The 24 services Three Rivers Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Childbirth ยท Inpatient
Vaginal delivery, hospital stay
MS-DRG 807
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Regence BCBS$26,132
Insurer A*$9,188
Medicare $6,332Nearby hospitals $15,60313% above nearby hospitals
99 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Aetna$2,891
Insurer A*$1,742
Medicare $365Nearby hospitals $1,94519% above nearby hospitals
Common here, based on CMS Medicare volume
Childbirth ยท Inpatient
Cesarean delivery, hospital stay
MS-DRG 788
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Aetna$8,625
Insurer A*$26,132
Medicare $6,332Nearby hospitals $16,568In line with nearby hospitals
99 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
UnitedHealthcare$1,800
Insurer A*$3,674
Insurer B*$14,159
Medicare $3,390Nearby hospitals $10,79966% below nearby hospitals
15 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Aetna$9,243
Insurer A*$1,800
Insurer B*$32,665
Medicare $6,332Nearby hospitals $20,42255% below nearby hospitals
99 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Regence BCBS$2,498
Insurer A*$997
Medicare $572Nearby hospitals $1,52515% above nearby hospitals
Common here, based on CMS Medicare volume
Aetna$7,421
Insurer A*$7,085
Medicare $1,498Nearby hospitals $6,38614% above nearby hospitals
Common here, based on CMS Medicare volume
Aetna$6,735
Insurer A*$6,431
Medicare $1,356Nearby hospitals $4,36851% above nearby hospitals
Common here, based on CMS Medicare volume
Regence BCBS$14,581
Insurer A*$2,862
Medicare $3,473Nearby hospitals $9,138In line with nearby hospitals
13 Medicare claims in Level 4 ENT Procedures (CMS 2024)
Medicare $95Nearby hospitals $42525% below nearby hospitals
Common here, based on CMS Medicare volume
Aetna$2,495
Insurer A*$832
Medicare $184Nearby hospitals $1,38320% above nearby hospitals
Common here, based on CMS Medicare volume
Aetna$1,959
Insurer A*$1,110
Medicare $250Nearby hospitals $1,70910% below nearby hospitals
Common here, based on CMS Medicare volume
Aetna$1,770
Insurer A*$805
Insurer B*$5,344
Medicare $1,253Nearby hospitals $4,41460% below nearby hospitals
Common here, based on CMS Medicare volume
Regence BCBS$13,192
Insurer A*$961
Medicare $2,358Nearby hospitals $7,077In line with nearby hospitals
Typical for a hospital with this service line
Aetna$967
Insurer A*$281
Insurer B*$498
Medicare $110Nearby hospitals $1,07053% below nearby hospitals
Common here, based on CMS Medicare volume
Medicine & Surgery
Inguinal hernia repair, age 5 or older
CPT 49505
Medicare $3,750Nearby hospitals $14,70933% above nearby hospitals
23 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Childbirth ยท Inpatient
Vaginal birth after prior cesarean, hospital stay
MS-DRG 807
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
UnitedHealthcare$792
Insurer A*$1,742
Insurer B*$2,634
Medicare $365Nearby hospitals $3,86555% below nearby hospitals
Common here, based on CMS Medicare volume
Aetna$1,462
Insurer A*$690
Insurer B*$4,105
Medicare $950Nearby hospitals $3,42857% below nearby hospitals
Common here, based on CMS Medicare volume
X-ray and bone density
Chest X-ray, two views
CPT 71046
Medicare $91Nearby hospitals $196120% above nearby hospitals
Common here, based on CMS Medicare volume
Medicare $110Nearby hospitals $46013% above nearby hospitals
Common here, based on CMS Medicare volume
Medicine & Surgery
Tonsillectomy and adenoidectomy, patient under age 12
CPT 42820
Medicare $6,200Nearby hospitals $20,34630% above nearby hospitals
Typical for a hospital with this service line
How we chose these services: 6 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Three Rivers Medical Center.