00368 — Eapg 3.18: Level Ii Oral And Maxillofacial Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EAPG 3.18: LEVEL II ORAL AND MAXILLOFACIAL PROCEDURES (EAPG 00368) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00368?code_type=EAPG
MLA (9th ed.)
“EAPG 3.18: LEVEL II ORAL AND MAXILLOFACIAL PROCEDURES (EAPG 00368) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00368?code_type=EAPG. Accessed .
Chicago (notes-bibliography)
“EAPG 3.18: LEVEL II ORAL AND MAXILLOFACIAL PROCEDURES (EAPG 00368) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00368?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $390–$1,337 (25th–75th percentile) across 34 hospitals · 45 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 00368 — 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 | $3.97 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $3.97 | — | — | 2026-05-27 | MRF ↗ |
| ASPIRE HEALTH PARTNERS OutpatientFacility | Sunshine Health | Medicaid | $4.13 | — | — | 2026-02-03 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Molina Healthcare of OH | Medicaid OOS/Medicare | $190.90 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Buckeye Health | Medicaid OOS | $190.90 | — | — | 2026-02-18 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Cook Children's Health Plan (CCHP) | Medicaid | $262.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Anthem | Medicaid | $262.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | United Healthcare | Medicaid | $262.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Molina Healthcare | Medicaid | $262.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Dean Health | Medicaid | $262.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Quartz | Badgercare/Employee Trust Funds/QHP | $262.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Independent Care Health Plan | Medicaid | $262.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicaid HMO | $262.06 | — | — | 2026-04-02 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Aetna | CHP/Medicaid | $268.90 | — | — | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Humana | OH Medicaid | $268.90 | — | — | 2026-01-23 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Managed Health Services | Medicaid | $272.54 | — | — | 2026-04-02 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | UHC Medicaid NY | Medicaid | $342.31 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Fidelis | Child Health Plus/Family Health Plus/Medicaid | $342.31 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Child Health Plus | $342.31 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Family Health Plus/Medicaid | $342.31 | — | — | 2026-03-06 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Optum | Medicaid | $342.31 | — | — | 2025-07-23 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Beacon | Managed Medicaid | $342.31 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $342.31 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $342.31 | — | — | 2026-03-06 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Molina | Medicaid | $352.58 | — | — | 2025-07-23 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $359.43 | — | — | 2026-03-06 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MyCompass | Medicaid | $369.69 | — | — | 2025-07-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Managed Medicaid | $370.96 | — | — | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $370.96 | — | — | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Managed Medicaid | $370.96 | — | — | 2026-10-12 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $371.84 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $371.84 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | MVP | Managed Medicaid | $371.84 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | MVP | Managed Medicaid | $371.84 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Managed Medicaid | $371.84 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Managed Medicaid | $371.84 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $371.84 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $371.84 | — | — | 2026-02-19 | MRF ↗ |
| PORTER HOSPITAL INC OutpatientFacility | MVP | Managed Medicaid, Child Health Plus, Health & Recovery Plans | $371.84 | — | — | 2026-02-19 | MRF ↗ |
| PORTER HOSPITAL INC OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $371.84 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $371.84 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | Fidelis Care | Managed Medicaid | $371.84 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $390.44 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Fidelis Care | Child Health Plus | $390.44 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $390.44 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Fidelis Care | Managed Medicaid | $390.44 | — | — | 2026-02-19 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $410.77 | — | — | 2026-03-06 | MRF ↗ |
| BANNER FORT COLLINS MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $425.34 | — | — | 2026-03-02 | MRF ↗ |
| BANNER MCKEE MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $453.04 | — | — | 2026-03-02 | MRF ↗ |
| BANNER NORTH COLORADO MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $453.04 | — | — | 2026-03-02 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | CORVEL | WC | $462.12 | — | — | 2026-03-06 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | CHP/FHP/Medicaid | $481.37 | — | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | CHP/FHP/Medicaid | $481.37 | — | — | 2026-02-27 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Molina Healthcare | Medicaid/CHIP | — | — | — | 2026-03-02 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $556.75 | — | — | 2026-03-02 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Medicaid | $568.03 | — | — | 2026-03-06 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $569.51 | — | — | 2026-04-28 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $569.51 | — | — | 2026-09-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Managed Medicaid | $569.51 | — | — | 2026-09-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Managed Medicaid | $569.51 | — | — | 2026-04-28 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $569.51 | — | — | 2026-09-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $569.51 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Managed Medicaid | $569.51 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $597.99 | — | — | 2026-04-28 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | Commercial | $661.55 | — | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | Commercial | $661.55 | — | — | 2026-02-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna | Gatekeeper | — | — | — | 2026-05-27 | 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 PEMBROKE OutpatientFacility | Aetna | Qualified Health Plan | — | — | — | 2026-05-27 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Essential Plan | $735.97 | — | — | 2025-07-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Essential Plans | $760.47 | — | — | 2026-10-12 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | MVP | Essential Plans | $762.28 | — | — | 2026-02-19 | MRF ↗ |
| PORTER HOSPITAL INC OutpatientFacility | MVP | Essential Plans | $762.28 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Essential Plans | $762.28 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | MVP | Essential Plans | $762.28 | — | — | 2026-02-19 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Fidelis | Essential Plan | $770.20 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $770.20 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Essential Plan | $770.20 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Molina Healthcare of NY | Essential Plan | $770.20 | — | — | 2026-03-06 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Molina | Essential Plans | $770.20 | — | — | 2025-07-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Essential Plans | $834.66 | — | — | 2026-10-12 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | Fidelis Care | Essential Plans | $836.64 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Fidelis Care | Essential Plans | $836.64 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Empire BlueCross BlueShield | Essential Plans/Non-Aliessa Managed Medicaid | $836.64 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $836.64 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $836.64 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Essential Plans/Managed Medicaid | $836.64 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Essential Plans | $836.64 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Health Benefit Exchange Products | $1,053.57 | — | — | 2026-09-08 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $1,096.29 | — | — | 2026-09-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Essential Plans | $1,167.49 | — | — | 2026-04-28 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Essential Plans | $1,167.49 | — | — | 2026-09-08 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Caresource] | [Medicaid] | $1,192.00 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Unitedhealthcare] | [Medicaid] | $1,192.00 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Meridian] | [Medicaid] | $1,192.00 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Anthem] | [Medicaid] | $1,192.00 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Aetna Medicaid] | [Better Health] | $1,192.00 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Humana Behavior Health] | [Medicaid] | $1,227.76 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Amerihealth Caritas] | [Medicaid] | $1,227.76 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Molina] | [Medicaid] | $1,251.60 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Buckeye Community Health Plan] | [Medicaid] | $1,251.60 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Wellpath | Managed Medicaid | $1,273.61 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Health Value Management | Transplants - Medicaid | $1,273.61 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Wellpath | Managed Medicaid | $1,273.61 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Wellpath | Managed Medicaid | $1,273.61 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Health Value Management | Transplants - Medicaid | $1,273.61 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Wellpath | Managed Medicaid | $1,273.61 | — | — | 2026-05-27 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $1,281.38 | — | — | 2026-09-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Essential Plans | $1,281.38 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $1,281.38 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Essential Plans/Managed Medicaid | $1,281.38 | — | — | 2026-04-28 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Sunshine | Transplant - Medicaid | $1,324.56 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Sunshine | Transplant - Medicaid | $1,324.56 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | Transplant - Medicaid | $1,324.56 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Sunshine | Transplant - Medicaid | $1,324.56 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Freedom | Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Humana | FL Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Humana | FL Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Simply Healthcare | Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Freedom | Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Simply Healthcare | Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Florida Community Care | FL Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Humana | FL Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Simply Healthcare | Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Florida Community Care | FL Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Freedom | Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Florida Community Care | FL Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Humana | FL Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Simply Healthcare | Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Florida Community Care | FL Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Freedom | Medicaid | $1,337.29 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Wellcare | FL Medicaid | $1,350.02 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Wellcare | FL Medicaid | $1,350.02 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Wellcare | FL Medicaid | $1,350.02 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Wellcare | FL Medicaid | $1,350.02 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Community Care Plan | FL Medicaid | $1,400.97 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | FL Medicaid | $1,400.97 | — | — | 2026-05-27 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | United Healthcare | Medicaid | $1,400.97 | — | — | 2026-03-25 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Community Care Plan | FL Medicaid | $1,400.97 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Community Care Plan | FL Medicaid | $1,400.97 | — | — | 2026-05-27 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Simply Healthcare | Medicaid | $1,464.65 | — | — | 2026-03-25 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Simply Healthcare | Florida Health Kids | $1,528.32 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Simply Healthcare | Florida Health Kids | $1,528.32 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Simply Healthcare | Florida Health Kids | $1,528.32 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Simply Healthcare | Florida Health Kids | $1,528.32 | — | — | 2026-05-27 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Aetna of FL | Medicaid | $1,528.33 | — | — | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Sunshine Health | Healthy Kids Medicaid | $1,528.33 | — | — | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Sunshine Health | Managed Medicaid | $1,528.33 | — | — | 2026-03-25 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | United Healthcare | Nebraska Medicaid/CHIP | $2,266.74 | — | — | 2026-03-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Blue Cross Blue Shield of Virginia (Anthem) | Medicaid | $3,141.39 | — | — | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $3,172.16 | — | — | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Kaiser Foundation Health Plan | Managed Medicaid | $3,387.77 | — | — | 2026-04-02 | MRF ↗ |
| FLOYD CHEROKEE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Alabama | Commercial | $3,466.04 | — | — | 2025-11-19 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Aetna Better Health VA | Managed Medicaid | $3,541.73 | — | — | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Sentara Health Plans | Managed Medicaid | $3,541.73 | — | — | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Molina Healthcare VA | Managed Medicaid (Medallion) | $3,849.73 | — | — | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Molina Healthcare VA | Managed Medicaid (CCC Plus) | $3,849.73 | — | — | 2026-04-02 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $4,370.04 | — | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $4,370.04 | — | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S ST CLAIR OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $4,930.86 | — | — | 2026-04-20 | MRF ↗ |
| ST. VINCENT'S EAST OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $5,574.33 | — | — | 2026-04-20 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Amerigroup DC | Managed Medicaid | $5,904.44 | — | — | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Health Services for Children with Special Needs | State Medicaid | $5,904.44 | — | — | 2026-04-02 | MRF ↗ |
| Children's National Medical Center OutpatientFacility | Amerihealth DC | Managed Medicaid | $5,904.44 | — | — | 2026-04-02 | MRF ↗ |
| UNIVERSITY OF ALABAMA HOSPITAL OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $6,141.68 | — | — | 2026-02-19 | MRF ↗ |
| ST VINCENTS BLOUNT OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $6,244.10 | — | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S CHILTON OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $7,034.06 | — | — | 2026-04-20 | MRF ↗ |
| UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWN OutpatientFacility | Wellmark Blue Cross Blue Shield | HMO | $2,705,407.20 | — | — | 2026-02-27 | MRF ↗ |
| The University Of Iowa Hospitals And Clinics OutpatientFacility | Wellmark Blue Cross Blue Shield | HMO | $2,705,407.20 | — | — | 2026-02-27 | MRF ↗ |
| UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWN OutpatientFacility | Wellmark Blue Cross Blue Shield | Indemnity/PPO | $3,273,542.71 | — | — | 2026-02-27 | MRF ↗ |
| The University Of Iowa Hospitals And Clinics OutpatientFacility | Wellmark Blue Cross Blue Shield | Indemnity/PPO | $3,273,542.71 | — | — | 2026-02-27 | MRF ↗ |