868804 — Plug Ocl 12x5.3x3mm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PLUG OCL 12X5.3X3MM (CDM 868804) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/868804?code_type=CDM
MLA (9th ed.)
“PLUG OCL 12X5.3X3MM (CDM 868804) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/868804?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“PLUG OCL 12X5.3X3MM (CDM 868804) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/868804?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,505–$178,111 (25th–75th percentile) across 14 hospitals · 59 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 868804 — 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 |
|---|---|---|---|---|---|---|---|
| Research Medical Center Outpatient | Anthem MissouriCare | MissouriCareMGMCD | $520.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | HealthyBlue | MGMCD | $800.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Aetna Coventry | FamilyHealthPlanMCD | $880.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Coventry | MedicareAdvantage | $880.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | BCBS | FreedomNetworkSelect | $960.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | United | OptionsPPO | $1,004.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United | OptionsPPO | $1,069.38 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | OptionsPPO | $1,128.77 | $7,011.00 | $7,011.00 | 2024-10-01 | MRF ↗ |
| Research Medical Center Outpatient | Aetna Better Health | MCD | $1,200.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | CignaLocalPlusNetwork | $1,225.19 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | CignaLocalPlusNetwork | $1,311.06 | $7,011.00 | $7,011.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Medical Associates Health Plan | COMM | $1,338.50 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Preferred Health Choices | COMM | $1,338.50 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Regence Uniform | Commercial | $1,425.00 | $2,550.00 | $2,040.00 | 2026-06-15 | MRF ↗ |
| Research Medical Center Outpatient | BCBS | Participating | $1,480.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | BCBS | Traditional | $1,480.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | BCBS | FreedomNetwork | $1,560.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | BCBS | PC | $1,560.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Aetna | FHMedicalRental | $1,608.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Coventry | WCOMP | $1,608.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Coventry KC MO | WCOMP | $1,640.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $1,671.35 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $1,710.68 | $7,011.00 | $7,011.00 | 2024-10-01 | MRF ↗ |
| Research Medical Center Outpatient | United | GlobalBenefitPlan | $1,800.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | BCBS | MCRHMO | $1,800.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | BCBS | MCRPPO | $1,800.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Emerging Therapy Solutions | MCD | $1,920.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Emerging Therapy Solutions | MGMCR | $2,000.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | OHA Network | MissouriWCOMP | $2,000.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Cigna LifeSource | COMM | $2,000.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Aetna | NATIONALNAP | $2,040.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Community Health Plan of Washington | Commercial | $2,040.00 | $2,550.00 | $2,040.00 | 2026-06-15 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $2,103.30 | $7,011.00 | $7,011.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna Better Health | MCD | $2,124.60 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Spirit Aerosystems | COMMOON | $2,266.24 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Ambetter | Cascade Care Select | $2,295.00 | $2,550.00 | $2,040.00 | 2026-06-15 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Spirit Aerosystems | COMMOON | $2,369.72 | $7,011.00 | $7,011.00 | 2024-10-01 | MRF ↗ |
| Research Medical Center Outpatient | Humana National Transplant Network | COMM | $2,400.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Ambetter | Commercial | $2,423.00 | $2,550.00 | $2,040.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Cigna | Commercial | $2,484.00 | $2,550.00 | $2,040.00 | 2026-06-15 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | Spirit | $2,528.27 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | GMR/Caldera Care | Commercial | $2,550.00 | $2,550.00 | $2,040.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | United Healthcare | Commercial | $2,550.00 | $2,550.00 | $2,040.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Aetna | Commercial | $2,550.00 | $2,550.00 | $2,040.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Premera | Commercial | $2,550.00 | $2,550.00 | $2,040.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Regence | Commercial | $2,550.00 | $2,550.00 | $2,040.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | HMA | Commercial | $2,550.00 | $2,550.00 | $2,040.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Lifewise | Commercial | $2,550.00 | $2,550.00 | $2,040.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | First Choice Network | Commercial | $2,550.00 | $2,550.00 | $2,040.00 | 2026-06-15 | MRF ↗ |
| Research Medical Center Outpatient | Humana National Transplant Network | MCD | $2,600.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Humana National Transplant Network | MCRHMO | $2,600.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Humana National Transplant Network | PPO | $2,600.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Vail Health | COMM | $2,633.70 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Vail Health | COMM | $2,936.03 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Multiplan | ComplimentaryNetwork | $2,960.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | TriWest Health Alliance | TRICARE | $3,000.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $3,000.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $3,154.95 | $7,011.00 | $7,011.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United | GlobalBenefitPlan | $3,186.90 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | CCO, Inc. | WORKERSCOMPPPO | $3,200.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | CCO, Inc. | COMM | $3,200.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Evernorth Behavioral Health | COMMBH | $3,200.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Multiplan | WCOMPMissouri | $3,200.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | First Health | PPO | $3,264.80 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Vail Health | COMM | $3,295.97 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | First Health | PPO | $3,400.34 | $7,011.00 | $7,011.00 | 2024-10-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Vail Health | COMM | $3,462.71 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Humana | $3,505.50 | $7,011.00 | $7,011.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | Humana | $3,541.00 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Optum Health | COMM | $3,560.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | United | OptionsPPO | $3,586.69 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Vail Health | COMM | $3,646.94 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Optum Transplant | COMM | $3,680.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | United | OptionsPPO | $3,998.41 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Optum Health | MCD | $4,000.00 | $4,000.00 | $4,000.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Vail Health | COMM | $4,420.31 | $29,081.00 | $29,081.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | United | OptionsPPO | $4,488.59 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Kaiser | HMO | $4,534.68 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Triwest Healthcare Alliance | Tricare | $4,557.15 | $7,011.00 | $7,011.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Triwest Healthcare Alliance | Tricare | $4,603.30 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | United | OptionsPPO | $4,715.67 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $4,907.70 | $7,011.00 | $7,011.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $4,957.40 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | United | OptionsPPO | $4,966.55 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | MCRADVPPO | $5,198.10 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | MCRADVHMO | $5,198.10 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Bright Health | OON | $5,198.10 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna Transplant | COMM | $5,601.64 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Aetna | MCRADVPPO | $5,794.80 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Aetna | MCRADVHMO | $5,794.80 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Bright Health | OON | $5,794.80 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | USA Managed Care | COMM | $5,959.35 | $7,011.00 | $7,011.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $5,959.35 | $7,011.00 | $7,011.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $6,019.70 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | USA Managed Care | COMM | $6,019.70 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | United | OptionsPPO | $6,019.77 | $29,081.00 | $29,081.00 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | BeechStreetCOMMPPO | $6,309.90 | $7,011.00 | $7,011.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | BeechStreetCOMMPPO | $6,373.80 | $7,082.00 | $7,082.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | MCRADVHMO | $6,505.20 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Bright Health | OON | $6,505.20 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | MCRADVPPO | $6,505.20 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Aetna | MCRADVHMO | $6,834.30 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Bright Health | OON | $6,834.30 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Aetna | MCRADVPPO | $6,834.30 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Bright Health | OON | $7,197.90 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Aetna | MCRADVHMO | $7,197.90 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Aetna | MCRADVPPO | $7,197.90 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | United | GlobalBenefit | $7,797.15 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Colorado Program for Children with Special Needs | HCP | $8,157.62 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | United | GlobalBenefit | $8,692.20 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Bright Health | OON | $8,724.30 | $29,081.00 | $29,081.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Aetna | MCRADVPPO | $8,724.30 | $29,081.00 | $29,081.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Aetna | MCRADVHMO | $8,724.30 | $29,081.00 | $29,081.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Colorado Program for Children with Special Needs | HCP | $9,107.28 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Kaiser National Transplant | COMM | $9,271.68 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Emerging Therapy Solutions | MGMCR | $9,271.68 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | United | GlobalBenefit | $9,757.80 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Colorado Program for Children with Special Needs | HCP | $9,851.16 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Colorado Program for Children with Special Needs | HCP | $10,023.64 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | United | GlobalBenefit | $10,251.45 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | United | GlobalBenefit | $10,796.85 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Evernorth (Cigna Behavioral Health) | COMM | $10,842.00 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $11,089.28 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $11,089.28 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | SureFitLeanBenefitPlans | $11,089.28 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | BroadLeanBenefitPlans | $11,089.28 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Western Plains Community Health | COMM | $11,262.55 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Physician Health Partners | MCR | $12,128.90 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $12,128.90 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | NorthCare | COMM | $12,128.90 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $12,362.24 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Emerging Therapy Solutions | COMM | $12,362.24 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $12,362.24 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna | BroadLeanBenefitPlans | $12,362.24 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna | SureFitLeanBenefitPlans | $12,362.24 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Western Plains Community Health | COMM | $12,555.40 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Anthem | PAR | $12,821.98 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Pinnacol Workers Comp | WORKERSCOMP | $12,995.25 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | United | GlobalBenefit | $13,086.45 | $29,081.00 | $29,081.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Colorado Program for Children with Special Needs | HCP | $13,086.45 | $29,081.00 | $29,081.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $13,521.20 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | NorthCare | COMM | $13,521.20 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Physician Health Partners | MCR | $13,521.20 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Medical Development International | COMM | $13,861.60 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | TriWest Health Alliance | FED | $13,861.60 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | BroadLeanBenefitPlans | $13,877.76 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $13,877.76 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | SureFitLeanBenefitPlans | $13,877.76 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $13,877.76 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Western Plains Community Health | COMM | $14,094.60 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Anthem | PAR | $14,293.84 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Pinnacol Workers Comp | WORKERSCOMP | $14,487.00 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $14,579.84 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $14,579.84 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | BroadLeanBenefitPlans | $14,579.84 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | SureFitLeanBenefitPlans | $14,579.84 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $14,727.95 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Western Plains Community Health | COMM | $14,807.65 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $15,178.80 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | NorthCare | COMM | $15,178.80 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Physician Health Partners | MCR | $15,178.80 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Cigna | BroadLeanBenefitPlans | $15,355.52 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $15,355.52 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Cigna | SureFitLeanBenefitPlans | $15,355.52 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $15,355.52 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Medical Development International | COMM | $15,452.80 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | TriWest Health Alliance | FED | $15,452.80 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Multiplan | BeechStreetCOMMPPO | $15,594.30 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Prime Health | WORKERSCOMP | $15,594.30 | $17,327.00 | $17,327.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Western Plains Community Health | COMM | $15,595.45 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Physician Health Partners | MCR | $15,946.70 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $15,946.70 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | NorthCare | COMM | $15,946.70 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Anthem | PAR | $16,046.16 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Pinnacol Workers Comp | WORKERSCOMP | $16,263.00 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $16,418.60 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $16,795.10 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | NorthCare | COMM | $16,795.10 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Physician Health Partners | MCR | $16,795.10 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Anthem | PAR | $16,857.94 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Pinnacol Workers Comp | WORKERSCOMP | $17,085.75 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | TriWest Health Alliance | FED | $17,347.20 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Medical Development International | COMM | $17,347.20 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Prime Health | WORKERSCOMP | $17,384.40 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Multiplan | BeechStreetCOMMPPO | $17,384.40 | $19,316.00 | $19,316.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Anthem | PAR | $17,754.82 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Pinnacol Workers Comp | WORKERSCOMP | $17,994.75 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Medical Development International | COMM | $18,224.80 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | TriWest Health Alliance | FED | $18,224.80 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $18,431.40 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Cigna | SureFitLeanBenefitPlans | $18,611.84 | $29,081.00 | $29,081.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Cigna | BroadLeanBenefitPlans | $18,611.84 | $29,081.00 | $29,081.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $18,611.84 | $29,081.00 | $29,081.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $18,611.84 | $29,081.00 | $29,081.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Western Plains Community Health | COMM | $18,902.65 | $29,081.00 | $29,081.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Medical Development International | COMM | $19,194.40 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | TriWest Health Alliance | FED | $19,194.40 | $23,993.00 | $23,993.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $19,363.85 | $22,781.00 | $22,781.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Multiplan | BeechStreetCOMMPPO | $19,515.60 | $21,684.00 | $21,684.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $19,515.60 | $21,684.00 | $21,684.00 | 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.