56 hospital rates under fee schedule. One row per hospital and set of terms.
| Hospital | Terms | Plans | Average | Range |
|---|---|---|---|---|
| Adena Health System | facility · fee schedule · outpatient | 2 | $217.51 | $142.63 to $292.39 |
| CATHOLIC HEALTH INITIATIVES COLORADO | fee schedule · outpatient | 2 | $219.65 | $142.63 to $296.67 |
| CATHOLIC HEALTH INITIATIVES COLORADO | fee schedule · outpatient | 2 | $219.65 | $142.63 to $296.67 |
| CATHOLIC HEALTH INITIATIVES COLORADO | fee schedule · outpatient | 2 | $219.65 | $142.63 to $296.67 |
| CATHOLIC HEALTH INITIATIVES COLORADO | fee schedule · outpatient | 1 |
Snapshot 20261108T055240Z-43b7dac7
| $296.67 |
| $296.67 to $296.67 |
| CATHOLIC HEALTH INITIATIVES COLORADO | fee schedule · outpatient | 1 | $296.67 | $296.67 to $296.67 |
| Callaway District Hospital | fee schedule · outpatient | 1 | $81.00 | $81.00 to $81.00 |
| Deaconess Health System Henderson Hospital | facility · fee schedule · outpatient | 4 | $142.63 | $142.63 to $142.63 |
| Deaconess Health System Union County Hospital | facility · fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| Deaconess Hospital, Inc | facility · fee schedule · outpatient | 2 | $142.63 | $142.63 to $142.63 |
| Deaconess Hospital, Inc | facility · fee schedule · outpatient | 2 | $142.63 | $142.63 to $142.63 |
| Froedtert Community Hospital Mequon | fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| Froedtert Community Hospital New Berlin | fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| Froedtert Community Hospital Oak Creek | fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| Froedtert Community Hospital Pewaukee | fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| Gundersen Luthern Medical Center Inc | facility · fee schedule · outpatient | 1 | $18.84 | $18.84 to $18.84 |
| Gundersen Palmer Lutheran Hospital and Clinic Inc | facility · fee schedule · outpatient | 1 | $18.84 | $18.84 to $18.84 |
| Holy Family Memorial Inc | fee schedule · outpatient | 2 | $148.34 | $142.63 to $154.04 |
| IHC Health Services Inc., DBA Intermountain Health American Fork Hospital | professional · fee schedule · outpatient | 3 | $142.63 | $142.63 to $142.63 |
| IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital | professional · fee schedule · outpatient | 3 | $142.63 | $142.63 to $142.63 |
| IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital | professional · fee schedule · outpatient | 3 | $142.63 | $142.63 to $142.63 |
| IHC Health Services Inc., DBA Intermountain Health Heber Valley Hospital | professional · fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center | professional · fee schedule · outpatient | 4 | $142.63 | $142.63 to $142.63 |
| IHC Health Services Inc., DBA Intermountain Health LDS Hospital | professional · fee schedule · outpatient | 3 | $142.63 | $142.63 to $142.63 |
| IHC Health Services Inc., DBA Intermountain Health Layton Hospital | professional · fee schedule · outpatient | 3 | $142.63 | $142.63 to $142.63 |