00270-0445-35 — Gastrografin
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Gastrografin (OTHER 00270-0445-35) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00270-0445-35?code_type=OTHER
MLA (9th ed.)
“Gastrografin (OTHER 00270-0445-35) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00270-0445-35?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Gastrografin (OTHER 00270-0445-35) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00270-0445-35?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $0–$2,242 (25th–75th percentile) across 5 hospitals · 55 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 00270-0445-35 — 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 |
|---|---|---|---|---|---|---|---|
| University of Arkansas Medical Sciences Outpatient | Empower | Empower | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Triwest | Triwest | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna Healthspring Medicare Advantage | Cigna Healthspring Medicare Advantage | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Total Care | Arkansas Total Care | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Summit Community Care | Summit Community Care | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Health Advantage | Health Advantage | $0.25 | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Optum Health Transplant | Medicare Advantage | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Healthscope Benefits | Healthscope Benefits | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Wellcare By Allwell | Medicare Advantage | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Wellcare Non | Dual Elig Medicare Advantage | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Wellcare Dual Elig Medicare Advantage | Wellcare Dual Elig Medicare Advantage | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Vantos | Vantos | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Tribute Health | Medicare Advantage | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Qualchoice Novasys | Qualchoice Novasys | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Northwest Health Plan | Northwest Health Plan | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna C | 16 | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Caresource Passe | Caresource Passe | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield True Blue Ppo | Blue Cross Blue Shield True Blue Ppo | $0.25 | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield Premium Hmo | Blue Cross Blue Shield Premium Hmo | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield Metallic Plan | Blue Cross Blue Shield Metallic Plan | $0.25 | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield Medicare Advantage | Blue Cross Blue Shield Medicare Advantage | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Medicare | Arkansas Medicare | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Medicaid | Arkansas Medicaid | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Essence Healthcare | Essence Healthcare | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Primewell Health Services | Commercial | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Primewell Health Services | Medicare Advantage | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Ambetter | Ambetter | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | First Health | First Health | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Devoted Health Plan | Devoted Health Plan | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | United Healthcare | Medicare Advantage | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | United Healthcare | Commercial | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna | Cigna | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Municipal Health Benefit Fund | Municipal Health Benefit Fund | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Multiplan | Multiplan | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Humana | Choicecare Medicare Advantage | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Humana | Commercial | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Va | Community Care Network | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Aetna | Medicare | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Aetna | Commercial | — | $290.75 | $174.45 | 2026-05-08 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $16.98 | $13.58 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Aetna Rental | First Health | — | $16.98 | $13.58 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $16.98 | $13.58 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | United Mine Workers Of America | United Mine Workers Of America | — | $16.98 | $13.58 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Aetna | Better Health | — | $16.98 | $13.58 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Caresource | Caresource | — | $16.98 | $13.58 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Multiplan | Multiplan | — | $16.98 | $13.58 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Cigna | Cigna | — | $16.98 | $13.58 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | United Healthcare | United Healthcare | — | $16.98 | $13.58 | 2026-05-13 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Security Health | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Aetna | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Aetna | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Galaxy Health Network Ppo | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Galaxy Health Network Ppo | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Naphcare | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Naphcare | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Viva Health | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Viva Health | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Health Choice | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Health Choice | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Care Improvement Plus | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Care Improvement Plus | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Fl | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Fl | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Al | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Al | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Dept Of Labor | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Dept Of Labor | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Direct Connect Contracting | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Direct Connect Contracting | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Humana Choicecare Gold | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Humana Choicecare Gold | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Security Health | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Simpra Advantage | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Simpra Advantage | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | United Healthcare Va | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | United Healthcare Va | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Wellcare | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Wellcare | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | First Health | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | First Health | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Cigna | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Cigna | Medicare Advantage | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Aetna All Plans | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Aetna All Plans | Commercial | — | $203.05 | $81.22 | 2026-05-08 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | United Healthcare | United Healthcare | — | $25.47 | $12.74 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna | — | $25.47 | $12.74 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Multiplan | Multiplan | — | $25.47 | $12.74 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | — | $25.47 | $12.74 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna | Better Health | — | $25.47 | $12.74 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $25.47 | $12.74 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna Rental | First Health | — | $25.47 | $12.74 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $25.47 | $12.74 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | United Healthcare | United Healthcare | — | $25.47 | $12.74 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna | — | $25.47 | $12.74 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Multiplan | Multiplan | — | $25.47 | $12.74 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | — | $25.47 | $12.74 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna | Better Health | — | $25.47 | $12.74 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $25.47 | $12.74 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna Rental | First Health | — | $25.47 | $12.74 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $25.47 | $12.74 | 2026-05-22 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Aetna Rental | First Health | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Humana Medicare Advantage | All Plans | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Aetna Medicare Advantage | All Plans | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Anthem Pathway | Anthem Pathway | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Aetna | Better Health | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Caresource | Caresource | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Multiplan | Multiplan | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Cigna | Cigna | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | United Healthcare | United Healthcare | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Upmc For Life Medicare Advantage | All Plans | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Caresource Oh | Managed Medicaid | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Caresource Oh Medicare Advantage | All Plans | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Senior Life Medicare Advantage | All Plans | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Anthem Oh Medicare Advantage | Hmo | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Peak Health Medicare Advantage | All Plans | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Molina Oh Medicare Advantage | All Plans | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Highmark Wv Medicare Advantage | All Plans | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Highmark Wholecare Pa Medicare Advantage | All Pla | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Geisinger Pa Medicare Advantage | All Plans | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Buckeye Oh Medicare Advantage | All Plans | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Inpatient | Buckeye Commercial | Buckeye Commercial | — | $19.10 | $9.55 | 2026-05-13 | MRF ↗ |