PX-36000108 — Replace Tissue Expander
Cite this view
HANK Price Transparency. (n.d.). Replace tissue expander (OTHER PX-36000108) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-36000108?code_type=OTHER
“Replace tissue expander (OTHER PX-36000108) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-36000108?code_type=OTHER. Accessed .
“Replace tissue expander (OTHER PX-36000108) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-36000108?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,253–$21,676 (25th–75th percentile) across 15 hospitals · 81 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER PX-36000108 — 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 |
|---|---|---|---|---|---|---|---|
| MERRICK MEDICAL CENTER Outpatient | Molina Healthcare Medicaid | All Plans | $97.85 | $515.00 | $309.00 | 2026-05-06 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Medicaid | All Plans | $97.85 | $515.00 | $309.00 | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicaid | All Plans | $97.85 | $515.00 | $309.00 | 2026-05-23 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Medicaid | All Plans | $97.85 | $515.00 | $309.00 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medica Managed Care Contracted | All Plans | $309.00 | $515.00 | $309.00 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Aetna Managed Care | All Plans | $334.24 | $515.00 | $309.00 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Managed Care | All Plans | $345.05 | $515.00 | $309.00 | 2026-05-06 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Midlands Choice | All Plans | $375.95 | $515.00 | $309.00 | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Managed Care | All Plans | $386.25 | $515.00 | $309.00 | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medica Managed Care Contracted | All Plans | $412.00 | $515.00 | $309.00 | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Aetna Managed Care | All Plans | $437.75 | $515.00 | $309.00 | 2026-05-23 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $468.30 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $468.30 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $477.67 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $477.67 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $482.35 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $482.35 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| O'connor Hospital Outpatient | Valley Health Plan | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Santa Clara Family Health Plan | Medi-Cal | $718.09 | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Valley Health Plan | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-09 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | United Healthcare | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-09 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Phcs-Multiplan | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-09 | MRF ↗ |
| O'connor Hospital Outpatient | Santa Clara Family Health Plan | Medi-Cal | $718.09 | $66,481.00 | $46,536.70 | 2026-05-23 | MRF ↗ |
| O'connor Hospital Outpatient | Blue Shield | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | United Healthcare | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-23 | MRF ↗ |
| O'connor Hospital Outpatient | Valley Health Plan | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-23 | MRF ↗ |
| O'connor Hospital Outpatient | Aetna | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-23 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Blue Shield | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-09 | MRF ↗ |
| O'connor Hospital Outpatient | United Healthcare | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | United Healthcare | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Phcs-Multiplan | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-23 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Blue Shield | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Santa Clara Family Health Plan | Medi-Cal | $718.09 | $66,481.00 | $46,536.70 | 2026-05-09 | MRF ↗ |
| O'connor Hospital Outpatient | Phcs-Multiplan | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Valley Health Plan | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Aetna | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Santa Clara Family Health Plan | Medi-Cal | $718.09 | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Phcs-Multiplan | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-09 | MRF ↗ |
| O'connor Hospital Outpatient | Aetna | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Blue Shield | Commercial (Hmo/Ppo) | — | $66,481.00 | $46,536.70 | 2026-05-23 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Midlands Choice | All Plans | $772.50 | $515.00 | $309.00 | 2026-05-06 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Molina Healthcare Of Mississippi - Managed Medicaid | All Plans | $1,190.57 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Magnolia Health Plan - Mississippi Managed Medicaid | All Plans | $1,190.57 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Behavioral Health - Tricare | All Plans | $1,224.75 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | All Plans | $1,359.68 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Peoples Health Network � Medicare Advantage | All Plans | $1,359.68 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Humana Select Partner Plan | All Plans | $1,359.68 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Optum Va Ccn | All Plans | $1,359.68 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Ochsner Health Plan | All Plans | $1,359.68 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Healthy Blue Dual Advantage (Hmo-D-Snp) | All Plans | $1,359.68 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | $1,359.68 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | All Plans | $1,359.68 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Military � Tricare | All Plans | $1,360.83 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid | Caid | $2,897.46 | $24,509.00 | $9,803.60 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Mi | Caid | $2,897.46 | $24,509.00 | $9,803.60 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hlthcomp Admin | Ppo | — | $24,509.00 | $9,803.60 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Mi | Caid | $3,047.17 | $24,509.00 | $9,803.60 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medica | Ppo | — | $24,509.00 | $9,803.60 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid | Caid | $3,047.17 | $24,509.00 | $9,803.60 | 2026-05-09 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Plans | $3,186.75 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Mississippi Physician Care Network | All Plans | $3,186.75 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Healthcomp (Formerly Gilsbar) | All Plans | $3,186.75 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Aetna Health Inc. Ppo/Pos | All Plans | $3,593.00 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Employers Health Network (Ehn) | All Plans | $3,611.65 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | First Health | All Plans | $3,611.65 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Prime Health Services Ppo | All Plans | $3,611.65 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Zelis | All Plans | $3,824.10 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Usa Managed Care Network | All Plans | $3,824.10 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Multiplan/Phcs/American Lifecare | All Plans | $3,824.10 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Cigna Healthcare | All Plans | $3,930.32 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Ambetter | All Plans | $4,100.00 | $515.00 | $309.00 | 2026-05-06 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Community Blue 2 | All Plans | $4,209.76 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Plans | $4,209.76 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 1 | All Plans | $4,285.38 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield � Blue High Performance Network | All Plans | $4,285.38 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Community Blue 1 | All Plans | $4,285.38 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | United Healthcare � Commercial Hmo Ppo | All Plans | $4,363.00 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs | Ppo | $4,423.65 | $24,509.00 | $9,803.60 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Care Resources | Ppo | $4,865.13 | $24,509.00 | $9,803.60 | 2026-05-08 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $5,028.96 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Care Resources | Ppo | $5,116.51 | $24,509.00 | $9,803.60 | 2026-05-09 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 3 | All Plans | $5,232.45 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $5,232.45 | $4,249.00 | $1,997.03 | 2026-05-27 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Blue Care Network | Ppo | $5,312.53 | $192,294.00 | $48,073.50 | 2026-05-08 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Blue Shield Blue Cross | Ppo | $5,312.53 | $192,294.00 | $48,073.50 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Humana Medicare Advantage | Hmo | $5,405.70 | $24,509.00 | $9,803.60 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Insight Metro Care | Commercial | $5,405.70 | $24,509.00 | $9,803.60 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicare | Part A&B | $5,405.70 | $24,509.00 | $9,803.60 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Medicare Advantage | Hmo | $5,405.70 | $24,509.00 | $9,803.60 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicare Plus Blue | Hmo | $5,405.70 | $24,509.00 | $9,803.60 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Marketplace Commercial | Ppo | $5,405.70 | $24,509.00 | $9,803.60 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Humana Medicare Advantage | Hmo | $5,685.01 | $24,509.00 | $9,803.60 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Insight Metro Care | Commercial | $5,685.01 | $24,509.00 | $9,803.60 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Marketplace Commercial | Ppo | $5,685.01 | $24,509.00 | $9,803.60 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicare | Part A&B | $5,685.01 | $24,509.00 | $9,803.60 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicare Plus Blue | Hmo | $5,685.01 | $24,509.00 | $9,803.60 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid Hmo | Caid | $5,772.32 | $24,509.00 | $9,803.60 | 2026-05-09 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Outpatient | Medicare Advantage Uhc [1013] | Hb Nampa Aarp Med Adv | $7,698.11 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Outpatient | Blue Cross Idaho [1007] | Hb Nampa Bci Ppo Fep | — | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Outpatient | Commercial [1028] | Hb Nampa Multiplan Primary Network | — | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Outpatient | Pacificsource [1020] | Hb Nampa Pacificsource Ppo Voyager | — | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Outpatient | Blue Cross Federal [1008] | Hb Nampa Bci Ppo Fep | — | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Idaho [1007] | Hb Tv Bci Ppo Fep | — | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Commercial [1028] | Hb Tv Multiplan Primary Network | — | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Federal [1008] | Hb Tv Bci Ppo Fep | — | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Generic [1019] | Hb Tv Medicare Advantage | $7,835.05 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Veterans Affairs [1056] | Hb Tv Va Ccn | $7,835.05 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Veterans Affairs [1056] | Hb Tv Va Ccn | $7,835.05 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Federal [1008] | Hb Tv Bci Ppo Fep | — | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Generic [1019] | Hb Tv Molina Mmcp | $7,835.05 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Regence [1016] | Hb Tv Medicare Advantage | $7,835.05 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Regence [1016] | Hb Tv Medicare Advantage | $7,835.05 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Generic [1019] | Hb Tv Medicare Advantage | $7,835.05 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Commercial [1028] | Hb Tv Multiplan Primary Network | — | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Generic [1019] | Hb Tv Molina Mmcp | $7,835.05 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Pacificsource [1039] | Hb Tv Pacificsource Hmo Ppo Med Adv | $7,835.05 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Pacificsource [1020] | Hb Tv Pacificsource Ppo Voyager | — | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Commercial [1028] | Hb Tv Va Ccn | $7,835.05 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med Adv | $7,835.05 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med Adv | $7,835.05 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Pacificsource [1039] | Hb Tv Pacificsource Hmo Ppo Med Adv | $7,835.05 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Molina [1053] | Hb Tv Molina Mmcp | $7,835.05 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Molina [1053] | Hb Tv Molina Mmcp | $7,835.05 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Commercial [1028] | Hb Tv Va Ccn | $7,835.05 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross/Medicare Advantage [1009] | Hb Tv Bci True & Secure Med Adv | $7,913.40 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross/Medicare Advantage [1009] | Hb Tv Bci True & Secure Med Adv | $7,913.40 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Generic [1019] | Hb Tv Molina Med Adv | $7,991.75 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Molina [1053] | Hb Tv Molina Med Adv | $7,991.75 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Generic [1019] | Hb Tv Molina Med Adv | $7,991.75 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Molina [1053] | Hb Tv Molina Med Adv | $7,991.75 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Generic [1019] | Hb Mv Medicare Advantage | $8,101.22 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Regence [1016] | Hb Mv Medicare Advantage | $8,101.22 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Pacificsource [1020] | Hb Mv Pacificsource Ppo Voyager | — | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Regence [1016] | Hb Mv Medicare Advantage | $8,101.22 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Pacificsource [1039] | Hb Mv Slhp Pacificsource Med Adv | $8,101.22 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Pacificsource [1039] | Hb Mv Pacificsource Hmo Ppo Med Adv | $8,101.22 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Pacificsource [1039] | Hb Mv Slhp Pacificsource Med Adv | $8,101.22 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Pacificsource [1039] | Hb Mv Pacificsource Hmo Ppo Med Adv | $8,101.22 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Generic [1019] | Hb Mv Molina Mmcp | $8,101.22 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Generic [1019] | Hb Mv Medicare Advantage | $8,101.22 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Molina [1053] | Hb Mv Molina Mmcp | $8,101.22 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Molina [1053] | Hb Mv Molina Mmcp | $8,101.22 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Generic [1019] | Hb Mv Molina Mmcp | $8,101.22 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Veterans Affairs [1056] | Hb Mv Va Ccn | $8,101.22 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Veterans Affairs [1056] | Hb Mv Va Ccn | $8,101.22 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Commercial [1028] | Hb Mv Multiplan Primary Network | — | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Commercial [1028] | Hb Mv Va Ccn | $8,101.22 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Commercial [1028] | Hb Mv Va Ccn | $8,101.22 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Commercial [1028] | Hb Mv Multiplan Primary Network | — | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Blue Cross Idaho [1007] | Hb Mv Bci Ppo Fep | — | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Blue Cross Federal [1008] | Hb Mv Bci Ppo Fep | — | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Blue Cross Federal [1008] | Hb Mv Bci Ppo Fep | — | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Anthem Blue Cross | Commercial (Hmo/Ppo) | $8,151.00 | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Anthem Blue Cross | Commercial (Hmo/Ppo) | $8,151.00 | $66,481.00 | $46,536.70 | 2026-05-09 | MRF ↗ |
| O'connor Hospital Outpatient | Anthem Blue Cross | Commercial (Hmo/Ppo) | $8,151.00 | $66,481.00 | $46,536.70 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Anthem Blue Cross | Commercial (Hmo/Ppo) | $8,151.00 | $66,481.00 | $46,536.70 | 2026-05-23 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Blue Cross/Medicare Advantage [1009] | Hb Mv Bci True & Secure Med Adv | $8,182.24 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Blue Cross/Medicare Advantage [1009] | Hb Mv Bci True & Secure Med Adv | $8,182.24 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Uhc [1013] | Hb Tv Aarp Med Adv | $8,226.81 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Uhc [1013] | Hb Tv Aarp Med Adv | $8,226.81 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Molina [1053] | Hb Mv Molina Med Adv | $8,263.25 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Generic [1019] | Hb Mv Molina Med Adv | $8,263.25 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Molina [1053] | Hb Mv Molina Med Adv | $8,263.25 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Generic [1019] | Hb Mv Molina Med Adv | $8,263.25 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Both | Medicare Advantage Regence [1016] | Hb Wr Medicare Advantage | $8,400.66 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Both | Medicare Advantage Generic [1019] | Hb Wr Molina Mmcp | $8,400.66 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Both | Commercial [1028] | Hb Wr Va Ccn | $8,400.66 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Both | Medicare Advantage Molina [1053] | Hb Wr Molina Mmcp | $8,400.66 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Both | Medicare Advantage Generic [1019] | Hb Wr Medicare Advantage | $8,400.66 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Both | Veterans Affairs [1056] | Hb Wr Va Ccn | $8,400.66 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Both | Medicare Advantage Pacificsource [1039] | Hb Wr Slhp Pacificsource Med Adv | $8,400.66 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Both | Medicare Advantage Pacificsource [1039] | Hb Wr Pacificsource Hmo Ppo Med Adv | $8,400.66 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Both | Blue Cross/Medicare Advantage [1009] | Hb Wr Bci True & Secure Med Adv | $8,484.67 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Uhc [1013] | Hb Mv Aarp Optum Ubh Med Adv | $8,506.29 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Uhc [1013] | Hb Mv Aarp Optum Ubh Med Adv | $8,506.29 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Idaho [1007] | Hb Tv Bci Ppo Fep | — | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Blue Cross Idaho [1007] | Hb Mv Bci Ppo Fep | — | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $8,548.04 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Veterans Affairs [1056] | Hb Mccall Va Ccn | $8,548.04 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $8,548.04 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource Hmo Ppo Med Adv | $8,548.04 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $8,548.04 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Commercial [1028] | Hb Mccall Va Ccn | $8,548.04 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $8,548.04 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource Med Adv | $8,548.04 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Both | Medicare Advantage Molina [1053] | Hb Wr Molina Med Adv | $8,568.67 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Both | Medicare Advantage Generic [1019] | Hb Wr Molina Med Adv | $8,568.67 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Aetna [1017] | Hb Tv Aetna Med Adv | $8,618.56 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Aetna [1017] | Hb Tv Aetna Med Adv | $8,618.56 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med Adv | $8,633.52 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $8,719.00 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $8,719.00 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Ppo | $8,819.06 | $24,509.00 | $9,803.60 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Ppo | $8,819.06 | $24,509.00 | $9,803.60 | 2026-05-09 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Both | Medicare Advantage Uhc [1013] | Hb Wr Aarp Med Adv | $8,820.69 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Aetna [1017] | Hb Mv Aetna Med Adv | $8,911.35 | $29,476.00 | $29,476.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S JEROME Outpatient | Medicare Advantage Aetna [1017] | Hb Mv Aetna Med Adv | $8,911.35 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Both | Medicare Advantage Aetna [1017] | Hb Wr Aetna Med Adv | $9,240.73 | $14,738.00 | $14,738.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $9,402.84 | $14,738.00 | $14,738.00 | 2026-05-09 | 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.