.30 2026-03-02 MRF ↗
BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility Aetna Qualified Health Plan $1,765.30 $6,950.00 $1,167.60 2026-03-02 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Aetna Qualified Health Plan $1,765.30 $6,950.00 $1,153.70 2026-03-02 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Aetna Qualified Health Plan $1,765.30 $6,950.00 $1,153.70 2026-03-02 MRF ↗
BANNER MCKEE MEDICAL CENTER OutpatientFacility Banner Health Banner Choice Plus/Banner Select $1,786.15 $6,950.00 $2,050.25 2026-03-02 MRF ↗
BANNER NORTH COLORADO MEDICAL CENTER OutpatientFacility Banner Health Banner Choice Plus/Banner Select $1,786.15 $6,950.00 $2,050.25 2026-03-02 MRF ↗
BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility Aetna Commercial $1,807.00 $6,950.00 $3,356.85 2026-02-12 MRF ↗
BANNER WYOMING MEDICAL CENTER OutpatientFacility Banner Health Banner Choice Plus/Banner Select $1,876.50 $6,950.00 $2,919.00 2026-09-22 MRF ↗
STERLING REGIONAL MEDCENTER OutpatientFacility Aetna Medicare Advantage $1,939.05 $6,950.00 $3,454.15 2026-03-02 MRF ↗
STERLING REGIONAL MEDCENTER OutpatientFacility Molina Healthcare Medicaid/CHIP — $6,950.00 $3,454.15 2026-03-02 MRF ↗
BANNER ESTRELLA MEDICAL CENTER OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,257.95 2026-03-02 MRF ↗
BANNER BOSWELL MEDICAL CENTER OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,084.20 2026-03-02 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,077.25 2026-03-02 MRF ↗
BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,383.05 2026-09-23 MRF ↗
BANNER OCOTILLO MEDICAL CENTER OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,487.30 2026-03-02 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,494.25 2026-03-02 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,410.85 2026-09-25 MRF ↗
BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,466.45 2026-10-13 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,153.70 2026-03-02 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,077.25 2026-03-02 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,153.70 2026-03-02 MRF ↗
University Physicians Hospital At Kino, The OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,466.45 2026-09-25 MRF ↗
BANNER IRONWOOD MEDICAL CENTER OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,132.85 2026-03-02 MRF ↗
BANNER BAYWOOD MEDICAL CENTER OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,619.35 2026-03-02 MRF ↗
BANNER DEL E. WEBB MEDICAL CENTER OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,077.25 2026-09-22 MRF ↗
BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,481.60 2026-03-02 MRF ↗
BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,085.00 $6,950.00 $1,167.60 2026-03-02 MRF ↗
STERLING REGIONAL MEDCENTER OutpatientFacility Banner Health Banner Choice Plus/Banner Select $2,154.50 $6,950.00 $3,454.15 2026-03-02 MRF ↗
STERLING REGIONAL MEDCENTER OutpatientFacility Medicare Traditional Medicare $2,154.50 $6,950.00 $3,454.15 2026-03-02 MRF ↗
STERLING REGIONAL MEDCENTER OutpatientFacility Medica Medicare Advantage $2,154.50 $6,950.00 $3,454.15 2026-03-02 MRF ↗
STERLING REGIONAL MEDCENTER OutpatientFacility HealthSpring Life & Health Insurance Company, Inc. Medicare Advantage $2,154.50 $6,950.00 $3,454.15 2026-03-02 MRF ↗
STERLING REGIONAL MEDCENTER OutpatientFacility Anthem Blue Cross Blue Shield Colorado Medicare $2,154.50 $6,950.00 $3,454.15 2026-03-02 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility Aetna Banner Employee Plans $2,196.20 $6,950.00 $1,410.85 2026-09-25 MRF ↗
BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS OutpatientFacility Aetna Banner Employee Plans $2,196.20 $6,950.00 $1,466.45 2026-10-13 MRF ↗
University Physicians Hospital At Kino, The OutpatientFacility Aetna Banner Employee Plans $2,196.20 $6,950.00 $1,466.45 2026-09-25 MRF ↗
BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility Optum Medicare $2,224.00 $6,950.00 $3,356.85 2026-02-12 MRF ↗
BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility TriWest Healthcare Alliance Corp - VA CCN Tricare $2,224.00 $6,950.00 $3,356.85 2026-02-12 MRF ↗
BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility SilverSummit Healthplan Medicare Advantage $2,224.00 $6,950.00 $3,356.85 2026-02-12 MRF ↗
BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility Hometown Health Seniorcare $2,224.00 $6,950.00 $3,356.85 2026-02-12 MRF ↗
BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility Banner Health Banner Choice Plus/Banner Select $2,224.00 $6,950.00 $3,356.85 2026-02-12 MRF ↗
BANNER DEL E. WEBB MEDICAL CENTER OutpatientFacility Aetna Banner Employee Plans $2,272.65 $6,950.00 $1,077.25 2026-09-22 MRF ↗
BANNER IRONWOOD MEDICAL CENTER OutpatientFacility Aetna Banner Employee Plans $2,335.20 $6,950.00 $1,132.85 2026-03-02 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Aetna Banner Employee Plans $2,335.20 $6,950.00 $1,077.25 2026-03-02 MRF ↗
BANNER BOSWELL MEDICAL CENTER OutpatientFacility Aetna Banner Employee Plans $2,335.20 $6,950.00 $1,084.20 2026-03-02 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Aetna Banner Employee Plans $2,335.20 $6,950.00 $1,153.70 2026-03-02 MRF ↗
BANNER ESTRELLA MEDICAL CENTER OutpatientFacility Aetna Banner Employee Plans $2,335.20 $6,950.00 $1,257.95 2026-03-02 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility Aetna Banner Employee Plans $2,335.20 $6,950.00 $1,494.25 2026-03-02 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Aetna Banner Employee Plans $2,335.20 $6,950.00 $1,153.70 2026-03-02 MRF ↗
BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility Aetna Banner Employee Plans $2,335.20 $6,950.00 $1,167.60 2026-03-02 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Aetna Banner Employee Plans $2,335.20 $6,950.00 $1,077.25 2026-03-02 MRF ↗
BANNER OCOTILLO MEDICAL CENTER OutpatientFacility Aetna Banner Employee Plans $2,335.20 $6,950.00 $1,487.30 2026-03-02 MRF ↗
BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility Aetna Banner Employee Plans $2,335.20 $6,950.00 $1,481.60 2026-03-02 MRF ↗
BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility Humana Medicare Advantage $2,357.44 $6,950.00 $3,356.85 2026-02-12 MRF ↗
BANNER IRONWOOD MEDICAL CENTER OutpatientFacility Hospice of the Valley Medicare $2,432.50 $6,950.00 $1,132.85 2026-03-02 MRF ↗
BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility United Healthcare UHC Medicare Advantage $2,432.50 $6,950.00 $1,383.05 2026-09-23 MRF ↗
BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility Aetna Joint Venture $2,432.50 $6,950.00 $1,383.05 2026-09-23 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Hospice of the Valley Medicare $2,432.50 $6,950.00 $1,153.70 2026-03-02 MRF ↗
BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility UPMC Health Plan Medicare Advantage $2,432.50 $6,950.00 $1,383.05 2026-09-23 MRF ↗
BANNER BOSWELL MEDICAL CENTER OutpatientFacility Hospice of the Valley Medicare $2,432.50 $6,950.00 $1,084.20 2026-03-02 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility University of Arizona (Kasser Medical Treatment Center) Commerical $2,432.50 $6,950.00 $1,410.85 2026-09-25 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Hospice of the Valley Medicare $2,432.50 $6,950.00 $1,077.25 2026-03-02 MRF ↗
BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility Hospice of the Valley Medicare $2,432.50 $6,950.00 $1,167.60 2026-03-02 MRF ↗
BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS InpatientFacility University of Arizona (Kasser Medical Treatment Center) Commerical $2,432.50 $6,950.00 $1,466.45 2026-10-13 MRF ↗
BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility Wellpoint (fka Amerigroup) Medicare Advantage HMO $2,432.50 $6,950.00 $1,383.05 2026-09-23 MRF ↗
BANNER OCOTILLO MEDICAL CENTER OutpatientFacility Hospice of the Valley Medicare $2,432.50 $6,950.00 $1,487.30 2026-03-02 MRF ↗
University Physicians Hospital At Kino, The InpatientFacility University of Arizona (Kasser Medical Treatment Center) Commerical $2,432.50 $6,950.00 $1,466.45 2026-09-25 MRF ↗
BANNER ESTRELLA MEDICAL CENTER OutpatientFacility Hospice of the Valley Medicare $2,432.50 $6,950.00 $1,257.95 2026-03-02 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Hospice of the Valley Medicare $2,432.50 $6,950.00 $1,153.70 2026-03-02 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Hospice of the Valley Medicare $2,432.50 $6,950.00 $1,077.25 2026-03-02 MRF ↗
BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility Hospice of the Valley Medicare $2,432.50 $6,950.00 $1,481.60 2026-03-02 MRF ↗
BANNER BAYWOOD MEDICAL CENTER OutpatientFacility Hospice of the Valley Medicare $2,432.50 $6,950.00 $1,619.35 2026-03-02 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility Aetna Joint Venture $2,502.00 $6,950.00 $1,410.85 2026-09-25 MRF ↗
BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility Aetna Banner Employee Plans $2,543.70 $6,950.00 $1,383.05 2026-09-23 MRF ↗
STERLING REGIONAL MEDCENTER OutpatientFacility Assist Health Group AHG Specialty Network $2,585.40 $6,950.00 $3,454.15 2026-03-02 MRF ↗
BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility Aetna Designated Group $2,759.15 $6,950.00 $1,383.05 2026-09-23 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,410.85 2026-09-25 MRF ↗
BANNER IRONWOOD MEDICAL CENTER OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,132.85 2026-03-02 MRF ↗
BANNER ESTRELLA MEDICAL CENTER OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,257.95 2026-03-02 MRF ↗
BANNER BOSWELL MEDICAL CENTER OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,084.20 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 $2,780.00 $6,950.00 $1,167.60 2026-03-02 MRF ↗
BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,383.05 2026-09-23 MRF ↗
BANNER GOLDFIELD MEDICAL CENTER OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,481.60 2026-03-02 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,077.25 2026-03-02 MRF ↗
BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,466.45 2026-10-13 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,153.70 2026-03-02 MRF ↗
BANNER HEART HOSPITAL OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,153.70 2026-03-02 MRF ↗
BANNER DEL E. WEBB MEDICAL CENTER OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,077.25 2026-09-22 MRF ↗
University Physicians Hospital At Kino, The OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,466.45 2026-09-25 MRF ↗
BANNER DESERT MEDICAL CENTER OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,077.25 2026-03-02 MRF ↗
BANNER BAYWOOD MEDICAL CENTER OutpatientFacility Arizona Priority Care Medicare Advantage $2,780.00 $6,950.00 $1,619.35 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 $2,780.00 $6,950.00 $1,494.25 2026-03-02 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility Aetna Designated Group $2,814.75 $6,950.00 $1,410.85 2026-09-25 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Aetna Banner Employee Plans $2,828.65 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Care 1st Medicare Advantage $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Aetna Medicare Advantage $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Arizona Physicians IPA Medicare Advantage $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility TriWest Healthcare Alliance Corp - VA CCN Tricare $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER FORT COLLINS MEDICAL CENTER OutpatientFacility Banner Health Banner Choice Plus/Banner Select $2,849.50 $6,950.00 $1,619.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Health Net Medicare $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Blue Cross Blue Shield of Arizona Medicare Advantage $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Mercy Care Mercy Care Advantage $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Banner Health Medicare Advantage $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER LASSEN MEDICAL CENTER OutpatientFacility Banner Health Banner Choice Plus/Banner Select $2,849.50 $6,950.00 $3,238.70 2026-02-12 MRF ↗
BANNER LASSEN MEDICAL CENTER OutpatientFacility United Healthcare UHC Medicare Advantage $2,849.50 $6,950.00 $3,238.70 2026-02-12 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Kaiser Foundation Health Plan Medicare Advantage $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility UPMC Health Plan Medicare Advantage $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Health Choice Arizona, Inc. Medicare Advantage $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Gila River Health Care Corporation Managed Care Program $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Wellpoint Medicare Advantage HMO $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Banner University Health Plan Medicare Advantage $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER LASSEN MEDICAL CENTER OutpatientFacility Anthem Blue Cross California Medicare Advantage $2,849.50 $6,950.00 $3,238.70 2026-02-12 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility United Healthcare UHC Medicare Advantage $2,849.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER CHURCHILL COMMUNITY HOSPITAL OutpatientFacility TriWest Healthcare Alliance Corp - VA CCN Tricare $2,849.50 $6,950.00 $3,356.85 2026-02-12 MRF ↗
EAST MORGAN COUNTY HOSPITAL OutpatientFacility Pinnacol Assurance Workers Comp Pinnacol Assurance WC $2,860.62 $6,950.00 $3,454.15 2026-09-23 MRF ↗
EAST MORGAN COUNTY HOSPITAL OutpatientFacility United Healthcare UHC Medicare Advantage $2,919.00 $6,950.00 $3,454.15 2026-09-23 MRF ↗
EAST MORGAN COUNTY HOSPITAL OutpatientFacility Medica Medicare Advantage $2,919.00 $6,950.00 $3,454.15 2026-09-23 MRF ↗
EAST MORGAN COUNTY HOSPITAL OutpatientFacility Banner Health Banner Choice Plus/Banner Select $2,919.00 $6,950.00 $3,454.15 2026-09-23 MRF ↗
EAST MORGAN COUNTY HOSPITAL OutpatientFacility TriWest Healthcare Alliance Corp - VA CCN Tricare $2,919.00 $6,950.00 $3,454.15 2026-09-23 MRF ↗
EAST MORGAN COUNTY HOSPITAL OutpatientFacility Anthem Blue Cross Blue Shield Colorado Medicare $2,919.00 $6,950.00 $3,454.15 2026-09-23 MRF ↗
EAST MORGAN COUNTY HOSPITAL OutpatientFacility Aetna Medicare Advantage $2,919.00 $6,950.00 $3,454.15 2026-09-23 MRF ↗
EAST MORGAN COUNTY HOSPITAL OutpatientFacility Longevity Medicare Advantage $2,919.00 $6,950.00 $3,454.15 2026-09-23 MRF ↗
EAST MORGAN COUNTY HOSPITAL OutpatientFacility Kaiser CPMG (Colorado Permanente Medical Group) Medicare PPO $2,977.38 $6,950.00 $3,454.15 2026-09-23 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Carelon Medicare Advantage $2,991.97 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER OutpatientFacility Humana Medicare Advantage $3,020.47 $6,950.00 $2,731.35 2026-03-02 MRF ↗
OGALLALA COMMUNITY HOSPITAL OutpatientFacility Banner Health Banner Choice Plus/Banner Select $3,058.00 $6,950.00 $3,384.65 2026-02-12 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $3,058.00 $6,950.00 $3,224.80 2026-03-02 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility TriWest Healthcare Alliance Corp - VA CCN Tricare $3,058.00 $6,950.00 $3,224.80 2026-03-02 MRF ↗
OGALLALA COMMUNITY HOSPITAL OutpatientFacility Blue Cross Blue Shield of Wyoming Medicare Advantage $3,058.00 $6,950.00 $3,384.65 2026-02-12 MRF ↗
OGALLALA COMMUNITY HOSPITAL OutpatientFacility TriWest Healthcare Alliance Corp - VA CCN Tricare $3,058.00 $6,950.00 $3,384.65 2026-02-12 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility Molina Healthcare Medicaid/CHIP — $6,950.00 $3,224.80 2026-03-02 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility Banner Health Banner Choice Plus $3,058.00 $6,950.00 $3,224.80 2026-03-02 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility Humana Medicare Advantage $3,058.00 $6,950.00 $3,224.80 2026-03-02 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $3,058.00 $6,950.00 $3,224.80 2026-03-02 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility NaphCare Federal Prison System $3,058.00 $6,950.00 $3,224.80 2026-03-02 MRF ↗
OGALLALA COMMUNITY HOSPITAL OutpatientFacility Medica Medicare Advantage $3,058.00 $6,950.00 $3,384.65 2026-02-12 MRF ↗
EAST MORGAN COUNTY HOSPITAL OutpatientFacility Humana Medicare Advantage $3,094.14 $6,950.00 $3,454.15 2026-09-23 MRF ↗
BANNER CASA GRANDE MEDICAL CENTER OutpatientFacility United Healthcare Doctor's Plan $3,106.65 $6,950.00 $1,383.05 2026-09-23 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility InterWest Health Medicare Advantage $3,119.16 $6,950.00 $3,224.80 2026-03-02 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility Prime Health Services Medicare Advantage $3,119.16 $6,950.00 $3,224.80 2026-03-02 MRF ↗
BANNER IRONWOOD MEDICAL CENTER InpatientFacility National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $3,127.50 $6,950.00 $1,132.85 2026-03-02 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER PHOENIX InpatientFacility Plotkin Health Plotkin Health $3,127.50 $6,950.00 $1,494.25 2026-03-02 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER PHOENIX InpatientFacility National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $3,127.50 $6,950.00 $1,494.25 2026-03-02 MRF ↗
BANNER CASA GRANDE MEDICAL CENTER InpatientFacility Plotkin Health Plotkin Health $3,127.50 $6,950.00 $1,383.05 2026-09-23 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility Aetna Broad Network $3,127.50 $6,950.00 $1,410.85 2026-09-25 MRF ↗
BANNER BAYWOOD MEDICAL CENTER InpatientFacility Plotkin Health Plotkin Health $3,127.50 $6,950.00 $1,619.35 2026-03-02 MRF ↗
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $3,127.50 $6,950.00 $1,410.85 2026-09-25 MRF ↗
BANNER ESTRELLA MEDICAL CENTER InpatientFacility National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $3,127.50 $6,950.00 $1,257.95 2026-03-02 MRF ↗
PAGE HOSPITAL InpatientFacility Plotkin Health Plotkin Health $3,127.50 $6,950.00 $4,545.30 2026-09-22 MRF ↗
BANNER DEL E. WEBB MEDICAL CENTER InpatientFacility Plotkin Health Plotkin Health $3,127.50 $6,950.00 $1,077.25 2026-09-22 MRF ↗
BANNER BOSWELL MEDICAL CENTER InpatientFacility National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $3,127.50 $6,950.00 $1,084.20 2026-03-02 MRF ↗
BANNER PAYSON MEDICAL CENTER InpatientFacility Plotkin Health Plotkin Health $3,127.50 $6,950.00 $2,731.35 2026-03-02 MRF ↗
BANNER ESTRELLA MEDICAL CENTER InpatientFacility Plotkin Health Plotkin Health $3,127.50 $6,950.00 $1,257.95 2026-03-02 MRF ↗
BANNER THUNDERBIRD MEDICAL CENTER InpatientFacility Plotkin Health Plotkin Health $3,127.50 $6,950.00 $1,167.60 2026-03-02 MRF ↗
BANNER BOSWELL MEDICAL CENTER InpatientFacility Plotkin Health Plotkin Health $3,127.50 $6,950.00 $1,084.20 2026-03-02 MRF ↗
BANNER BAYWOOD MEDICAL CENTER InpatientFacility National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $3,127.50 $6,950.00 $1,619.35 2026-03-02 MRF ↗
BANNER THUNDERBIRD MEDICAL CENTER InpatientFacility National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $3,127.50 $6,950.00 $1,167.60 2026-03-02 MRF ↗

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