00105 — Major Open Cardiac And Cardiac Valve Procedures
Cite this view
HANK Price Transparency. (n.d.). MAJOR OPEN CARDIAC AND CARDIAC VALVE PROCEDURES (EAPG 00105) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00105?code_type=EAPG
“MAJOR OPEN CARDIAC AND CARDIAC VALVE PROCEDURES (EAPG 00105) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00105?code_type=EAPG. Accessed .
“MAJOR OPEN CARDIAC AND CARDIAC VALVE PROCEDURES (EAPG 00105) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00105?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,272–$4,251 (25th–75th percentile) across 29 hospitals · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 00105 — 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 |
|---|---|---|---|---|---|---|---|
| ASPIRE HEALTH PARTNERS OutpatientFacility | Sunshine Health | Medicaid | $24.25 | — | — | 2026-02-03 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | United Healthcare | Managed Medicaid | $1,844.09 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $1,844.09 | — | — | 2025-05-16 | MRF ↗ |
| REID HEALTH OutpatientFacility | Caresource of Ohio | Managed Medicaid | $1,892.34 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | Humana of Ohio | Managed Medicaid | $1,892.34 | — | — | 2025-07-21 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | CareSource | Managed Medicaid | $1,899.41 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $1,899.41 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $1,917.85 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $1,917.85 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $1,917.85 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $1,917.85 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $1,936.29 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Buckeye | Managed Medicaid | $1,936.29 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Molina | Managed Medicaid | $1,936.29 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $1,936.29 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $1,936.29 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Humana | Managed Medicaid | $1,936.29 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,017.67 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,032.39 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,061.83 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,061.83 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,091.27 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,091.27 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,091.27 | — | — | 2025-05-15 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,194.57 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,210.15 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,241.32 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,241.32 | — | — | 2025-05-19 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Buckeye | Managed Medicaid | $3,245.92 | — | — | 2025-05-16 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $3,248.59 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | CareSource | Managed Medicaid | $3,261.75 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,261.75 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,261.75 | — | — | 2025-05-16 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,272.48 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,272.48 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,272.48 | — | — | 2025-05-19 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $3,280.44 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $3,280.44 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,293.42 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,293.42 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,293.42 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,293.42 | — | — | 2025-05-16 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,312.29 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,312.29 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $3,325.09 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,325.09 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,325.09 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,325.09 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Humana | Managed Medicaid | $3,325.09 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Molina | Managed Medicaid | $3,325.09 | — | — | 2025-05-16 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | United Community Health Plan | Managed Medicaid | $3,325.92 | — | — | 2025-10-03 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $3,344.13 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $3,344.13 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,355.41 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,355.41 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,374.99 | — | — | 2025-10-03 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,387.99 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,387.99 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,420.56 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,420.56 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,420.56 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $3,423.86 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Program | $3,423.86 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $3,423.86 | — | — | 2025-10-03 | MRF ↗ |
| University Of Toledo Medical Center OutpatientFacility | None | — | — | — | — | 2026-03-31 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,648.17 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,683.94 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,683.94 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,719.71 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,719.71 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,755.47 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,755.47 | — | — | 2025-05-19 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Buckeye | Managed Medicaid | $3,835.12 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,835.12 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,851.07 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,851.07 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $3,851.07 | — | — | 2025-05-19 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $3,851.07 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,853.83 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | CareSource | Managed Medicaid | $3,853.83 | — | — | 2025-05-17 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,888.46 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,888.46 | — | — | 2025-05-19 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,888.46 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,888.46 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,891.24 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,891.24 | — | — | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,891.24 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,891.24 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $3,925.85 | — | — | 2025-05-19 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,925.85 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,925.85 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,925.85 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $3,925.85 | — | — | 2025-05-19 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $3,925.85 | — | — | 2025-05-19 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Molina | Managed Medicaid | $3,928.66 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,928.66 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,928.66 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,928.66 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | United Healthcare | Managed Medicaid | $3,928.66 | — | — | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Humana | Managed Medicaid | $3,928.66 | — | — | 2025-05-17 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $4,190.43 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $4,190.43 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $4,231.12 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $4,231.12 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4,271.80 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $4,271.80 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $4,271.80 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4,271.80 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $4,271.80 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $4,271.80 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | $4,353.17 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | $4,353.17 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $4,475.22 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $4,475.22 | — | — | 2025-08-08 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $4,734.56 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | United Community Plan | Managed Medicaid | $4,803.01 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $4,803.01 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Plan | $4,803.01 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $4,803.01 | — | — | 2025-10-03 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $4,914.35 | — | — | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $4,985.48 | — | — | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Plan | $4,985.48 | — | — | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $4,985.48 | — | — | 2025-10-08 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Molina | Dual Medicaid | $5,238.88 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $5,500.73 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $5,500.73 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $5,500.73 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Plan | $5,500.73 | — | — | 2025-10-03 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Oscar Cleveland | Commercial | $5,695.73 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Oscar Cleveland | Commercial | $5,695.73 | — | — | 2025-08-08 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Beacon Health Strategies | Medicaid_Florida Healthy Kids | $8,005.59 | — | — | 2026-03-31 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $19,056.24 | — | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $19,056.24 | — | — | 2026-04-20 | MRF ↗ |
| FLOYD CHEROKEE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Alabama | Commercial | $20,082.74 | — | — | 2025-11-19 | MRF ↗ |
| ST VINCENT'S ST CLAIR OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $21,501.80 | — | — | 2026-04-20 | MRF ↗ |
| ST. VINCENT'S EAST OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $24,307.77 | — | — | 2026-04-20 | MRF ↗ |
| UNIVERSITY OF ALABAMA HOSPITAL OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $26,781.78 | — | — | 2026-02-19 | MRF ↗ |
| ST VINCENTS BLOUNT OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $27,228.38 | — | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S CHILTON OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $30,673.11 | — | — | 2026-04-20 | MRF ↗ |