Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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00179 — Ectopic Pregnancy Procedures

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $3,264

Usually $2,356–$4,666 (25th–75th percentile) across 55 hospitals · 48 payers.

“Negotiated” is the hospital’s negotiated facility rate for this EAPG 00179 — 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
Memorial Regional Hospital South OutpatientFacility OptumHealth Care Solutions Transplants - Medicaid $7.70 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL WEST OutpatientFacility OptumHealth Care Solutions Transplants - Medicaid $7.70 — — 2026-05-27 MRF ↗
ASPIRE HEALTH PARTNERS OutpatientFacility Sunshine Health Medicaid $8.02 — — 2026-02-03 MRF ↗
MEMORIAL HOSPITAL PEMBROKE OutpatientFacility Aetna Gatekeeper — — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL MIRAMAR OutpatientFacility Aetna Qualified Health Plan — — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL MIRAMAR OutpatientFacility Aetna Gatekeeper — — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL PEMBROKE OutpatientFacility Aetna Qualified Health Plan — — — 2026-05-27 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Independent Care Health Plan Medicaid $739.21 — — 2026-10-12 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Cook Children's Health Plan (CCHP) Medicaid $739.21 — — 2026-10-12 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Quartz Badgercare/Employee Trust Funds/QHP $739.21 — — 2026-10-12 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Dean Health Medicaid $739.21 — — 2026-10-12 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Molina Healthcare Medicaid $739.21 — — 2026-10-12 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Blue Cross Blue Shield of Illinois Medicaid HMO $739.21 — — 2026-10-12 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Anthem Medicaid $739.21 — — 2026-10-12 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility United Healthcare Medicaid $739.21 — — 2026-10-12 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Managed Health Services Medicaid $768.78 — — 2026-10-12 MRF ↗
CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility Buckeye Health Medicaid OOS $806.75 — — 2026-02-18 MRF ↗
CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility Molina Healthcare of OH Medicaid OOS/Medicare $806.75 — — 2026-02-18 MRF ↗
Alice Hyde Medical Center OutpatientFacility Capital District Physicians' Health Plan Managed Medicaid $1,048.88 — — 2026-09-08 MRF ↗
Alice Hyde Medical Center OutpatientFacility United Healthcare Managed Medicaid/Essential Plans $1,048.88 — — 2026-09-08 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility United Healthcare Managed Medicaid/Essential Plans $1,048.88 — — 2026-04-28 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Capital District Physicians' Health Plan Managed Medicaid $1,048.88 — — 2026-04-28 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Fidelis Care Managed Medicaid $1,048.88 — — 2026-04-28 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility MVP Managed Medicaid $1,048.88 — — 2026-04-28 MRF ↗
Alice Hyde Medical Center OutpatientFacility MVP Managed Medicaid $1,048.88 — — 2026-09-08 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Empire BlueCross BlueShield Managed Medicaid Aliessa $1,101.34 — — 2026-04-28 MRF ↗
SOUTHERN OHIO MEDICAL CENTER OutpatientFacility Aetna CHP/Medicaid $1,136.37 — — 2026-01-23 MRF ↗
SOUTHERN OHIO MEDICAL CENTER OutpatientFacility Humana OH Medicaid $1,136.37 — — 2026-01-23 MRF ↗
UPMC HAMOT OutpatientFacility UPMC Work Partners Workers Comp — — — 2026-03-06 MRF ↗
UPMC HAMOT OutpatientFacility Fidelis Child Health Plus/Family Health Plus/Medicaid $1,450.61 — — 2026-03-06 MRF ↗
UPMC CHAUTAUQUA AT WCA OutpatientFacility Beacon Managed Medicaid $1,450.61 — — 2026-03-06 MRF ↗
UPMC CHAUTAUQUA AT WCA OutpatientFacility Fidelis Family Health Plus/Medicaid $1,450.61 — — 2026-03-06 MRF ↗
UPMC CHAUTAUQUA AT WCA OutpatientFacility Fidelis Child Health Plus $1,450.61 — — 2026-03-06 MRF ↗
UPMC CHAUTAUQUA AT WCA OutpatientFacility UHC Medicaid NY Medicaid $1,450.61 — — 2026-03-06 MRF ↗
UPMC CHAUTAUQUA AT WCA OutpatientFacility Molina Healthcare of NY CHIP (For Kids)/Medicaid $1,450.61 — — 2026-03-06 MRF ↗
UPMC CHAUTAUQUA AT WCA OutpatientFacility BCBS of Western NY Essential Plans 3&4 $1,450.61 — — 2026-03-06 MRF ↗
UPMC CHAUTAUQUA AT WCA OutpatientFacility Univera CHIP (For Kids)/HARP/NY Medicaid $1,523.14 — — 2026-03-06 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility MVP Managed Medicaid $1,571.39 — — 2026-02-19 MRF ↗
PORTER HOSPITAL INC OutpatientFacility United Healthcare Managed Medicaid/Essential Plans $1,571.39 — — 2026-02-19 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility United Healthcare Managed Medicaid/Essential Plans $1,571.39 — — 2026-02-19 MRF ↗
PORTER HOSPITAL INC OutpatientFacility MVP Managed Medicaid, Child Health Plus, Health & Recovery Plans $1,571.39 — — 2026-02-19 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Capital District Physicians' Health Plan Managed Medicaid $1,571.39 — — 2026-02-19 MRF ↗
ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility United Healthcare Managed Medicaid/Essential Plans $1,571.39 — — 2026-02-19 MRF ↗
ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility Capital District Physicians' Health Plan Managed Medicaid $1,571.39 — — 2026-02-19 MRF ↗
ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility MVP Managed Medicaid $1,571.39 — — 2026-02-19 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Fidelis Care Managed Medicaid $1,571.39 — — 2026-02-19 MRF ↗
UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility MVP Managed Medicaid $1,571.39 — — 2026-02-19 MRF ↗
UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility Fidelis Care Managed Medicaid $1,571.39 — — 2026-02-19 MRF ↗
UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility United Healthcare Managed Medicaid/Essential Plans $1,571.39 — — 2026-02-19 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Fidelis Care Managed Medicaid $1,572.05 — — 2026-10-12 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility MVP Managed Medicaid $1,572.05 — — 2026-10-12 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility United Healthcare Managed Medicaid/Essential Plans $1,572.05 — — 2026-10-12 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Empire BlueCross BlueShield Managed Medicaid Aliessa $1,649.97 — — 2026-02-19 MRF ↗
ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility Empire BlueCross BlueShield Managed Medicaid Aliessa $1,649.97 — — 2026-02-19 MRF ↗
ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility Fidelis Care Child Health Plus $1,649.97 — — 2026-02-19 MRF ↗
ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility Fidelis Care Managed Medicaid $1,649.97 — — 2026-02-19 MRF ↗
UPMC CHAUTAUQUA AT WCA OutpatientFacility BCBS of Western NY Essential Plans 1&2 $1,740.73 — — 2026-03-06 MRF ↗
BANNER FORT COLLINS MEDICAL CENTER OutpatientFacility Colorado Child Health Plan Plus Medicaid $1,797.47 — — 2026-03-02 MRF ↗
BANNER NORTH COLORADO MEDICAL CENTER OutpatientFacility Colorado Child Health Plan Plus Medicaid $1,914.55 — — 2026-03-02 MRF ↗
BANNER MCKEE MEDICAL CENTER OutpatientFacility Colorado Child Health Plan Plus Medicaid $1,914.55 — — 2026-03-02 MRF ↗
Alice Hyde Medical Center OutpatientFacility Fidelis Care Health Benefit Exchange Products $1,940.41 — — 2026-09-08 MRF ↗
UPMC CHAUTAUQUA AT WCA OutpatientFacility CORVEL WC $1,958.32 — — 2026-03-06 MRF ↗
EAST MORGAN COUNTY HOSPITAL OutpatientFacility Colorado Child Health Plan Plus Medicaid $2,019.09 — — 2026-09-23 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Healthfirst CHP/FHP/Medicaid $2,034.27 — — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Healthfirst CHP/FHP/Medicaid $2,034.27 — — 2026-02-27 MRF ↗
Alice Hyde Medical Center OutpatientFacility MVP Essential Plans $2,150.22 — — 2026-09-08 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility MVP Essential Plans $2,150.22 — — 2026-04-28 MRF ↗
LAKE HEALTH OutpatientFacility United Healthcare Managed Medicaid $2,291.18 — — 2025-05-17 MRF ↗
LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility United Healthcare Managed Medicaid $2,291.18 — — 2025-05-16 MRF ↗
REID HEALTH OutpatientFacility Caresource of Ohio Managed Medicaid $2,351.12 — — 2025-07-21 MRF ↗
REID HEALTH OutpatientFacility Humana of Ohio Managed Medicaid $2,351.12 — — 2025-07-21 MRF ↗
UPMC HORIZON OutpatientFacility UPMC Work Partners Workers Comp — — — 2026-03-06 MRF ↗
UPMC HORIZON OutpatientFacility CareSource OH MA $2,351.12 — — 2026-03-06 MRF ↗
STERLING REGIONAL MEDCENTER OutpatientFacility Colorado Child Health Plan Plus Medicaid $2,352.82 — — 2026-03-02 MRF ↗
STERLING REGIONAL MEDCENTER OutpatientFacility Molina Healthcare Medicaid/CHIP — — — 2026-03-02 MRF ↗
LAKE HEALTH OutpatientFacility CareSource Managed Medicaid $2,359.92 — — 2025-05-17 MRF ↗
LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility CareSource Managed Medicaid $2,359.92 — — 2025-05-16 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Capital District Physicians' Health Plan Essential Plans $2,359.97 — — 2026-04-28 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Empire BlueCross BlueShield Essential Plans/Managed Medicaid $2,359.97 — — 2026-04-28 MRF ↗
Alice Hyde Medical Center OutpatientFacility Capital District Physicians' Health Plan Essential Plans $2,359.97 — — 2026-09-08 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Fidelis Care Essential Plans $2,359.97 — — 2026-04-28 MRF ↗
LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility Amerihealth Caritas Managed Medicaid $2,382.83 — — 2025-05-16 MRF ↗
LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility Aetna (Ohio Rise) Managed Medicaid $2,382.83 — — 2025-05-16 MRF ↗
LAKE HEALTH OutpatientFacility Buckeye Managed Medicaid $2,405.74 — — 2025-05-17 MRF ↗
LAKE HEALTH OutpatientFacility Humana Managed Medicaid $2,405.74 — — 2025-05-17 MRF ↗
LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility Humana Managed Medicaid $2,405.74 — — 2025-05-16 MRF ↗
LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility Molina Managed Medicaid $2,405.74 — — 2025-05-16 MRF ↗
LAKE HEALTH OutpatientFacility Molina Managed Medicaid $2,405.74 — — 2025-05-17 MRF ↗
LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility Buckeye Managed Medicaid $2,405.74 — — 2025-05-16 MRF ↗
UPMC CHAUTAUQUA AT WCA OutpatientFacility BCBS of Western NY Medicaid $2,407.14 — — 2026-03-06 MRF ↗
MEMORIAL HOSPITAL WEST OutpatientFacility Wellpath Managed Medicaid $2,472.80 — — 2026-05-27 MRF ↗
Memorial Regional Hospital South OutpatientFacility Health Value Management Transplants - Medicaid $2,472.80 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL PEMBROKE OutpatientFacility Wellpath Managed Medicaid $2,472.80 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL WEST OutpatientFacility Health Value Management Transplants - Medicaid $2,472.80 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL MIRAMAR OutpatientFacility Wellpath Managed Medicaid $2,472.80 — — 2026-05-27 MRF ↗
Memorial Regional Hospital South OutpatientFacility Wellpath Managed Medicaid $2,472.80 — — 2026-05-27 MRF ↗
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility UHC Medicaid OH Medicaid $2,539.15 — — 2026-03-06 MRF ↗
UPMC HAMOT OutpatientFacility UHC Medicaid OH Medicaid $2,539.15 — — 2026-03-06 MRF ↗
UPMC HORIZON OutpatientFacility UHC Medicaid OH Medicaid $2,539.15 — — 2026-03-06 MRF ↗
UPMC JAMESON OutpatientFacility UHC Medicaid OH Medicaid $2,539.15 — — 2026-03-06 MRF ↗
UPMC JAMESON OutpatientFacility UPMC Work Partners Workers Comp — — — 2026-03-06 MRF ↗
Memorial Regional Hospital South OutpatientFacility Sunshine Transplant - Medicaid $2,571.72 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL MIRAMAR OutpatientFacility Sunshine Transplant - Medicaid $2,571.72 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL PEMBROKE OutpatientFacility Sunshine Transplant - Medicaid $2,571.72 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL WEST OutpatientFacility Sunshine Transplant - Medicaid $2,571.72 — — 2026-05-27 MRF ↗
Memorial Regional Hospital South OutpatientFacility Simply Healthcare Medicaid $2,596.44 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL WEST OutpatientFacility Florida Community Care FL Medicaid $2,596.44 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL MIRAMAR OutpatientFacility Florida Community Care FL Medicaid $2,596.44 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL PEMBROKE OutpatientFacility Humana FL Medicaid $2,596.44 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL PEMBROKE OutpatientFacility Simply Healthcare Medicaid $2,596.44 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL PEMBROKE OutpatientFacility Florida Community Care FL Medicaid $2,596.44 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL PEMBROKE OutpatientFacility Freedom Medicaid $2,596.44 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL WEST OutpatientFacility Humana FL Medicaid $2,596.44 — — 2026-05-27 MRF ↗
Memorial Regional Hospital South OutpatientFacility Florida Community Care FL Medicaid $2,596.44 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL MIRAMAR OutpatientFacility Freedom Medicaid $2,596.44 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL WEST OutpatientFacility Simply Healthcare Medicaid $2,596.44 — — 2026-05-27 MRF ↗
Memorial Regional Hospital South OutpatientFacility Freedom Medicaid $2,596.44 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL MIRAMAR OutpatientFacility Humana FL Medicaid $2,596.44 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL MIRAMAR OutpatientFacility Simply Healthcare Medicaid $2,596.44 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL WEST OutpatientFacility Freedom Medicaid $2,596.44 — — 2026-05-27 MRF ↗
Memorial Regional Hospital South OutpatientFacility Humana FL Medicaid $2,596.44 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL PEMBROKE OutpatientFacility Wellcare FL Medicaid $2,621.15 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL WEST OutpatientFacility Wellcare FL Medicaid $2,621.15 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL MIRAMAR OutpatientFacility Wellcare FL Medicaid $2,621.15 — — 2026-05-27 MRF ↗
Memorial Regional Hospital South OutpatientFacility Wellcare FL Medicaid $2,621.15 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL PEMBROKE OutpatientFacility Community Care Plan FL Medicaid $2,720.07 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL WEST OutpatientFacility Community Care Plan FL Medicaid $2,720.07 — — 2026-05-27 MRF ↗
Memorial Regional Hospital South OutpatientFacility Community Care Plan FL Medicaid $2,720.07 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL MIRAMAR OutpatientFacility Community Care Plan FL Medicaid $2,720.07 — — 2026-05-27 MRF ↗
Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility United Healthcare Medicaid $2,720.08 — — 2026-03-25 MRF ↗
Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility Simply Healthcare Medicaid $2,843.72 — — 2026-03-25 MRF ↗
MEMORIAL HOSPITAL PEMBROKE OutpatientFacility Simply Healthcare Florida Health Kids $2,967.34 — — 2026-05-27 MRF ↗
Memorial Regional Hospital South OutpatientFacility Simply Healthcare Florida Health Kids $2,967.34 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL MIRAMAR OutpatientFacility Simply Healthcare Florida Health Kids $2,967.34 — — 2026-05-27 MRF ↗
MEMORIAL HOSPITAL WEST OutpatientFacility Simply Healthcare Florida Health Kids $2,967.34 — — 2026-05-27 MRF ↗
Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility Sunshine Health Healthy Kids Medicaid $2,967.36 — — 2026-03-25 MRF ↗
Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility Sunshine Health Managed Medicaid $2,967.36 — — 2026-03-25 MRF ↗
Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility Aetna of FL Medicaid $2,967.36 — — 2026-03-25 MRF ↗
ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility MVP Essential Plans $3,221.36 — — 2026-02-19 MRF ↗
UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility MVP Essential Plans $3,221.36 — — 2026-02-19 MRF ↗
PORTER HOSPITAL INC OutpatientFacility MVP Essential Plans $3,221.36 — — 2026-02-19 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility MVP Essential Plans $3,221.36 — — 2026-02-19 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility MVP Essential Plans $3,222.70 — — 2026-10-12 MRF ↗
UPMC HAMOT OutpatientFacility Molina Healthcare of NY CHIP (For Kids)/Essential Plan/Medicaid $3,263.87 — — 2026-03-06 MRF ↗
UPMC HAMOT OutpatientFacility Fidelis Essential Plan $3,263.87 — — 2026-03-06 MRF ↗
UPMC CHAUTAUQUA AT WCA OutpatientFacility Molina Healthcare of NY Essential Plan $3,263.87 — — 2026-03-06 MRF ↗
UPMC CHAUTAUQUA AT WCA OutpatientFacility Fidelis Essential Plan $3,263.87 — — 2026-03-06 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Fidelis Care Essential Plans $3,535.60 — — 2026-02-19 MRF ↗
ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility Empire BlueCross BlueShield Essential Plans/Non-Aliessa Managed Medicaid $3,535.60 — — 2026-02-19 MRF ↗
UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility Fidelis Care Essential Plans $3,535.60 — — 2026-02-19 MRF ↗
ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility Fidelis Care Essential Plans $3,535.60 — — 2026-02-19 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Capital District Physicians' Health Plan Essential Plans $3,535.60 — — 2026-02-19 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Empire BlueCross BlueShield Essential Plans/Managed Medicaid $3,535.60 — — 2026-02-19 MRF ↗
ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility Capital District Physicians' Health Plan Essential Plans $3,535.60 — — 2026-02-19 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Fidelis Care Essential Plans $3,537.11 — — 2026-10-12 MRF ↗
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility Buckeye Managed Medicaid $3,749.29 — — 2025-05-15 MRF ↗
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility CareSource Managed Medicaid $3,767.58 — — 2025-05-15 MRF ↗
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility Aetna (Ohio Rise) Managed Medicaid $3,804.15 — — 2025-05-15 MRF ↗
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility Amerihealth Caritas Managed Medicaid $3,804.15 — — 2025-05-15 MRF ↗
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility Molina Managed Medicaid $3,840.73 — — 2025-05-15 MRF ↗
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility Humana Managed Medicaid $3,840.73 — — 2025-05-15 MRF ↗
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility United Healthcare Managed Medicaid $3,840.73 — — 2025-05-15 MRF ↗
UH ST JOHN MEDICAL CENTER OutpatientFacility Buckeye Managed Medicaid $3,969.06 — — 2025-05-19 MRF ↗
UH ST JOHN MEDICAL CENTER OutpatientFacility CareSource Managed Medicaid $3,988.42 — — 2025-05-19 MRF ↗
UH ST JOHN MEDICAL CENTER OutpatientFacility Aetna (Ohio Rise) Managed Medicaid $4,027.14 — — 2025-05-19 MRF ↗
UH ST JOHN MEDICAL CENTER OutpatientFacility Amerihealth Caritas Managed Medicaid $4,027.14 — — 2025-05-19 MRF ↗
Uh Geauga Medical Center OutpatientFacility Buckeye Managed Medicaid $4,032.86 — — 2025-05-16 MRF ↗
PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility United Healthcare Managed Medicaid $4,036.18 — — 2025-05-17 MRF ↗
UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility Buckeye Managed Medicaid $4,052.54 — — 2025-05-16 MRF ↗
Uh Geauga Medical Center OutpatientFacility CareSource Managed Medicaid $4,052.54 — — 2025-05-16 MRF ↗
UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility CareSource Managed Medicaid $4,052.54 — — 2025-05-16 MRF ↗
UH ST JOHN MEDICAL CENTER OutpatientFacility Molina Managed Medicaid $4,065.86 — — 2025-05-19 MRF ↗
UH ST JOHN MEDICAL CENTER OutpatientFacility United Healthcare Managed Medicaid $4,065.86 — — 2025-05-19 MRF ↗
UH ST JOHN MEDICAL CENTER OutpatientFacility Humana Managed Medicaid $4,065.86 — — 2025-05-19 MRF ↗
PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility CareSource Managed Medicaid $4,075.75 — — 2025-05-17 MRF ↗
PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility Buckeye Managed Medicaid $4,075.75 — — 2025-05-17 MRF ↗
Uh Geauga Medical Center OutpatientFacility Amerihealth Caritas Managed Medicaid $4,091.88 — — 2025-05-16 MRF ↗
UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility Aetna (Ohio Rise) Managed Medicaid $4,091.88 — — 2025-05-16 MRF ↗
UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility Amerihealth Caritas Managed Medicaid $4,091.88 — — 2025-05-16 MRF ↗
Uh Geauga Medical Center OutpatientFacility Aetna (Ohio Rise) Managed Medicaid $4,091.88 — — 2025-05-16 MRF ↗
PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility Amerihealth Caritas Managed Medicaid $4,115.32 — — 2025-05-17 MRF ↗
PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility Aetna (Ohio Rise) Managed Medicaid $4,115.32 — — 2025-05-17 MRF ↗
UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility Molina Managed Medicaid $4,131.23 — — 2025-05-16 MRF ↗
UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility Humana Managed Medicaid $4,131.23 — — 2025-05-16 MRF ↗
Uh Geauga Medical Center OutpatientFacility United Healthcare Managed Medicaid $4,131.23 — — 2025-05-16 MRF ↗
UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility United Healthcare Managed Medicaid $4,131.23 — — 2025-05-16 MRF ↗
Uh Geauga Medical Center OutpatientFacility Molina Managed Medicaid $4,131.23 — — 2025-05-16 MRF ↗
Uh Geauga Medical Center OutpatientFacility Humana Managed Medicaid $4,131.23 — — 2025-05-16 MRF ↗
ADENA REGIONAL MEDICAL CENTER OutpatientFacility United Community Health Plan Managed Medicaid $4,132.26 — — 2025-10-03 MRF ↗
PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility Humana Managed Medicaid $4,154.89 — — 2025-05-17 MRF ↗
PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility Molina Managed Medicaid $4,154.89 — — 2025-05-17 MRF ↗
UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility CareSource Managed Medicaid $4,168.89 — — 2025-05-18 MRF ↗
UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility United Healthcare Managed Medicaid $4,168.89 — — 2025-05-18 MRF ↗
ADENA REGIONAL MEDICAL CENTER OutpatientFacility Molina Managed Medicaid $4,193.23 — — 2025-10-03 MRF ↗
UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility Amerihealth Caritas Managed Medicaid $4,209.37 — — 2025-05-18 MRF ↗
UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility Aetna (Ohio Rise) Managed Medicaid $4,209.37 — — 2025-05-18 MRF ↗
UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility Humana Managed Medicaid $4,249.84 — — 2025-05-18 MRF ↗
UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility Molina Managed Medicaid $4,249.84 — — 2025-05-18 MRF ↗
UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility Buckeye Managed Medicaid $4,249.84 — — 2025-05-18 MRF ↗
ADENA REGIONAL MEDICAL CENTER OutpatientFacility Buckeye Community Health Plan Managed Medicaid $4,253.94 — — 2025-10-03 MRF ↗

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