0399 — Administration Processing And Storage For Blood And Blood Components - Other Blood Handling
Cite this view
HANK Price Transparency. (n.d.). Administration Processing and Storage for Blood and Blood Components - Other Blood Handling (OTHER 0399) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0399?code_type=OTHER
“Administration Processing and Storage for Blood and Blood Components - Other Blood Handling (OTHER 0399) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0399?code_type=OTHER. Accessed .
“Administration Processing and Storage for Blood and Blood Components - Other Blood Handling (OTHER 0399) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0399?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $70–$2,157 (25th–75th percentile) across 18 hospitals · 22 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0399 — 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 |
|---|---|---|---|---|---|---|---|
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Blue Cross | Essential Plan Non Aliessa | — | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Blue Access & Small Group | — | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Nys Empire Health Plan | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Blue Cross | Indemnity Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Blue Cross | Blue Access Small Group | — | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Blue Cross | Hmo/Epo | — | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Blue Cross | Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Epo/Ppo/Hmo/Indemnity | — | — | — | 2026-05-23 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Blue Cross | Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Epo/Ppo/Hmo/Indemnity | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Blue Cross | Medicaid | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Blue Cross | Essential Plan Non Aliessa | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Ghi | Comprehensive Benefits | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Ghi | Hmo | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Fidelis | Essential Plan Aliessa | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Fidelis | Medicaid | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Nys Empire Health Plan | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Blue Access & Small Group | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Fidelis | Essential Plan Aliessa | — | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Fidelis | Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Ghi | Comprehensive Benefits | — | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Ghi | Hmo | — | — | — | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Blue Cross | Hmo/Pos/Epo/Ppo/Ind | — | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Blue Cross | Blue Access/Small Group Plans | — | — | — | 2026-05-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-17 | MRF ↗ |
| GLENS FALLS HOSPITAL Inpatient | Blue Cross | Hmo/Pos/Epo/Ppo/Ind | — | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Inpatient | Blue Cross | Blue Access/Small Group Plans | — | — | — | 2026-05-08 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | — | — | — | 2026-05-09 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | United Healthcare | Madicare Advantage | $133.69 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Emblem | Medicare Advantage | $133.69 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Champva | — | $133.69 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Tricare | — | $133.69 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Martins Point | — | $133.69 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Cdphp | Medicare Advantage | $137.70 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Mvp | Medicare Advantage | $137.70 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Todays Options | — | $140.37 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Blue Medicare Advantage | $140.37 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Wellcare | — | $140.37 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Fidelis | Medicare Advantage | $143.05 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Aetna | Medicare Advantage | $143.05 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Highmark Medicare Advantage | $143.05 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Humana | Medicare Advantage | $144.38 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $148.01 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Essential | $148.01 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Anthem Medicare Advantage | $152.79 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Uhc | Commercial | $267.00 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | $267.00 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Uhc | Commercial | $267.00 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Uhc | Commercial | $267.00 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Uhc | Commercial | $267.00 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | $267.00 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | $267.00 | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Uhc | Commercial | $267.00 | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Medical Center Southwest Outpatient | Uhc | Commercial | $267.00 | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - South Hospital Outpatient | Uhc | Commercial | $267.00 | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Uhc | Commercial | $267.00 | — | — | 2026-05-23 | MRF ↗ |
| UofL Health - Medical Center Northeast Outpatient | Uhc | Commercial | $267.00 | — | — | 2026-05-23 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Medicare Advantage | $274.83 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Empire Exchange | $381.97 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Highmark | $381.97 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Mvp | — | $405.84 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Cigna | Mvp | $405.84 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Emblem | — | $405.84 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Phcs | — | $429.71 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Neic | — | $429.71 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Pomco | — | $429.71 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Multiplan | — | $429.71 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | United Healthcare | — | $477.46 | $477.46 | $128.91 | 2026-05-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | $534.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | $712.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | $712.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | $712.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | $712.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | $712.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | $712.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | $712.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | $712.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | $712.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | $712.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | $712.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | $712.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | $1,618.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | $1,618.00 | — | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | $1,618.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | $2,157.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | $2,157.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | $2,157.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | $2,157.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | $2,157.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | $2,157.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | $2,157.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Umr-United Med Resources | $2,157.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | $2,157.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | $2,157.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | $2,157.00 | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | $2,157.00 | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | $2,157.00 | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | $2,157.00 | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | $2,157.00 | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | $2,157.00 | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | $2,157.00 | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | $2,157.00 | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | $2,157.00 | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | $2,157.00 | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | $2,157.00 | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | $2,157.00 | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | $2,157.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | $2,157.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | $2,157.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | $2,157.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | $2,157.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | $2,157.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | $2,157.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | $2,157.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | $2,157.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | $2,157.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | $2,157.00 | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha | $2,157.00 | — | — | 2026-05-14 | MRF ↗ |