84398 — Ins/repl Sq Icd With Elec
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INS/REPL SQ ICD W/ ELEC (CDM 84398) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/84398?code_type=CDM
MLA (9th ed.)
“INS/REPL SQ ICD W/ ELEC (CDM 84398) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/84398?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“INS/REPL SQ ICD W/ ELEC (CDM 84398) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/84398?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $51,866–$142,209 (25th–75th percentile) across 9 hospitals · 54 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 84398 — 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 |
|---|---|---|---|---|---|---|---|
| WEST VALLEY MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | $173.54 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Corizon Health | LOCALGOV | $201.28 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | True Blue | MCRHMO | $214.88 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Cigna | PPO | $304.64 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | United | OptionsPPO | $324.77 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | PacificSource Health | PPO | $324.77 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Moda | COMM | $338.91 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | St Luke's Health Partners | LARGEGROUP | $353.60 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | St Luke's Health Partners | QHP | $353.60 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Aetna | COMM | $430.30 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | $435.20 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Four Rivers Hospice | MCR | $435.20 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Multiplan | PRIMARY | $435.20 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Humana ChoiceCare | COMM | $456.96 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | $462.40 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | St Alphonsus Health | COMM | $489.60 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Coventry First Health | COMM | $489.60 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | $489.60 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | St Alphonsus Health | PPO | $489.60 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | QEP | $516.80 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | $516.80 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | QHP | $516.80 | $544.00 | $544.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $7,233.36 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $7,233.36 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $10,823.08 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $14,361.38 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $14,361.38 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $16,037.59 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Aetna | MGMCR | $23,162.71 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Aetna | MGMCR | $24,465.90 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Aetna | MGMCR | $24,465.90 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Aetna | MGMCR | $25,015.72 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Aetna | MGMCR | $25,015.72 | $166,771.48 | $166,771.48 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Aetna | MGMCR | $27,016.98 | $180,113.20 | $180,113.20 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Aetna | MGMCR | $29,229.75 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Lifeworks | MCR | $29,339.43 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $29,702.10 | $198,014.00 | $198,014.00 | 2024-10-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Lifeworks | MCR | $30,990.14 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Lifeworks | MCR | $30,990.14 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Lifeworks | MCR | $31,686.58 | $166,771.48 | $166,771.48 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Lifeworks | MCR | $31,686.58 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $32,078.25 | $213,855.00 | $213,855.00 | 2026-03-07 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | IFP | $32,118.95 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Aetna | MGMCR | $32,152.72 | $214,351.50 | $214,351.50 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | United | OptionsPPO | $33,926.05 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | United | OptionsPPO | $33,926.05 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Lifeworks | MCR | $34,221.51 | $180,113.20 | $180,113.20 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | IFP | $34,688.47 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $35,883.32 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Universal Healthcare Group | MCR | $35,883.32 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Universal Healthcare Group | MCR | $36,689.73 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Lifeworks | MCR | $37,024.35 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | NPR | $37,210.77 | $213,855.00 | $213,855.00 | 2026-03-07 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Maine Community Health | Individual | $37,473.58 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $37,473.58 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $37,622.66 | $198,014.00 | $198,014.00 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Universal Healthcare Group | MCR | $39,624.90 | $180,113.20 | $180,113.20 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $40,632.45 | $213,855.00 | $213,855.00 | 2026-03-07 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Lifeworks | MCR | $40,726.79 | $214,351.50 | $214,351.50 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Cigna | HMO | $43,082.14 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $43,563.08 | $198,014.00 | $198,014.00 | 2024-10-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $45,052.36 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $45,052.36 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $45,052.36 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $45,120.72 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $45,120.72 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $47,048.10 | $213,855.00 | $213,855.00 | 2026-03-07 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Cigna | PPO | $49,518.20 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | OptionsPPO | $50,431.70 | $180,113.20 | $180,113.20 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | OptionsPPO | $51,365.62 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | OptionsPPO | $52,032.70 | $166,771.48 | $166,771.48 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | HMO | $52,038.88 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | PPO | $52,038.88 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Anthem | INDEMNITY | $52,539.20 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | OptionsPPO | $52,965.39 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | IFP | $54,367.33 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $54,899.80 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $54,899.80 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $54,899.80 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $54,899.80 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | United | AllPayerAppendix | $55,034.81 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | HMO | $56,201.99 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | PPO | $56,201.99 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $57,087.10 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Virginia Health Network | ULTRA | $57,087.10 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $60,018.42 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $60,018.42 | $214,351.50 | $214,351.50 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $63,493.62 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $63,906.39 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $63,906.39 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $66,013.19 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $66,013.19 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $66,013.19 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $66,013.19 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $68,202.75 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $69,304.90 | $198,014.00 | $198,014.00 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $69,488.12 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | CareFirst | RPN | $73,379.45 | $166,771.48 | $166,771.48 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | CareFirst | HMO | $73,379.45 | $166,771.48 | $166,771.48 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | United | GlobalBenefitPlan | $73,397.70 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $73,397.70 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $73,913.71 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $73,913.71 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $74,849.25 | $213,855.00 | $213,855.00 | 2026-03-07 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $75,023.02 | $214,351.50 | $214,351.50 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $75,047.17 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $75,047.17 | $166,771.48 | $166,771.48 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | POS | $75,131.06 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | POS | $75,919.14 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | PPO | $75,919.14 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | EPO | $75,919.14 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | HMO | $75,919.14 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $77,776.18 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $77,776.18 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $77,776.18 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $77,776.18 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $78,057.07 | $213,855.00 | $213,855.00 | 2026-03-07 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | United | OptionsPPO | $79,202.84 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CareFirst | HMO | $79,249.81 | $180,113.20 | $180,113.20 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CareFirst | RPN | $79,249.81 | $180,113.20 | $180,113.20 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $79,403.61 | $198,014.00 | $198,014.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $80,409.69 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $80,409.69 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $81,050.94 | $180,113.20 | $180,113.20 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $87,689.25 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $89,106.30 | $198,014.00 | $198,014.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | PPO | $92,274.52 | $198,014.00 | $198,014.00 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $92,650.82 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $93,032.95 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $93,032.95 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Kaiser Reston | COMM | $93,392.03 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $96,234.75 | $213,855.00 | $213,855.00 | 2026-03-07 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $96,458.18 | $214,351.50 | $214,351.50 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $96,653.04 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | HMO | $96,653.04 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Greenvbrier Sporting Club | COMM | $97,863.60 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $97,863.60 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Value Options | COMM | $97,863.60 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $99,007.00 | $198,014.00 | $198,014.00 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $100,062.89 | $166,771.48 | $166,771.48 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $100,062.89 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $100,424.32 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $100,424.32 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | EverNorth | COMM | $105,078.40 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Virginia Health Network | COMM | $106,018.90 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Virginia Health Network | WC | $106,018.90 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $106,018.90 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Naphcare | GVT | $106,018.90 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Virginia Health Network | WC | $106,018.90 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $106,927.50 | $213,855.00 | $213,855.00 | 2026-03-07 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $108,067.92 | $180,113.20 | $180,113.20 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | PPO | $111,133.91 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $111,133.91 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $111,133.91 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | EPO | $111,133.91 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | PPO | $111,133.91 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | HMO | $111,133.91 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | EPO | $111,133.91 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | HMO | $111,133.91 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $111,180.99 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $111,180.99 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $111,180.99 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Kaiser | COMM | $114,970.35 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $115,874.22 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $115,874.22 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $116,919.00 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | CorVel | WorkersComp | $117,436.32 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | CorVel | WorkersComp | $117,436.32 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $118,407.75 | $166,771.48 | $166,771.48 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $118,407.75 | $166,771.48 | $166,771.48 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $118,407.75 | $166,771.48 | $166,771.48 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Value Options | COMM | $118,808.40 | $198,014.00 | $198,014.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $118,808.40 | $198,014.00 | $198,014.00 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $120,075.47 | $166,771.48 | $166,771.48 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $120,075.47 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $120,075.47 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $120,075.47 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | CorVel | WorkersComp | $126,408.24 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | CorVel | WorkersComp | $126,408.24 | $175,567.00 | $175,567.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Kaiser | COMM | $126,467.38 | $214,351.50 | $214,351.50 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $127,880.37 | $180,113.20 | $180,113.20 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $127,880.37 | $180,113.20 | $180,113.20 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $127,880.37 | $180,113.20 | $180,113.20 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $128,166.97 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $128,313.00 | $213,855.00 | $213,855.00 | 2026-03-07 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $128,610.90 | $214,351.50 | $214,351.50 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $128,610.90 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | WC | $128,610.90 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $129,681.50 | $180,113.20 | $180,113.20 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | OccuNet Workers Comp | WorkersComp | $130,484.80 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $130,484.80 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Evernorth | COMM | $130,484.80 | $163,106.00 | $163,106.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Three Rivers Provider Network | WC | $131,255.33 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Three Rivers Provider Network | COMM | $131,255.33 | $154,418.04 | $154,418.04 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $133,417.18 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Multiplan | PHCS | $138,354.15 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Multiplan | MPI | $138,354.15 | $194,865.00 | $194,865.00 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $138,420.33 | $166,771.48 | $166,771.48 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Graham-White Manufacturing | COMM | $138,609.80 | $198,014.00 | $198,014.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Nursing Center | COMM | $138,609.80 | $198,014.00 | $198,014.00 | 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.