74722 — Revasc Iliac W Stnt Add
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REVASC ILIAC W STNT ADD (CDM 74722) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74722?code_type=CDM
MLA (9th ed.)
“REVASC ILIAC W STNT ADD (CDM 74722) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74722?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“REVASC ILIAC W STNT ADD (CDM 74722) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74722?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,466–$25,809 (25th–75th percentile) across 11 hospitals · 73 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 74722 — 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 |
|---|---|---|---|---|---|---|---|
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | MCR | $435.46 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $779.26 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | CHIP | $853.84 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | CHIPPerinatal | $853.84 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | STAR+PLUS | $853.84 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | STAR | $853.84 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | CSN | $972.06 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | OpenAccessPlus | $1,050.88 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | MyBlueHealth | $1,070.58 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | United | OptionsPPO | $1,103.42 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | EPO | $1,149.40 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | HMO | $1,149.40 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $1,154.70 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | BAV | $1,182.24 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | PPO | $1,247.92 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | ValueHMO | $1,300.46 | $6,568.00 | $6,568.00 | 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 ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | HMO | $1,477.80 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | EPOSOA | $1,510.64 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $1,529.08 | $49,484.75 | $49,484.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $1,529.08 | $49,484.75 | $49,484.75 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | PPO | $1,536.91 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Aetna | MGMCR | $1,689.38 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Molina Healthcare | HIX | $1,773.36 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | CHC Harris Health | Indigent | $1,970.40 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | BCBS | MGMCD | $2,091.77 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | United | BHMGMCD | $2,123.65 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Lifeworks | MCR | $2,139.88 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | WellCare | MGMCD | $2,154.40 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | AmeriHealth | MGMCD | $2,174.90 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Vaya Health | MedicaidDirect | $2,196.53 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Partners Health Management | MGMCD | $2,196.53 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Vaya Health | MedicaidTailoredPlan | $2,196.53 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Apex Health | MCR | $2,277.38 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | Traditional | $2,298.80 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | IFP | $2,342.60 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Coventry National First Health | COMM | $2,390.75 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Christus (USFHP) | TRICARE | $2,627.20 | $6,568.00 | $6,568.00 | 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 ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $2,698.08 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Maine Community Health | Individual | $2,698.08 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $2,738.70 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Aetna | MCR | $2,949.20 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | United | GlobalAppendix | $2,955.60 | $6,568.00 | $6,568.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Cigna | HMO | $3,101.90 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | ELAP | COMM | $3,150.06 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $3,243.75 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $3,243.75 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $3,243.75 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $3,469.02 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Cigna | PPO | $3,565.29 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $3,706.41 | $49,484.75 | $49,484.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $3,706.41 | $49,484.75 | $49,484.75 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna | IFPLP | $3,748.26 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Anthem | INDEMNITY | $3,782.80 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | PPO | $3,795.47 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | HMO | $3,795.47 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Sterling Life Insurance | MCR | $3,824.75 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | OptionsPPO | $3,863.04 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | United | AllPayerAppendix | $3,962.48 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $4,016.76 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Public Employees | SummitExclusive | $4,054.24 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | CIGNA | HIX | $4,224.54 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | CIGNA | IFP | $4,224.54 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna | OAPNBN | $4,237.82 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Aetna | PeakPreference | $4,283.72 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Bright Health | HIX | $4,283.72 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Aetna | MGMCR | $4,389.00 | $29,260.00 | $29,260.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | CIGNA | NewBusiness | $4,440.89 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $4,571.51 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina | HIX | $4,650.90 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Aetna | MGMCR | $4,784.01 | $31,893.40 | $31,893.40 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HIXIndividual | $4,865.08 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna | Exclusive | $4,865.08 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | CARESOURCE | HIX | $5,010.23 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $5,068.13 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | United | GlobalBenefitPlanAppendix | $5,124.10 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Public Employees | Summit | $5,201.66 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | POS | $5,409.40 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | FocalPointPlus | $5,418.91 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | POS | $5,466.15 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | EPO | $5,466.15 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | HMO | $5,466.15 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | PPO | $5,466.15 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Lifeworks | MCR | $5,559.40 | $29,260.00 | $29,260.00 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HealthyPreferred | $5,599.43 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HealthyPremierSSG | $5,599.43 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Aetna | StandardNetwork | $5,660.63 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | CIGNA | ExistingBusiness | $5,670.67 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | United | OptionsPPO | $5,702.57 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | Participating | $6,020.16 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | Traditional | $6,020.16 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | PPO | $6,020.16 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | Preferred | $6,020.16 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | RealValue | $6,020.16 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | FocalPoint | $6,020.16 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | Individual | $6,020.16 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Lifeworks | MCR | $6,059.75 | $31,893.40 | $31,893.40 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HealthyPremier | $6,104.30 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Universal Healthcare | MCR | $6,119.60 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna UT Overstock | COMM | $6,119.60 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $6,390.30 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | MedCost | ULTRARATE | $6,414.24 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna | NBNPPO | $6,456.18 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | United | OptionsPPO | $6,729.65 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $6,757.51 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Imagine Health Wise | PPO | $6,780.52 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Magellan | COMM | $6,832.13 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Magellan Behavioral Health | MCR | $6,832.13 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | MotivHealth | WasatchPlus | $7,037.54 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | MotivHealth | MotivSelect | $7,037.54 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | MotivHealth | MotivNet | $7,037.54 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | MotivHealth | TPARental | $7,037.54 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | MotivHealth | Wasatch | $7,037.54 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Aetna | AetnaSignatureAdministrators | $7,190.53 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $7,321.46 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Aetna | UtahConnectedNetwork | $7,343.52 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | EverNorth | COMM | $7,565.60 | $9,457.00 | $9,457.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $8,109.01 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $8,109.01 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $8,109.01 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna | Non-ExclusivePPO | $8,154.37 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | IFP | $8,163.54 | $29,260.00 | $29,260.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $8,216.10 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Aetna | COMM | $8,232.72 | $11,386.89 | $11,386.89 | 2026-03-01 | 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 ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Public Employees | PrefferedNetwork | $8,460.35 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | IFP | $8,483.64 | $31,893.40 | $31,893.40 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | PPO | $8,508.23 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Select Health ER | COMM | $8,842.82 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $8,930.15 | $31,893.40 | $31,893.40 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $9,012.08 | $29,260.00 | $29,260.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Multiplan | COMM | $9,109.51 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $9,129.00 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | DMBA (Deseret Mutual Benefit Admin) | PPO | $9,139.62 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $9,347.89 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Three Rivers Provider Network | WC | $9,573.14 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Three Rivers Provider Network | COMM | $9,573.14 | $11,262.52 | $11,262.52 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | MedCost | STANDARD | $9,678.86 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Avalon Administrative Services | COMM | $9,678.86 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Union Pacific Railroad | COMM | $9,944.35 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Prime Health | COMM | $10,020.46 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Prime Health | WCOMP | $10,020.46 | $11,386.89 | $11,386.89 | 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 ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $10,088.01 | $32,261.00 | $32,261.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $10,241.00 | $29,260.00 | $29,260.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Prime Health | INDIGENTCARE | $10,248.20 | $11,386.89 | $11,386.89 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | FreedomBenefitPlans | $10,391.80 | $49,484.75 | $49,484.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | FreedomBenefitPlans | $10,391.80 | $49,484.75 | $49,484.75 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | HMO | $10,748.08 | $31,893.40 | $31,893.40 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $10,748.08 | $31,893.40 | $31,893.40 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Value Options | COMM | $10,954.80 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $10,954.80 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $11,162.69 | $31,893.40 | $31,893.40 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Aetna | FirstHealth | $11,168.27 | $15,299.00 | $15,299.00 | 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 ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Injury Care of Utah | WCOMP | $11,933.22 | $15,299.00 | $15,299.00 | 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 ↗ |
| 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 ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Autoliv ASP | COMM | $12,239.20 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | TriWest Healthcare Alliance | Veterans | $12,239.20 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Multiplan | Primary | $12,545.18 | $15,299.00 | $15,299.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Graham-White Manufacturing | COMM | $12,780.60 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Nursing Center | COMM | $12,780.60 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | WC | $13,145.76 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CorVel | WorkersComp | $13,145.76 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $13,145.76 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $13,167.00 | $29,260.00 | $29,260.00 | 2024-10-01 | 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 | Richfield Retirement Community | COMM | $13,693.50 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Community Care Network | COMM | $13,693.50 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | GM Southwest | COMM | $13,693.50 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | USA Managed Care | PPO | $13,769.10 | $15,299.00 | $15,299.00 | 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 ↗ |
| 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 ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $14,352.03 | $31,893.40 | $31,893.40 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | HMO | $14,512.96 | $29,260.00 | $29,260.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $14,512.96 | $29,260.00 | $29,260.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CSX Hotels | Product | $14,606.40 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | John W Hancock | COMM | $14,606.40 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | POS | $14,606.40 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | PPO | $14,606.40 | $18,258.00 | $18,258.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $14,606.40 | $18,258.00 | $18,258.00 | 2024-10-01 | 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 ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | Individual | $15,473.88 | $49,484.75 | $49,484.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | SmallGroup | $15,473.88 | $49,484.75 | $49,484.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | Individual | $15,473.88 | $49,484.75 | $49,484.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | SmallGroup | $15,473.88 | $49,484.75 | $49,484.75 | 2026-03-01 | 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.