74672 — Revsc Iliac W Stnt Init
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REVSC ILIAC W STNT INIT (CDM 74672) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74672?code_type=CDM
MLA (9th ed.)
“REVSC ILIAC W STNT INIT (CDM 74672) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74672?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“REVSC ILIAC W STNT INIT (CDM 74672) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74672?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,088–$31,494 (25th–75th percentile) across 11 hospitals · 65 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 74672 — 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 |
|---|---|---|---|---|---|---|---|
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HIXIndividual | $526.61 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | FocalPointPlus | $586.56 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HealthyPremierSSG | $606.10 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HealthyPreferred | $606.10 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | Individual | $651.64 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | Preferred | $651.64 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | RealValue | $651.64 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | Traditional | $651.64 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | FocalPoint | $651.64 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | PPO | $651.64 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | Participating | $651.64 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HealthyPremier | $660.74 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna UT Overstock | COMM | $662.40 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna | NBNPPO | $698.83 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Imagine Health Wise | PPO | $733.94 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | MotivHealth | MotivNet | $761.76 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | MotivHealth | Wasatch | $761.76 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | MotivHealth | TPARental | $761.76 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | MotivHealth | WasatchPlus | $761.76 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | MotivHealth | MotivSelect | $761.76 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna | Non-ExclusivePPO | $882.65 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Public Employees | PrefferedNetwork | $915.77 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Select Health ER | COMM | $957.17 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | DMBA (Deseret Mutual Benefit Admin) | PPO | $989.29 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Union Pacific Railroad | COMM | $1,076.40 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Aetna | FirstHealth | $1,208.88 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Injury Care of Utah | WCOMP | $1,291.68 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | TriWest Healthcare Alliance | Veterans | $1,324.80 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Autoliv ASP | COMM | $1,324.80 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $1,329.15 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $1,329.15 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Multiplan | Primary | $1,357.92 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | USA Managed Care | PPO | $1,490.40 | $1,656.00 | $1,656.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $2,638.95 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $2,638.95 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $2,673.50 | $86,521.00 | $86,521.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $2,673.50 | $86,521.00 | $86,521.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Aetna | MGMCR | $3,351.15 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Aetna | MGMCR | $3,619.25 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Aetna | MGMCR | $4,017.45 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Lifeworks | MCR | $4,244.80 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Aetna | MGMCR | $4,379.02 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $4,444.65 | $39,229.00 | $39,229.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $4,530.75 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Lifeworks | MCR | $4,584.38 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | IFP | $4,646.93 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | IFP | $4,777.41 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Universal Healthcare Group | MCR | $4,915.03 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | BCBS | MGMCD | $4,996.20 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | United | BHMGMCD | $5,072.35 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Lifeworks | MCR | $5,088.77 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | WellCare | MGMCD | $5,145.78 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | AmeriHealth | MGMCD | $5,194.74 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Vaya Health | MedicaidDirect | $5,246.41 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Partners Health Management | MGMCD | $5,246.41 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Vaya Health | MedicaidTailoredPlan | $5,246.41 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Universal Healthcare Group | MCR | $5,308.23 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Apex Health | MCR | $5,439.52 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $5,492.06 | $39,229.00 | $39,229.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Lifeworks | MCR | $5,546.76 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $5,738.95 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $6,480.42 | $86,521.00 | $86,521.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $6,480.42 | $86,521.00 | $86,521.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $6,645.10 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | OptionsPPO | $6,755.93 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | OptionsPPO | $6,881.04 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Aetna | MCR | $7,044.17 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | IFP | $7,472.46 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | HMO | $7,528.93 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | PPO | $7,528.93 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | IFP | $7,765.46 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | PPO | $8,131.24 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | HMO | $8,131.24 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $8,174.17 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $8,249.16 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $8,291.08 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $8,291.08 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $9,374.05 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | HMO | $9,838.20 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $9,838.20 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $10,053.46 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $10,088.01 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $10,088.01 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $10,088.01 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $10,088.01 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | CIGNA | HIX | $10,090.30 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | CIGNA | IFP | $10,090.30 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $10,217.71 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $10,571.75 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | CIGNA | NewBusiness | $10,607.06 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CareFirst | RPN | $10,616.46 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CareFirst | HMO | $10,616.46 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $10,857.74 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $11,743.00 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $11,743.00 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | CARESOURCE | HIX | $11,966.94 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $12,052.35 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $12,112.20 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $12,130.14 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $12,130.14 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $12,130.14 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $12,130.14 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | United | GlobalBenefitPlanAppendix | $12,238.91 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Kaiser Reston | COMM | $12,510.98 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $13,137.06 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | HMO | $13,284.37 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $13,284.37 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $13,404.62 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | CIGNA | ExistingBusiness | $13,544.39 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $13,581.88 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $13,581.88 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $13,592.25 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | PPO | $14,075.53 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $14,291.62 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $14,291.62 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $14,291.62 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $14,291.62 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $14,476.99 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $14,775.54 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $14,775.54 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $15,102.50 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | MedCost | ULTRARATE | $15,320.40 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Anthem | INDEMNITY | $15,652.37 | $39,229.00 | $39,229.00 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Maine Community Health | SmallGroup | $15,789.67 | $39,229.00 | $39,229.00 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Maine Community Health | Individual | $15,789.67 | $39,229.00 | $39,229.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Kaiser | COMM | $15,801.97 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $16,069.80 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | United | OptionsPPO | $16,073.77 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $16,085.54 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $16,085.54 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $16,085.54 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Magellan Behavioral Health | MCR | $16,318.55 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Magellan | COMM | $16,318.55 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $17,095.10 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $17,095.10 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $17,131.10 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $17,131.10 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $17,131.10 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Kaiser | COMM | $17,224.15 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $17,372.38 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $17,516.08 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | WC | $17,676.78 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $17,676.78 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $17,872.82 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Value Options | COMM | $18,123.00 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $18,123.00 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | FreedomBenefitPlans | $18,169.41 | $86,521.00 | $86,521.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | FreedomBenefitPlans | $18,169.41 | $86,521.00 | $86,521.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $18,453.29 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $18,453.29 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $18,543.05 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | WC | $18,975.76 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $18,975.76 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Multiplan | MPI | $19,015.93 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Multiplan | PHCS | $19,015.93 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | CorVel | WorkersComp | $19,283.76 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $19,302.65 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | United | AllPayerAppendix | $19,653.73 | $39,229.00 | $39,229.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Aetna | COMM | $19,663.85 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Cigna | COMM | $20,065.63 | $39,229.00 | $39,229.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | 4Most Health Network | COMM | $20,106.93 | $22,341.03 | $22,341.03 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | PPO | $20,421.21 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $20,421.21 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | PPO | $20,421.21 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $20,421.21 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | HMO | $20,421.21 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | EPO | $20,421.21 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | HMO | $20,421.21 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | EPO | $20,421.21 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Multiplan | MPI | $20,727.36 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Multiplan | PHCS | $20,727.36 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | CorVel | WorkersComp | $21,019.30 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Nursing Center | COMM | $21,143.50 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Graham-White Manufacturing | COMM | $21,143.50 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $21,292.26 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $21,292.26 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $21,426.40 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | 4Most Health Network | COMM | $21,715.48 | $24,128.31 | $24,128.31 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $21,747.60 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | WC | $21,747.60 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CorVel | WorkersComp | $21,747.60 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Multiplan | COMM | $21,758.06 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Aetna | MGMCR | $22,483.65 | $149,891.00 | $149,891.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Cigna | IFP | $22,483.65 | $149,891.00 | $149,891.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Retirement Community | COMM | $22,653.75 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | GM Southwest | COMM | $22,653.75 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Community Care Network | COMM | $22,653.75 | $30,205.00 | $30,205.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | MedCost | STANDARD | $23,117.94 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Avalon Administrative Services | COMM | $23,117.94 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | CorVel | WorkersComp | $23,227.92 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | CorVel | WorkersComp | $23,227.92 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $23,354.78 | $29,193.47 | $29,193.47 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Cigna | IFP | $23,363.63 | $163,382.00 | $163,382.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Cigna | IFP | $23,363.63 | $163,382.00 | $163,382.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Prime Health | WCOMP | $23,933.87 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Prime Health | COMM | $23,933.87 | $27,197.58 | $27,197.58 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Three Rivers Provider Network | WorkersComp | $24,104.70 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | 4Most Health Nework | COMM | $24,104.70 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Three Rivers Provider Network | COMM | $24,104.70 | $26,783.00 | $26,783.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | POS | $24,164.00 | $30,205.00 | $30,205.00 | 2024-10-01 | 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.