64625-t — Or Rfa - Si Joint Fac
Cite this view
HANK Price Transparency. (n.d.). OR RFA - SI joint fac (OTHER 64625-t) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64625-t?code_type=OTHER
“OR RFA - SI joint fac (OTHER 64625-t) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64625-t?code_type=OTHER. Accessed .
“OR RFA - SI joint fac (OTHER 64625-t) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64625-t?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,397–$3,309 (25th–75th percentile) across 1 hospital · 8 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 64625-t — 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 |
|---|---|---|---|---|---|---|---|
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $1,397.30 | $3,677.10 | $2,757.82 | 2026-11-02 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $1,397.30 | $3,677.10 | $2,757.82 | 2026-11-02 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $1,397.30 | $3,677.10 | $2,757.82 | 2026-11-02 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $1,397.30 | $3,677.10 | $2,757.82 | 2026-11-02 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $1,397.30 | $3,677.10 | $2,757.82 | 2026-11-02 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $2,757.83 | $3,677.10 | $2,757.82 | 2026-11-02 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $2,993.16 | $3,677.10 | $2,757.82 | 2026-11-02 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $3,125.54 | $3,677.10 | $2,757.82 | 2026-11-02 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $3,125.54 | $3,677.10 | $2,757.82 | 2026-11-02 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $3,309.39 | $3,677.10 | $2,757.82 | 2026-11-02 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $3,309.39 | $3,677.10 | $2,757.82 | 2026-11-02 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $3,309.39 | $3,677.10 | $2,757.82 | 2026-11-02 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $3,419.70 | $3,677.10 | $2,757.82 | 2026-11-02 | MRF ↗ |