SUP-177912 — Set Blood Pump Impella Bundle Catheter Pump + Compantion Sheath
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SET BLOOD PUMP IMPELLA BUNDLE CATHETER PUMP + COMPANTION SHEATH (CDM SUP-177912) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-177912?code_type=CDM
MLA (9th ed.)
“SET BLOOD PUMP IMPELLA BUNDLE CATHETER PUMP + COMPANTION SHEATH (CDM SUP-177912) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-177912?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SET BLOOD PUMP IMPELLA BUNDLE CATHETER PUMP + COMPANTION SHEATH (CDM SUP-177912) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-177912?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $300–$94,725 (25th–75th percentile) across 4 hospitals · 135 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-177912 — 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 |
|---|---|---|---|---|---|---|---|
| WYNN HOSPITAL Outpatient | UNITED HEALTHCARE ALTERNATE [100260] | UHC EMPIRE ALTERNATE [10026001] | $120.20 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS OUT OF STATE [209999] | BCBS OUT OF STATE [20999902] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS FEDERAL [200063] | BCBS FEDERAL PROGRAM [20006301] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE SHIELD NY NORTHEASTERN NEW YORK [200043] | BCBS NORTHEASTERN NEW YORK [20004301] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY WESTERN NEW YORK [200042] | BCBS WESTERN NEW YORK [20004201] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS INDEMNITY [20004108] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS HMO/PPO [20004101] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EXCELLUS [200041] | BCBS MVHS EMPLOYEES [20004103] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EXCELLUS [200041] | BCBS SEMC EMPLOYEES [20004104] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS EXCHANGE [20004105] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EXCELLUS [200041] | UNIVERA HEALTHCARE [20004106] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EXCELLUS [200041] | BCBS CENTRAL NY [20004102] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS OUT OF STATE [209999] | BCBS ANTHEM [20999901] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EMPIRE [200040] | BCBS EMPIRE NON NYS [20004002] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EMPIRE [200040] | BCBS EMPIRE NYS [20004001] | $204.64 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | EMBLEM HEALTH [100133] | EMBLEM [10013301] | $213.36 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | OXFORD HEALTH [100258] | OXFORD HEALTH [10025801] | $219.37 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | GEHA [100039] | GEHA [10003901] | $219.37 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | UNITED HEALTHCARE [100060] | UHC [10006006] | $219.37 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | UNITED HEALTHCARE [100060] | UMR [10006013] | $219.37 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | UNITED HEALTHCARE [100060] | UHC EXCHANGE [10006026] | $219.37 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | SUREST [100070] | SUREST [10007000] | $219.37 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CDPHP [100253] | CDPHP EXCHANGE [10025302] | $225.38 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CDPHP [100253] | CDPHP [10025301] | $225.38 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | HUMANA [100052] | HUMANA [10005201] | $225.38 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICAID [1708] | FIDELIS MEDICAID [170801], FIDELIS CHILD HEALTH PLUS [515502] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE [5189] | MOLINA ESSENTIAL PQ 1 AND 2 [518902], MOLINA ESSENTIAL PA 3 AND 4 [172302] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AETNA [2700] | AETNA [270002] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS [5155] | FIDELIS METAL TIERS [515501] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS [5155] | FIDELIS ESS PQ 1 AND 2 [515503] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS [5155] | FIDELIS ESSENTIAL PA 3 AND 4 [170804] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH [5156] | INDEPENDENT HEALTH (BUFFALO NY) [515601] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP CHILD HEALTH PLUS [290004] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP ESSENTIAL (NO MEDICAID) [290005] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE [5158] | UNITED HEALTHCARE ESSENTIAL PQ 1 AND 2 [515812] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE [5158] | UNITED HEALTHCARE (ATLANTA,GA) [515803] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP MEDICAID [1712] | MVP OPTION MEDICAID [171201], MVP CHILD HEALTH PLUS [290004] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD [5143] | HIGHMARK BCBS [514301] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID [1710] | INDEPENDENT HEALTH ASSOC MEDICAID [171001] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] | BLUE CHOICE OPTION MEDICAID [170601], | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH MEDICARE [1305] | INDEPENDENT HEALTH MEDICARE [130501] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] | CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE [1723], MOLINA HEALTHCARE [5189] | MOLINA HEALTHCARE [172301], MOLINA CHILD HEALTH PLUS [518901] | $249.37 | — | — | 2026-04-01 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CDPHP MEDICAID [350076] | CDPHP ESSENTIAL PLAN [35007603] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EXCELLUS MEDICARE [450052] | EXCELLUS MEDICARE ADVANTAGE APC [45005301] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EXCELLUS MEDICARE [450052] | EXCELLUS MEDICARE ADVANTAGE [45005201] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVP MEDICARE REPLACEMENT [450066] | MVP MEDICARE ADVANTAGE (GOLD) [45006601] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CARELON BEHAVIORIAL HEALTH MEDICARE [450115] | CARELON BEHAVIORAL MEDICARE [45011501] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CDPHP MEDICARE ADVANTAGE [450116] | CDPHP MEDICARE ADVANTAGE [45011601] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | ADAP PLUS [500010] | ADAP PLUS [50001001] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CANCER SERVICES PROGRAM [500011] | CANCER SERVICES PROGRAM [50001101] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | VOUCHER [500013] | VOUCHER [50001301] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | NYS DEPARTMENT OF CORRECTIONS [500014] | NYS DEPARTMENT OF CORRECTIONS [50001401] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | ONEIDA COUNTY JAIL [500016] | ONEIDA COUNTY JAIL [50001601] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | NYS OFFICE OF MENTAL HEALTH [500015] | NYS OFFICE OF MENTAL HEALTH [50001501] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | HERKIMER COUNTY JAIL [500017] | HERKIMER COUNTY JAIL [50001701] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | ONEIDA COUNTY HEALTH DEPARTMENT [500019] | ONEIDA COUNTY HEALTH [50001901] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | ONEIDA COUNTY HEALTH RABIES CLINIC [500020] | ONEIDA COUNTY RABIES CLINIC [50002001] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | HUMANA MILITARY [600003] | HUMANA MILITARY [60000301] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | WPS [600005] | TRICARE WPS [60000501] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CHARTIS WC [700029] | WC CHARTIS [70002901] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | PMA WORK COMP [700031] | WC PMA [70003101] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CORVEL CORP WC [700054] | WC CORVEL CORP [70005401] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | HARTFORD INS WC [700055] | WC HARTFORD INS [70005501] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MADISON ONEIDA HERK WC [700056] | WC MADISON ONEIDA HERK [70005601] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | NCA WC [700057] | WC NCA [70005701] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | NYSIF [700058] | WC NY STATE INSURANCE FUND [70005801] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S SEMC EMPLOYEE [70005904] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S MVHS EMPLOYEE [70005903] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA FSLH EMPLOYEE [70005901] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA SEMC EMPLOYEE [70005902] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | STRATEGIC COMP SERVICES [700061] | WC STRATEGIC COMP SERVICES [70006101] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | UTICA NATIONAL WORKER'S COMP [700062] | WC UTICA NATIONAL INS [70006201] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | WC MISC. [709999] | WC MISC. [70999901] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | ALLSTATE AUTO INSURANCE [800001] | NF ALLSTATE [80000101] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | ERIE INS NF [800002] | NF ERIE INS [80000201] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | GEICO AUTO INSURANCE [800003] | NF GEICO AUTO INSURANCE [80000301] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | NY CTRL MUTUAL NF [800004] | NF NY CTRL MUTUAL [80000401] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | PROGRESSIVE AUTO INSURANCE [800005] | NF PROGRESSIVE AUTO INSURANCE [80000501] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | TRAVELERS NO FAULT [800006] | NF TRAVELERS [80000601] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | UTICA NATIONAL NO FAULT [800007] | NF UTICA NATIONAL INS [80000701] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | LIBERTY MUTUAL AUTO INSURANCE [800008] | NF LIBERTY MUTUAL AUTO INS [80000801] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MET LIFE AUTO INSURANCE [800009] | NF MET LIFE AUTO INS [80000901] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | STATE FARM AUTO INSURANCE NF [800026] | NF STATE FARM AUTO INSURANCE [80002601] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | NF MISC. [809999] | NF MISC. [80999901] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDIGOLD [450050] | MEDIGOLD [45005001] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | FIDELIS MEDICARE [450117] | FIDELIS MEDICARE ADVANTAGE [45011701] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | US FAMILY HEALTH PLAN [600002] | US FAMILY HEALTH PLAN [60000201] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MARTINS POINT US FAMILY HEALTH [600006] | MARTINS POINT US FAMILY HEALTH [60000601] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CARELON BEHAVIORAL HEALTH [100023] | CARELON BEHAVIORAL HEALTH [10002302] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | WELLPATH [500030] | WELLPATH [50003002] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | VETERANS ADMINISTRATION [600004] | VETERANS ADMINISTRATION [60000401] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | VETERANS ADMINISTRATION [600004] | VETERANS CHOICE [60000402] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICARE ALTERNATE [400002] | MEDICARE PART B ALTERNATE [40000201] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICARE ALTERNATE [400002] | MEDICARE COVID-19 ALTERNATE [40000106] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CHAMPVA [600007] | CHAMPVA [60000701] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | TRIWEST [600008] | TRIWEST [60000801] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | VACCN OPTUM [600009] | VACCN OPTUM [60000903] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICARE ADVANTAGE ALTERNATE [450120] | MEDICARE ADVANTAGE PART B ALTERNATE [45012001] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICARE ADVANTAGE MISC. [459999] | MEDICARE ADVANTAGE [45999901] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CIGNA [100009] | NALC HEALTH BENEFIT PLAN [10000902] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CIGNA [100009] | CIGNA [10000901] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | AETNA [100001] | AETNA [10000101] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | HUMANA MEDICARE ADVANTAGE [450013] | HUMANA MEDICARE ADVANTAGE [45001301] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICARE [400001] | MEDICARE PART B ONLY [40000103] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICARE [400001] | MEDICARE PART A [40000102] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICARE [400001] | MEDICARE PART A & B [40000101] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICARE [400001] | MEDICARE RAILROAD [40000104] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MERITAIN [100063] | MERITAIN [10006301] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | TRICARE [600001] | TRICARE FOR LIFE [60000103] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [450021] | UHC MEDICARE ADVANTAGE [45002107] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | WELLCARE MEDICARE [450023] | WELLCARE MEDICARE ADVANTAGE [45002301] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICAID OUT OF STATE [309999] | MEDICAID OUT OF STATE [30999901] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | AETNA MEDICARE ADVANTAGE [450001] | AETNA MEDICARE ADVANTAGE [45000105] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | ESIS WORK COMP [700010] | WC ESIS [70001001] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | GALLAGHER BASSETT WORK COMP [700013] | WC GALLAGHER BASSETT [70001301] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | LIBERTY MUTUAL WORK COMP [700016] | WC LIBERTY MUTUAL [70001601] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | SEDGWICK [700027] | WC SEDGWICK [70002701] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | TRAVELERS WORK COMP [700028] | WC TRAVELERS [70002801] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVP [100257] | MVP PPO [10025703] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVP [100257] | MVP EXCHANGE [10025701] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVP [100257] | MVP HMO [10025702] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | FIDELIS EXCHANGE [100254] | FIDELIS EXCHANGE [10025401] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | ACCESS COMPLIANCE [109956] | ACCESS COMPLIANCE [10995601] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS HEALTHY NY EPO [20004107] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICAID NY [300033] | MEDICAID [30003301] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICAID PENDING [309998] | MEDICAID PENDING [30999801] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 1+2 [35001305] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC CHILD HEALTH PLUS [35001304] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC HMO MEDICAID / COMMUNITY [35001303] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 3+4 [35001306] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | WELLCARE MEDICAID [350022] | WELLCARE HMO MEDICAID [35002201] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | FIDELIS [350058] | FIDELIS HMO MEDICAID [35005801] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | FIDELIS [350058] | FIDELIS HEALTH LIFE/ESSENTIAL 3&4 [35005804] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | FIDELIS [350058] | FIDELIS ESSENTIAL 1+2 [35005803] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | FIDELIS [350058] | FIDELIS CHILD HEALTH PLUS [35005802] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | EMBLEM HEALTH MEDICAID [350059] | EMBLEM HMO MEDICAID [35005901] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | FIDELIS ALTERNATE - FSLH [350060] | FIDELIS ALTERNATE - FSLH [35006001] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | FIDELIS ESSENTIAL [350062] | FIDELIS ESSENTIAL PLAN 1/2/5 [35006203] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | FIDELIS ESSENTIAL [350062] | FIDELIS ESSENTIAL PLAN 3&4 [35006204] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | FIDELIS HARP [350063] | FIDELIS HARP [35006301] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICAID ALTERNATE [350064] | ADHC ALTERNATE PLAN [35006401] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICAID ALTERNATE [350064] | MEDICAID ALTERNATE [35006402] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CARELON BEHAVIORAL HEALTH MEDICAID [350075] | CARELON BEHAVIORAL HEALTH HMO MEDICAID [35007501] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CDPHP MEDICAID [350076] | CDPHP CHILD HEALTH PLUS [35007602] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CDPHP MEDICAID [350076] | CDPHP HMO MEDICAID [35007601] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVP MEDICAID [350080] | MVP CHILD HEALTH PLUS [7] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVP MEDICAID [350080] | MVP HMO MEDICAID [35008003] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVP MEDICAID [350080] | MVP ESSENTIAL PLAN 1+2+7 [35008001] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVP MEDICAID [350080] | MVP ESSENTIAL PLAN 3+4 [35008002] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EXCELLUS MEDICAID [350081] | EXCELLUS CHILD HEALTH PLUS [35008101] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EXCELLUS MEDICAID [350081] | EXCELLUS ESSENTIAL PLAN [35008102] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | BLUE CROSS NY EXCELLUS MEDICAID [350081] | EXCELLUS HMO MEDICAID [35008103] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS ESSENTIAL PLAN APG [35008202] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS HMO MEDICAID APG [35008201] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS CHILD HEALTH PLUS APG [35008203] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MOLINA HEALTHCARE OF NEW YORK INC LTC [350084] | MOLINA HEALTHCARE OF NEW YORK LTC [35008401] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICAID HMO MISC. [359999] | MEDICAID HMO MISC. [35999901] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MEDICAID HMO MISC. [359999] | UNIVERA HEALTHCARE [35999905] | $300.50 | $300.50 | $180.30 | 2025-01-17 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | THE HEALTH PLAN [2915] | THE HEALTH PLAN [291500] | $21,681.50 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | UMR - ARDENT EMPLOYEE [2036] | UMR - ARDENT EMPLOYEE [203601] | $26,849.28 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | CORVEL CORP [2235] | CORVEL CORP [223500] | $30,627.75 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | ENABLECOMP [1350] | W/C WORK COMP ENABLECOMP [135000] | $31,248.73 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | WORKER'S COMP [2125] | CNA INSURANCE WC [2125100] | $31,248.73 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | BENEFIT MANAGEMENT [1175] | NEW MEXICO INSURANCE POOL [117501] | $52,625.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | ZELIS [2385] | NEW MEXICO MEDICAL INSURANCE POOL [238502] | $52,625.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MAGELLAN BEHAVIORAL COMMERCIAL [2895] | MAGELLAN BEHAVIORAL COMMERCIAL [289500] | $52,625.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | PRESBYTERIAN HEALTH PLAN [1830] | PRESBYTERIAN HIX [183001] | $52,625.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | AETNA [1015] | AETNA ACO WILCO [101532] | $58,308.50 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | BLACK LUNG [6055] | BLACK LUNG [605500] | $61,381.10 | $149,710.00 | $89,826.00 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | WEB TPA [2115] | WEB TPA HEALTHCARE HIGHWAYS [211504] | $61,381.10 | $149,710.00 | $89,826.00 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | PENDING SSI [1616] | PENDING SSI RCA [161601] | $61,381.10 | $149,710.00 | $89,826.00 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | HEALTHCARE HIGHWAYS [2210] | HCH 90 DEGREE BENEFITS [221013] | $61,381.10 | $149,710.00 | $89,826.00 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | LUCENT HEALTH [6000] | LUCENT HEALTH [600000] | $61,381.10 | $149,710.00 | $89,826.00 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] | EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501] | $61,381.10 | $149,710.00 | $89,826.00 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | HEALTHCARE HIGHWAYS [2210] | HCH JOHN SOULES FOODS [221011] | $61,381.10 | $149,710.00 | $89,826.00 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | HEALTHCARE HIGHWAYS [2210] | HCH BROKEN ARROW [221012] | $61,381.10 | $149,710.00 | $89,826.00 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | MODA HEALTH [6100] | MODA HEALTH [610000] | $61,381.10 | $149,710.00 | $89,826.00 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | ONCOLOGY PATIENT ASSISTANCE PROGRAMS [2295] | BCCS FAMILY CIRCLE OF CARE [229553] | $61,381.10 | $149,710.00 | $89,826.00 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | PACIFIC SOURCE HEALTH PLANS [2850] | PACIFIC SOURCE HEALTH PLANS [285000] | $86,053.31 | $149,710.00 | $89,826.00 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] | EBMS BINGHAM MEMORIAL HOSPITAL [244502] | $89,826.00 | $149,710.00 | $89,826.00 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | MEDISHARE CHRISTIAN CARE [1645] | MEDISHARE CHRISTIAN CARE [164500] | $89,826.00 | $149,710.00 | $89,826.00 | 2026-03-31 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MULTIPLAN [1680] | IHC HS [168011] | $94,725.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MUTUAL OF OMAHA [1685] | MUTUAL OF OMAHA [168500] | $94,725.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | UNITED HEALTHCARE [2060] | GOLDEN RULE [206003] | $94,725.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | PAN AMERICAN LIFE INSURANCE CO [1770] | PAN AMERICAN LIFE [177000] | $94,725.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | TRUSTMARK [2030] | STARMARK [203000] | $94,725.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | FIRST HEALTH [1375] | QUALCHOICE [137513] | $94,725.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | HEALTHSMART [1505] | HEALTHSMART PREFERRED CARE (HSPC) [150500] | $94,725.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] | EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501] | $94,725.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | HEALTHCOST SOLUTIONS [2415] | HEALTHCOST SOLUTIONS [241501] | $94,725.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | AMERICAN MEDICAL SECURITY [2190] | AMERICAN MEDICAL SECURITY [219000] | $94,725.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | BOON-CHAPMAN [2375] | BOON-CHAPMAN [237501] | $94,725.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | EMBLEM HEALTH [2430] | EMBLEM HEALTH [243001] | $94,725.00 | $105,250.00 | $31,575.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | NATIONAL TELEPHONE COOPERATIVE [1700] | NATIONAL TELEPHONE COOP ASSO [170000] | $94,725.00 | $105,250.00 | $31,575.00 | 2025-04-05 | 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.