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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0219U — Nfct Agent HIV Trgt Viral Next-gnrj Seq Alys Alg

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 $789

Usually $725–$1,512 (25th–75th percentile) across 900 hospitals · 2,132 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT 0219U — 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
James Cancer Hospital & Solove Research Institute Outpatient Cigna Cigna - Transplant $0.62 $2,991.00 — 2026-07-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage — $450.00 $369.00 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage — $450.00 $369.00 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage — $450.00 $369.00 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage — $450.00 $369.00 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage — $450.00 $369.00 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. HMO — $450.00 $369.00 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Blue Cross of California d/b/a Anthem Blue Cross Medicare Advantage — $450.00 $369.00 2025-11-26 MRF ↗
CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient Wi Ma Wi Ma $13.71 $824.00 $824.00 2026-07-18 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Alignment Health Plan Medicare Advantage — $450.00 $369.00 2025-11-26 MRF ↗
FISHER-TITUS HOSPITAL Outpatient Caresource Caresourcemedicaid $17.66 — — 2026-07-31 MRF ↗
FISHER-TITUS HOSPITAL Outpatient Anthem Anthemmedicaid $17.66 — — 2026-07-31 MRF ↗
FISHER-TITUS HOSPITAL Outpatient Amerihealth Amerihealthmedicaid $18.19 — — 2026-07-31 MRF ↗
FISHER-TITUS HOSPITAL Outpatient United Healthcare Unitedmedicaid $18.19 — — 2026-07-31 MRF ↗
FISHER-TITUS HOSPITAL Outpatient Buckeye Buckeyemedicaid $18.19 — — 2026-07-31 MRF ↗
FISHER-TITUS HOSPITAL Outpatient Molina Molinamedicaid $18.19 — — 2026-07-31 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) PPO — $450.00 $369.00 2025-11-26 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Simply Healthcare Healthy Kids $20.49 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Simply Healthcare Healthy Kids $20.49 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Simply Healthcare Healthy Kids $20.49 — — 2026-06-30 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Simply Healthcare Healthy Kids $20.49 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Simply Healthcare Medicaid HMO $21.52 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Sunshine State Medicaid HMO $21.52 — — 2026-06-30 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Sunshine State Medicaid HMO $21.52 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Sunshine State Medicaid HMO $21.52 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Sunshine State Medicaid HMO $21.52 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Simply Healthcare Medicaid HMO $21.52 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Simply Healthcare Medicaid HMO $21.52 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Simply Healthcare Medicaid HMO $21.52 — — 2026-06-30 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Kaiser Foundation Hospitals Medicare Advantage — $450.00 $369.00 2025-11-26 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Molina Healthy Kids $22.13 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Molina Healthy Kids $22.13 — — 2026-06-30 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Molina Medicaid HMO $22.13 — — 2026-06-30 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Molina Healthy Kids $22.13 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Molina Medicaid HMO $22.13 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Molina Medicaid HMO $22.13 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Molina Medicaid HMO $22.13 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Molina Healthy Kids $22.13 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Florida Community Care Medicaid HMO $22.54 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Amerihealth Caritas Medicaid HMO $22.54 — — 2026-06-30 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Florida Community Care Medicaid HMO $22.54 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Community Care Plan Medicaid HMO $22.54 — — 2026-06-30 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Community Care Plan Medicaid HMO $22.54 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Amerihealth Caritas Medicaid HMO $22.54 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Florida Community Care Medicaid HMO $22.54 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Florida Community Care Medicaid HMO $22.54 — — 2026-06-30 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Amerihealth Caritas Medicaid HMO $22.54 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Community Care Plan Medicaid HMO $22.54 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Community Care Plan Medicaid HMO $22.54 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient Amerihealth Caritas Medicaid HMO $22.54 — — 2025-08-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) POS — $450.00 $369.00 2025-11-26 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 — — 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 — — 2024-12-08 MRF ↗
SUMMIT MEDICAL CENTER Outpatient BCBS Advantage PPO BCBS Advantage PPO $31.23 — — 2026-08-30 MRF ↗
SUMMIT MEDICAL CENTER Outpatient BCBS Blue Lincs HMO BCBS Blue Lincs HMO $31.23 — — 2026-08-30 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 — — 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 — — 2024-12-08 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. POS — $450.00 $369.00 2025-11-26 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 — — 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 — — 2024-12-08 MRF ↗
Baylor Scott & White Medical Center - Lakeway OutpatientFacility United Healthcare Commercial $36.00 $1,350.00 $810.00 2026-06-13 MRF ↗
LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility Blue Shield of California Commercial/IFP $37.83 — — 2026-03-18 MRF ↗
SUMMIT MEDICAL CENTER Outpatient BCBS Preferred BCBS Preferred $37.91 — — 2026-08-30 MRF ↗
ANDERSON HOSPITAL OutpatientFacility Molina Managed Medicaid $39.31 — — 2025-01-21 MRF ↗
ANDERSON HOSPITAL OutpatientFacility Illinois Medicaid Illinois Medicaid $39.31 — — 2025-01-21 MRF ↗
ANDERSON HOSPITAL OutpatientFacility Meridian Managed Medicaid $39.31 — — 2025-01-21 MRF ↗
INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient Ccbh - Behavioral Health Behavioral — — — 2026-07-19 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Aetna Better Health Medicaid Aetna Better Health $41.55 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Aetna Better Health Medicaid Aetna Better Health $41.55 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Humana Health Plan Medicaid Humana Health Plan $41.55 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Wellcare Medicaid Wellcare $41.55 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Meridian Medicaid Meridian $41.55 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Health Alliance Medicaid Health Alliance $41.55 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Wellcare Medicaid Wellcare $41.55 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Blue Cross Community Family Health Plan Xxl / Xog Medicaid Blue Cross Community Family Health Plan Xxl / Xog $41.55 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Illinois Medicaid Illinois $41.55 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Countycare Claims Medicaid Countycare Claims $41.55 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Youth Care Medicaid Youth Care $41.55 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Illinois Medicaid Illinois $41.55 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Meridian Medicaid Meridian $41.55 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Youth Care Medicaid Youth Care $41.55 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Blue Cross Community Family Health Plan Xxl / Xog Medicaid Blue Cross Community Family Health Plan Xxl / Xog $41.55 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Molina Medicaid Molina $41.55 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Molina Medicaid Molina $41.55 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Countycare Claims Medicaid Countycare Claims $41.55 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Health Alliance Medicaid Health Alliance $41.55 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Medicaid Humana Health Plan Medicaid Humana Health Plan $41.55 — — 2026-05-14 MRF ↗
SUMMIT MEDICAL CENTER Outpatient BCBS Choice BCBS Choice $44.62 — — 2026-08-30 MRF ↗
STAFFORD HOSPITAL, LLC Both Bcbs Hk Plus $46.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
MARY WASHINGTON HOSPITAL Both Uhc Ccc Plus $46.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
STAFFORD HOSPITAL, LLC Both Bcbs Ccc $46.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
STAFFORD HOSPITAL, LLC Both Sentara Community Care $46.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
MARY WASHINGTON HOSPITAL Both Bcbs Hk Plus $46.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
STAFFORD HOSPITAL, LLC Both Aetna Better Health Of Va $46.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
STAFFORD HOSPITAL, LLC Both Uhc Ccc Plus $46.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
MARY WASHINGTON HOSPITAL Both Sentara Community Care $46.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
MARY WASHINGTON HOSPITAL Both Humana Ccc $46.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
MARY WASHINGTON HOSPITAL Both Bcbs Ccc $46.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
MARY WASHINGTON HOSPITAL Both Aetna Better Health Of Va $46.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
STAFFORD HOSPITAL, LLC Both Humana Ccc $46.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
STAFFORD HOSPITAL, LLC Both Molina Complete Mcd $48.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
MARY WASHINGTON HOSPITAL Both Molina Complete Mcd $48.00 $2,436.00 $1,218.00 2026-07-15 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Blue Cross Commercial $48.05 — — 2026-07-15 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Blue Cross Lanier Commercial $48.05 — — 2026-07-15 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Affinity Health Plan HARP $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus ESSENTIALPLAN3 and 4 $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Health First MEDICAID $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Affinity Health Plan HARP $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Health First HARP $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Health Plus ESSENTIALPLAN3 and 4 $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health First HARP $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health First MEDICIAD $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Affinity Health Plan MEDICAID $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Affinity Health Plan MEDICAID $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Affinity Health Plan CHP $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Affinity Health Plan CHP $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Fidelis Care New York HARP $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Affinity Health Plan CHP $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Beacon Health Options Medicaid $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Health Plus MLTC $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Fidelis Care New York MEDICAIDHMO $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Beacon Health Options CHP $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Fidelis Care New York MAP $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Fidelis Care New York HARP $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Fidelis Care New York MAP $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Health First EP3 and 4 $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Affinity Health Plan MEDICAID $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Fidelis Care New York MEDICAIDCHP $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Affinity Health Plan CHP $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Affinity Health Plan MEDICAID $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Affinity Health Plan HARP $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Fidelis Care New York MEDICAIDHMO $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Fidelis Care New York MEDICAIDCHP $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Health Plus ESSENTIALPLAN3 and 4 $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Fidelis Care New York MAP $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Fidelis Care New York HARP $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Affinity Health Plan HARP $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Fidelis Care New York MEDICAIDCHP $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Health Plus MEDICAID $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Health Plus HARP $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Affinity Health Plan MEDICAID $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus MLTC $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health First EP3 and 4 $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Affinity Health Plan CHP $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus MEDICAID $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Affinity Health Plan HARP $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Fidelis Care New York MEDICAIDHMO $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Health First HARP $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus CHILDHEALTHPLUS $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Health First HARP $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Health First MEDICAID $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Health Plus MLTC $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Health First MEDICAID $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Health First EP3 and 4 $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus HARP $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health First EP3 and 4 $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Fidelis Care New York MEDICAIDHMO $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Beacon Health Options Medicaid $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Beacon Health Strategies Medicaid $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Fidelis Care New York HARP $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Fidelis Care New York HARP $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Affinity Health Plan HARP $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Health First EP3 and 4 $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Health Plus CHILDHEALTHPLUS $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Health First HARP $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus HARP $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Affinity Health Plan MEDICAID $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Fidelis Care New York MEDICAIDCHP $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Affinity Health Plan CHP $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus CHILDHEALTHPLUS $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus ESSENTIALPLAN3 and 4 $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Health Plus ESSENTIALPLAN3 and 4 $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Beacon Health Options Medicaid $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Beacon Health Options CHP $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Fidelis Care New York MAP $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Health Plus ESSENTIALPLAN3 and 4 $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Beacon Health Options CHP $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Fidelis Care New York MEDICAIDHMO $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Fidelis Care New York MEDICAIDCHP $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Health Plus CHILDHEALTHPLUS $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Health Plus HARP $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Health Plus CHILDHEALTHPLUS $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Health Plus HARP $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health First MEDICAID $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Fidelis Care New York MAP $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Health Plus MEDICAID $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Health Plus MLTC $49.19 — — 2024-12-13 MRF ↗
ST CATHERINE OF SIENA HOSPITAL Outpatient Health Plus CHILDHEALTHPLUS $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health First HARP $49.19 — — 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus MEDICAID $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Health Plus MLTC $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Fidelis Care New York MEDICAIDCHP $49.19 — — 2024-12-13 MRF ↗
GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient Fidelis Care New York MAP $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus MLTC $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Beacon Health Strategies Medicaid $49.19 — — 2024-12-13 MRF ↗
MERCY MEDICAL CENTER Outpatient Health Plus HARP $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Health First MEDICAID $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Health First EP3 and 4 $49.19 — — 2024-12-13 MRF ↗
ST CHARLES HOSPITAL Outpatient Fidelis Care New York HARP $49.19 — — 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Fidelis Care New York MEDICAIDHMO $49.19 — — 2024-12-13 MRF ↗

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