0319T — Insert Subq Defib W/eltrd
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INSERT SUBQ DEFIB W/ELTRD (OTHER 0319T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0319T?code_type=OTHER
MLA (9th ed.)
“INSERT SUBQ DEFIB W/ELTRD (OTHER 0319T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0319T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“INSERT SUBQ DEFIB W/ELTRD (OTHER 0319T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0319T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,873–$11,056 (25th–75th percentile) across 37 hospitals · 14 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0319T — 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 |
|---|---|---|---|---|---|---|---|
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem BCBS | All Products | $709.95 | — | — | 2026-04-01 | MRF ↗ |
| PALESTINE REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | All Commercial Plans | $1,013.00 | — | — | 2026-04-01 | MRF ↗ |
| PALESTINE REGIONAL WEST CAMPUS OutpatientFacility | BCBS | All Commercial Plans | $1,013.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Cross - Asc | All Commercial Plans | $1,340.00 | — | — | 2026-04-01 | MRF ↗ |
| Ascension Saint Thomas Hospital Midtown Outpatient | BCBS MISSIONPOINT | 1012_BLUE CROSS BLUE SHIELD MISSIONPOINT 20221001 | $1,752.88 | — | — | 2026-01-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | Healthlink | Employers Choice All Commercial Plans | $1,865.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Healthlink | Employers Choice All Commercial Plans | $1,865.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Healthlink | Employers Choice All Commercial Plans | $1,865.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Healthlink | Hmo | $2,496.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Healthlink | Hmo | $3,102.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Healthlink | Hmo | $3,102.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | Healthlink | HMO | $3,102.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Healthlink | Ppo | $3,851.00 | — | — | 2026-04-01 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Payor Other Commercial Plan | $4,440.00 | — | — | 2026-03-31 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Humana | HMO/POS | $4,983.00 | — | — | 2026-03-31 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | Options Ppo | $5,105.00 | — | — | 2026-03-31 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Humana | All Commercial Plans | $5,538.00 | — | — | 2026-03-31 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Cross | All Commercial Plans | $5,789.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Cross | All Commercial Plans | $6,020.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Cross | All Commercial Plans | $6,041.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Cross | All Commercial Plans | $6,041.00 | — | — | 2026-04-01 | MRF ↗ |
| STANFORD HEALTH CARE TRI-VALLEY OutpatientFacility | Cigna | Hmo | $6,448.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2738_SPOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $6,872.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD CHOICE | 2723_SPOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $6,872.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2722_SPOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $6,872.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD CHOICE | 2723_SPOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $6,872.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD LINCS | 2728_SPOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $6,872.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD PREFERRED | 2733_SPOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $6,872.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2738_SPOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $6,872.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD PREFERRED | 2733_SPOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $6,872.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD LINCS | 2728_SPOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $6,872.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2722_SPOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $6,872.74 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD LINCS | 2729_OHOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $7,280.62 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2721_OHOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $7,280.62 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD CHOICE | 2724_OHOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $7,280.62 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD LINCS | 2729_OHOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $7,280.62 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD PREFERRED | 2734_OHOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $7,280.62 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2739_OHOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $7,280.62 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD CHOICE | 2724_OHOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $7,280.62 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2721_OHOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $7,280.62 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD PREFERRED | 2734_OHOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $7,280.62 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2739_OHOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $7,280.62 | — | — | 2026-01-01 | MRF ↗ |
| OSF SACRED HEART MEDICAL CENTER OutpatientFacility | UnitedHealthCare | All Commercial Plans | $7,332.00 | — | — | 2026-03-31 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Cross | All Commercial Plans | $7,971.00 | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Humana | PPO | $8,334.00 | — | — | 2026-03-31 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Bcbs | Ppo | $8,446.46 | — | — | 2026-04-01 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Bcbs | Hmo | $8,446.46 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD CHOICE | 2727_MCOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $8,713.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2719_MCOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $8,713.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD CHOICE | 2727_MCOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $8,713.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD LINCS | 2731_MCOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $8,713.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD PREFERRED | 2736_MCOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $8,713.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2741_MCOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $8,713.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2741_MCOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $8,713.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2719_MCOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $8,713.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD LINCS | 2731_MCOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $8,713.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD PREFERRED | 2736_MCOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $8,713.29 | — | — | 2026-01-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Blue Cross | Epo Exchange | $9,256.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Blue Cross | Epo Exchange | $9,256.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | BLUE CROSS BLUE SHIELD PREFERRED | 2737_JPOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $9,376.10 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2740_NHOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $9,376.10 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2720_NHOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $9,376.10 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | BLUE CROSS BLUE SHIELD CHOICE | 2725_NHOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $9,376.10 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | BLUE CROSS BLUE SHIELD PREFERRED | 2735_NHOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $9,376.10 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | BLUE CROSS BLUE SHIELD LINCS | 2730_NHOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $9,376.10 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2742_JPOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $9,376.10 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | BLUE CROSS BLUE SHIELD CHOICE | 2726_JPOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $9,376.10 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | BLUE CROSS BLUE SHIELD LINCS | 2732_JPOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $9,376.10 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2718_JPOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $9,376.10 | — | — | 2026-01-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Cross | Anthem Select Hmo | $9,654.00 | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Cross | Anthem All Commercial Plans | $10,438.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Non-Mcs (Ind1, Ncx3) All Commercial Plans | $11,046.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Non-Mcs (Ind1, Ncx3) All Commercial Plans | $11,046.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Anthem Non-Mcs (Ind1, Ncx3) All Commercial Plans | $11,059.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Anthem Non-Mcs (Ind1, Ncx3) All Commercial Plans | $11,059.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Blue Cross | Nonmcs All Commercial Plans | $11,098.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Blue Cross | Nonmcs All Commercial Plans | $11,098.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $13,255.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $13,255.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $13,271.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $13,271.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Blue Cross | Mcs Ppo | $13,318.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Blue Cross | Mcs Ppo | $13,318.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,634.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $14,032.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $16,361.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $16,838.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $17,015.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $20,418.00 | — | — | 2026-04-01 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | BLUE CROSS | PLUS PMAP/MNCARE G | $21,789.51 | — | — | 2025-12-28 | MRF ↗ |
| MUSC Health Black River Medical Center OutpatientFacility | Unitedhealthcare | All Commercial Plans | $36,907.00 | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $38,752.00 | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Unitedhealthcare | Core/Navigate Other Commercial Plan | $43,451.00 | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $48,626.00 | — | — | 2026-04-01 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | BLUE CROSS | BLUE CROSS | $49,629.72 | — | — | 2025-12-28 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $101,106.00 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $101,106.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $101,106.00 | — | — | 2026-01-01 | MRF ↗ |