904 — Anesth Perineal Surgery
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ANESTH PERINEAL SURGERY (OTHER 904) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/904?code_type=OTHER
MLA (9th ed.)
“ANESTH PERINEAL SURGERY (OTHER 904) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/904?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“ANESTH PERINEAL SURGERY (OTHER 904) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/904?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $78–$29,548 (25th–75th percentile) across 493 hospitals · 1,000 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 904 — 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 |
|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | DEVOTED HEALTH MEDICARE ADVANTAGE | DEVOTED HEALTH MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | ALIGNMENT HEALTH PLAN | ALIGNMENT HEALTH PLAN MEDICARE | — | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | HILL PHYSICIANS MEDICARE ADVANTAGE | HILL PHYSICIANS MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | ASTIVA HEALTH MEDICARE ADVANTAGE | ASTIVA HEALTH MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | GUIDANT HEALTH PLAN MEDICARE ADVANTAGE DUAL | GUIDANT HEALTH PLAN MEDICARE ADVANTAGE DUAL | — | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CENTENE | CENTENE/HN/WELLCARE MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | COMMONWEALTH CARE ALLIANCE MEDICARE ADVANTAGE | COMMONWEALTH CARE ALLIANCE MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CAREMORE MEDICARE ADVANTAGE | CAREMORE MEDICARE ADVANTAGE | $0.21 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | GOLDEN STATE MEDICARE ADVANTAGE | GOLDEN STATE MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CLEVER CARE | CLEVER CARE MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | GUIDANT HEALTH PLAN MEDICARE ADVANTAGE | GUIDANT HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | SCAN HEALTH PLAN MEDICARE ADVANTAGE | SCAN HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CLOVER MEDICARE ADVANTAGE | CLOVER MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | DEVOTED HEALTH MEDICARE ADVANTAGE | DEVOTED HEALTH MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | CARESOURCE MEDICARE ADVANTAGE | CARESOURCE MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | ALIGNMENT HEALTH PLAN | ALIGNMENT HEALTH PLAN MEDICARE DUAL | — | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | CENTENE | CENTENE/HN/WELLCARE MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | CLOVER MEDICARE ADVANTAGE | CLOVER MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | ALIGNMENT HEALTH PLAN | ALIGNMENT HEALTH PLAN MEDICARE DUAL | — | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | CARESOURCE MEDICARE ADVANTAGE | CARESOURCE MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMERIHEALTH CARITAS MEDICARE ADVANTAGE | AMERIHEALTH CARITAS MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH CARITAS MEDICARE ADVANTAGE | AMERIHEALTH CARITAS MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | WELLPOINT | WELLPOINT EXCHANGE | — | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | DEVOTED HEALTH MEDICARE ADVANTAGE | DEVOTED HEALTH MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | GOLD KIDNEY HEALTH PLAN MEDICARE ADVANTAGE | GOLD KIDNEY HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | GOLD KIDNEY HEALTH PLAN MEDICARE ADVANTAGE | GOLD KIDNEY HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | CLOVER MEDICARE ADVANTAGE | CLOVER MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE CAREPLUS | — | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE CAREPLUS DUALS | — | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | CENTENE | CENTENE/HN/WELLCARE MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE CAREPLUS DUALS | — | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | WELLPOINT | WELLPOINT EXCHANGE | — | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | CLEVER CARE | CLEVER CARE MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE CAREPLUS | — | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | CLEVER CARE | CLEVER CARE MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | SONDER MEDICARE ADVANTAGE | SONDER MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | SCAN HEALTH PLAN MEDICARE ADVANTAGE | SCAN HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | RIOS HEALTH PLAN MEDICARE ADVANTAGE | RIOS HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | PROSPECT HEALTH PLAN MEDICARE ADVANTAGE | PROSPECT HEALTH PLAN MEDICARE ADVANTAGE | $0.30 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | GUIDANT HEALTH PLAN MEDICARE ADVANTAGE DUAL | GUIDANT HEALTH PLAN MEDICARE ADVANTAGE DUAL | — | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | IEHP HEALTH ACCESS MEDICARE ADVANTAGE | IEHP HEALTH ACCESS MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | CHOICE PHYSICIAN NETWORK IPA MEDICARE ADVANTAGE | CHOICE PHYSICIAN NETWORK IPA MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | ASTIVA HEALTH MEDICARE ADVANTAGE | ASTIVA HEALTH MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | COMMONWEALTH CARE ALLIANCE MEDICARE ADVANTAGE | COMMONWEALTH CARE ALLIANCE MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MEDCARE PARTNERS MEDICARE ADVANTAGE | MEDCARE PARTNERS MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | DEVOTED HEALTH MEDICARE ADVANTAGE | DEVOTED HEALTH MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | CLEVER CARE | CLEVER CARE MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | CENTENE | CENTENE/HN/WELLCARE MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | VERDA HEALTH PLAN | VERDA HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | CLOVER MEDICARE ADVANTAGE | CLOVER MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | SCAN HEALTH PLAN MEDICARE ADVANTAGE | SCAN HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | ALIGNMENT HEALTH PLAN | ALIGNMENT HEALTH PLAN MEDICARE | — | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | CENTENE | CENTENE/HN/WELLCARE MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | GOLD KIDNEY HEALTH PLAN MEDICARE ADVANTAGE | GOLD KIDNEY HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | DEVOTED HEALTH MEDICARE ADVANTAGE | DEVOTED HEALTH MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | CARELON AKA CAREMORE MEDICARE ADVANTAGE IPA | CARELON AKA CAREMORE MEDICARE ADVANTAGE IPA | — | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | GOLD KIDNEY HEALTH PLAN MEDICARE ADVANTAGE | GOLD KIDNEY HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | CLEVER CARE | CLEVER CARE MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | CLOVER MEDICARE ADVANTAGE | CLOVER MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | CLEVER CARE | CLEVER CARE MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | CARELON AKA CAREMORE MEDICARE ADVANTAGE IPA | CARELON AKA CAREMORE MEDICARE ADVANTAGE IPA | — | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | DEVOTED HEALTH MEDICARE ADVANTAGE | DEVOTED HEALTH MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | CLOVER MEDICARE ADVANTAGE | CLOVER MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | CENTENE | CENTENE/HN/WELLCARE MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | SONDER MEDICARE ADVANTAGE | SONDER MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | VERDA HEALTH PLAN | VERDA HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | ALIGNMENT HEALTH PLAN | ALIGNMENT HEALTH PLAN MEDICARE | — | — | — | 2026-04-16 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | GUIDANT HEALTH PLAN MEDICARE ADVANTAGE | GUIDANT HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-09-02 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | SCAN HEALTH PLAN MEDICARE ADVANTAGE | SCAN HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-04-16 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | ALIGNMENT HEALTH PLAN | ALIGNMENT HEALTH PLAN MEDICARE | — | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Healthcare Highways | Commercial | $0.40 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Triwest | Va | $0.42 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Christus Health Plan | Commercial | $0.42 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Triwest | Commercial | $0.42 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Humana Choicecare | Medicare Advantage | $0.42 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Texas Dual Medicare Advantage | Medicare Advantage | $0.42 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Tricare Prime West Tw | Commercial | $0.42 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Bav | $0.43 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Texas Mutual | Workers Comp | $0.43 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Hmo | $0.45 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Curative | Commercial | $0.46 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Superior | Managed Medicaid | $0.46 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $0.48 | — | — | 2026-08-19 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Aetna Healthcare | Commercial | $0.50 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Ppo | $0.50 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Sierra HPN | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Community Care Health | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Molina Healthcare | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Sierra HPN | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Molina Healthcare | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Community Care Health | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Community Care Health | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Molina Healthcare | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Sierra HPN | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | PacificSource | Voyager | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | PacificSource | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence Blue Shield of Idaho | TriWest | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence Blue Shield of Idaho | VACCN | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicaid Plus | $0.67 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | St Lukes Health Partners Network | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | American Health Plan of Utah | All Plans | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | MODA Health Plan | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicare-Medicaid Coordinated Plan | $0.67 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | TriWest | Tricare for Life | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Molina Healthcare | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence BlueShield of Idaho | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Molina | Medicaid | $0.67 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | SelectHealth | All Plans | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Healthsmart | Commercial | $0.70 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Charter | Commercial | $0.79 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc All Savers | Commercial | $0.80 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Cigna Healthcare Of Texas Inc | Commercial | $0.80 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Choice Plus | Commercial | $0.80 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Claritev | Commercial | $0.80 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Surest | Commercial | $0.80 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Galaxy Health | Commercial | $0.95 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | WELLPOINT | WELLPOINT EXCHANGE | — | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | ALIGNMENT HEALTH PLAN | ALIGNMENT HEALTH PLAN MEDICARE | — | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | CENTENE | CENTENE/HN/WELLCARE MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | CLEVER CARE | CLEVER CARE MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | CARESOURCE MEDICARE ADVANTAGE | CARESOURCE MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | DEVOTED HEALTH MEDICARE ADVANTAGE | DEVOTED HEALTH MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | VERDA HEALTH PLAN | VERDA HEALTH PLAN MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | PROVIDER NETWORK OF AMERICA MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | CLOVER MEDICARE ADVANTAGE | CLOVER MEDICARE ADVANTAGE | — | — | — | 2026-09-01 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | — | — | — | $7.00 | $3.99 | 2025-02-13 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | VA Community Care Network | VACCN Regions 1-3 | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | TRICARE | TRICARE | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of KY Anthem | Medicare Advantage | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | CareSource | Medicare Advantage | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Wellcare | Medicare Advantage | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | CareSource | Marketplace | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Hennepin Health | Hennepin Health Professional | $4.00 | $8.00 | $8.00 | 2026-07-18 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Multispecialty Professional | $4.40 | $8.00 | $8.00 | 2026-07-18 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Fep Heart Clinic Professional | $4.40 | $8.00 | $8.00 | 2026-07-18 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Pathology Professional | $4.40 | $8.00 | $8.00 | 2026-07-18 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Heart Clinic Professional | $4.40 | $8.00 | $8.00 | 2026-07-18 | 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.