PX-3611564 — Revasc Tib/Peroneal Art W Stent/Atherect
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Revasc Tib/Peroneal Art W Stent/Atherect (CDM PX-3611564) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-3611564?code_type=CDM
MLA (9th ed.)
“Revasc Tib/Peroneal Art W Stent/Atherect (CDM PX-3611564) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-3611564?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“Revasc Tib/Peroneal Art W Stent/Atherect (CDM PX-3611564) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-3611564?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $34,382–$39,362 (25th–75th percentile) across 7 hospitals · 36 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-3611564 — 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 |
|---|---|---|---|---|---|---|---|
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $1,893.00 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $1,893.00 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $1,893.00 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $1,893.00 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $1,893.00 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $1,893.00 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $1,893.00 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | $2,025.51 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | $2,025.51 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | $2,025.51 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | $2,025.51 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | $2,025.51 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | $2,025.51 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | $2,025.51 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $2,044.44 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $2,044.44 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $2,044.44 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $2,044.44 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $2,044.44 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $2,044.44 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $2,044.44 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $2,218.60 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $2,218.60 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $2,218.60 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $2,218.60 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $2,218.60 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $2,218.60 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $2,218.60 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $2,233.74 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $2,233.74 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $2,233.74 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $2,233.74 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $2,233.74 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $2,233.74 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $2,233.74 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | BCBS [210001] | BC FL PPO [21000101] | $2,357.16 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | BCBS [210001] | BC FL PPO [21000101] | $2,357.16 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $2,357.16 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $2,357.16 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $2,357.16 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $2,357.16 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $2,357.16 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | $2,358.68 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | $2,358.68 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | $2,358.68 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | AETNA [210101] | AETNA PPO [21010105] | $2,358.68 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | AETNA [210101] | AETNA PPO [21010105] | $2,358.68 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | $2,358.68 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | $2,358.68 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $2,460.90 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $2,460.90 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $2,460.90 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $2,460.90 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $2,460.90 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $2,460.90 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $2,460.90 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $3,028.80 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $3,028.80 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $3,028.80 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $3,028.80 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $3,028.80 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $3,028.80 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $3,028.80 | $3,786.00 | $757.20 | 2026-03-26 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | MEDICARE [101000] | MEDICARE PART A AND B [101002] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA INC [108002] | AETNA CHICAGO/WEST SUBURBS IL PPO [108779] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA INC [108002] | AETNA EXCHANGE HMO [108780] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | MEDICARE ALT PAYOR [901000] | MEDICARE ALT PLAN [901000] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA INC [108002] | AETNA [108273] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA INC [108002] | AETNA - OON [108480] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | MEDICARE ALT PAYOR [901000] | MEDICARE ALT PLAN [901000] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA INC [108002] | AETNA IL PREFERRED [108590] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA CONSOCIATE [108398] | AETNA ASA CONSOCIATE [108753] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA ASA ALLIED [108005] | AETNA ASA ALLIED [108411] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CONSOCIATE CIGNA [108370] | CONSOCIATE CIGNA [108693] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA OON [108621] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA HEALTH PARTNERS [108369] | CIGNA HEALTH PARTNERS [108692] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA-DELAWARE [108609] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA NAP [108300] | AETNA NAP [108589] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA-TENNESSEE [108608] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA OAII GENERIC [108620] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA COMMERCIAL [108704] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA ASA HEALTHSMART [108285] | AETNA ASA HEALTHSMART [108568] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA OAIII GENERIC [108619] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA-TENNESSEE 3 [108611] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA SOI [108280] | AETNA SOI [108532] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA ASA GEHA [108271] | AETNA ASA GEHA [108509] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA HEALTHSMART [108256] | CIGNA HEALTHSMART [108618] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA LOCALPLUS [108588] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA GROUP ADMIN [108255] | CIGNA GROUP ADMIN [108617] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA ONE HEALTH [108587] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA BENEFIT ADMIN SYS [108254] | CIGNA BENEFIT ADMIN SYS [108616] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | EVERNORTH BEHAVIORAL HEALTH [108367] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA ALLIED BENEFIT [108253] | CIGNA ALLIED BENEFIT [108615] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA [108024] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA ASA [108176] | AETNA ASA [108260] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA GENERIC [108776] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | MULTIPLAN [108093] | MULTIPLAN [108134] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA OPEN ACCESS PLUS [108771] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | MULTIPLAN [108093] | MULTIPLAN [108134] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA LOCAL PLUS [108770] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA ASA HEALTHSCOPE BENEFITS [108221] | AETNA ASA HEALTHSCOPE BENEFITS [108412] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA HMO [108736] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD PART A [101011] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | CIGNA [108020] | CIGNA-TENNESSEE 2 [108610] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD A AND B [101003] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD PART A [101011] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA ASA CORESOURCE INC [108023] | AETNA ASA TRUSTMARK [108410] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA ASA CORESOURCE INC [108023] | FM CORESOURCE [108452] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD A AND B [101003] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | MEDICARE [101000] | MEDICARE PART A [101000] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | MEDICARE [101000] | MEDICARE PART B [101001] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | MEDICARE [101000] | MEDICARE PART B [101001] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | MEDICARE [101000] | MEDICARE PART A AND B [101002] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | MEDICARE [101000] | MEDICARE PART A/B EXHAUSTED [101008] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | MEDICARE [101000] | MEDICARE PART A [101000] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | MEDICARE [101000] | MEDICARE PART A/B EXHAUSTED [101008] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA INC [108002] | AETNA - KENTUCKY [108679] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA INC [108002] | AETNA HMO [108761] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA INC [108002] | AETNA PPO [108762] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA INC [108002] | AETNA POS [108763] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA INC [108002] | AETNA CHICAGO/WEST SUBURBS IL [108764] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA INC [108002] | AETNA SOUTHERN IL [108765] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA INC [108002] | AETNA HEALTH HMO [108769] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Inpatient | AETNA INC [108002] | AETNA GENERIC [108775] | — | $63,229.84 | $63,229.84 | 2025-02-07 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MACNEAL HEALTH PROVIDERS ALT [901007] | MACNEAL HEALTH PROVIDERS ALT [901025] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MACNEAL HEALTH PROVIDERS ALT [901007] | MACNEAL HEALTH PROVIDERS ALT [901025] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | ILLINOIS PHYSICANS ALLIANCE LLC ALT [901008] | ILLINOIS PHYSICANS ALLIANCE LLC ALT [901026] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE [101000] | MEDICARE PART A/B EXHAUSTED [101008] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE [101000] | MEDICARE PART B [101001] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE [101000] | MEDICARE PART A/B EXHAUSTED [101008] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE [101000] | MEDICARE PART A [101000] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE [101000] | MEDICARE PART B [101001] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE [101000] | MEDICARE PART A AND B [101002] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE [101000] | MEDICARE PART A AND B [101002] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE [101000] | MEDICARE PART A [101000] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD A AND B [101003] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD PART A [101011] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD A AND B [101003] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD PART A [101011] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA ASA HEALTHSCOPE BENEFITS [108221] | AETNA ASA HEALTHSCOPE BENEFITS [108412] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA ASA HEALTHSCOPE BENEFITS [108221] | AETNA ASA HEALTHSCOPE BENEFITS [108412] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA MEDICARE SUP [108241] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA GENERIC [108778] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA GENERIC [108778] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA HMO IPA OON [108597] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA HMO IPA OON [108597] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA BEHAVIORAL HEALTH [108535] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA HMO/POS [108056] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA PPO [108057] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA PPO [108057] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA MEDICARE SUP [108241] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA - OON [108483] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA - OON [108483] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA BEHAVIORAL HEALTH [108535] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA HMO/POS [108056] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MULTIPLAN [108093] | MULTIPLAN [108134] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MULTIPLAN [108093] | MULTIPLAN [108134] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA ASA [108176] | AETNA ASA [108260] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA ASA [108176] | AETNA ASA [108260] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA ASA GEHA [108271] | AETNA ASA GEHA [108509] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA ASA GEHA [108271] | AETNA ASA GEHA [108509] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA SOI [108280] | AETNA SOI [108532] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA SOI [108280] | AETNA SOI [108532] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA ASA HEALTHSMART [108285] | AETNA ASA HEALTHSMART [108568] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA ASA HEALTHSMART [108285] | AETNA ASA HEALTHSMART [108568] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA NAP [108300] | AETNA NAP [108589] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA NAP [108300] | AETNA NAP [108589] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE HMO [102106] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE PPO [102109] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE [102002] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE [102002] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE HMO [102106] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE HMO [102108] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE HMO [102108] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE PPO [102109] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C HEALTH ALLIANCE [102003] | HEALTH ALLIANCE MEDICARE C HMO POS [102016] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C HEALTH ALLIANCE [102003] | HEALTH ALLIANCE MEDICARE C HMO POS [102016] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE PFFS [102007] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C HUMANA [102005] | HUMANA GOLD PLUS INTEGRATED MEDICARE MMAI [102037] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE HMO/GOLD IPA [102071] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE PFFS [102007] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE HMO/GOLD IPA [102071] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C HUMANA [102005] | HUMANA GOLD PLUS INTEGRATED MEDICARE MMAI [102037] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE HMO/GOLD PLUS [102005] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE HMO/GOLD PLUS [102005] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE PPO [102006] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE PPO [102006] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C BCBS MI [102006] | BCBS MI MEDICARE C [102068] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C BCBS MI [102006] | BCBS MI MEDICARE BCN HMO/POS [102046] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C BCBS MI [102006] | BCBS MI MEDICARE BCN HMO/POS [102046] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C BCBS MI [102006] | BCBS MI MEDICARE PLUS BLUE [102017] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C BCBS MI [102006] | BCBS MI MEDICARE PLUS BLUE [102017] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C BCBS MI [102006] | BCBS MI MEDICARE C [102068] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C CIGNA [102012] | CIGNA MEDICARE C HMO [102020] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C CIGNA [102012] | CIGNA MEDICARE C PPO [102067] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C CIGNA [102012] | CIGNA MEDICARE C HMO [102020] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C BCBS PPO [102013] | BCBS IL MEDICARE PPO [102021] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C BCBS PPO [102013] | BCBS IL MEDICARE HMO [102128] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C BCBS PPO [102013] | BCBS IL MEDICARE PPO [102021] | — | $63,229.84 | $63,229.84 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C BCBS PPO [102013] | BCBS IL MEDICARE HMO [102128] | — | $63,229.84 | $63,229.84 | 2025-02-21 | 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.