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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0501F — Report Also: Date Of Visit And, In A Separate Field, The Date Of The Last Menstrual Period [lmp] (note: If Reporting 0501f Prenatal Flow Sheet, It Is Not Necessary To Report 0500f Initial Prenatal Care Visit) (prenatal)

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 $18

Usually $15–$85 (25th–75th percentile) across 41 hospitals · 46 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT 0501F — 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
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC United Healthcare Nexus ACO Adult — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both WellCare of KY WellCare of KY Pediatric — $0.01 $0.01 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both Aetna Aetna Better Health — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both Aetna Aetna Commercial Adult — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both Aetna Aetna Commercial Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both Aetna Aetna Medicare — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both Aetna Aetna TN Preferred Adult — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both Aetna Aetna TN Preferred Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both Aetna Aetna VHAN Adult — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both Aetna Aetna VHAN Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both Aetna Aetna Whole Health Adult — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both Aetna Aetna Whole Health Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both Aetna Aetna Better Health — $0.01 $0.01 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC United Healthcare PPO Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC United Healthcare Emp Adult — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC UHCCP Kentucky Medicaid Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC UHCCP Kentucky Medicaid Adult — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC UHC Medicare — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC UHC Community Plan/TennCare Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC UHC Community Plan/TennCare Adult — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC UHC Community Plan/DSNP — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both Molina Molina Passport KY MCD — $0.01 — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC United Healthcare PPO Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC UHCCP Kentucky Medicaid Adult — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC UHC Medicare — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC UHC Community Plan/TennCare Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC UHC Community Plan/TennCare Adult — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC UHC Community Plan/DSNP — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC United Healthcare Options PPO Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC United Healthcare Emp Adult — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both Aetna Aetna VHAN Adult — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC United Healthcare Emp Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC United Healthcare Heritage Select Adv Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC United Healthcare Heritage Select Adv Adult — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC United Healthcare Options PPO Adult — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC United Healthcare Nexus ACO Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC United Healthcare PPO Adult — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both UHC UHCCP Kentucky Medicaid Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both Aetna Aetna Better Health — $0.01 — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both Aetna Aetna Better Health — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both Aetna Aetna Commercial Adult — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both Aetna Aetna Commercial Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both Aetna Aetna Medicare — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both Aetna Aetna TN Preferred Adult — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both Aetna Aetna TN Preferred Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both Aetna Aetna VHAN Adult — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both Aetna Aetna VHAN Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both Aetna Aetna Whole Health Adult — — — 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Both Aetna Aetna Whole Health Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC United Healthcare Heritage Select Adv Adult — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both Molina Molina Passport KY MCD — $0.01 $0.01 2025-10-01 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient First Health/Hcvm First Health/Hcvm — — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient First Health/Hcvm First Health/Hcvm - Dhp — — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Ccmsi Ccmsi - Workers Comp — — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Corvel Corvel - Workers Comp — — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Unitedhealthcare Uhc - Indemnity — — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Phcs Phcs - Ppo — — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Coventry Coventry- Workers Comp — — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Maine Community Health Options Mcho Indiv - Exchange — — — 2026-07-18 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both Aetna Aetna Better Health — $0.01 — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both Aetna Aetna Medicare — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both Aetna Aetna Commercial Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both Aetna Aetna Commercial Adult — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both Aetna Aetna Better Health — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both Molina Molina Passport KY MCD — $0.01 — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC UHCCP Kentucky Medicaid Adult — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC UHC Medicare — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC UHC Community Plan/TennCare Adult — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC UHCCP Kentucky Medicaid Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC UHC Community Plan/DSNP — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC United Healthcare Emp Adult — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC United Healthcare Emp Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC United Healthcare Heritage Select Adv Adult — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC United Healthcare Heritage Select Adv Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC United Healthcare Nexus ACO Adult — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC United Healthcare Nexus ACO Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC United Healthcare Options PPO Adult — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC United Healthcare Options PPO Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC United Healthcare PPO Adult — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both UHC United Healthcare PPO Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both Aetna Aetna Better Health — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both Aetna Aetna Commercial Adult — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both Aetna Aetna Commercial Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both Aetna Aetna Medicare — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both Aetna Aetna TN Preferred Adult — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both Aetna Aetna TN Preferred Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both Aetna Aetna VHAN Adult — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both Aetna Aetna VHAN Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both Aetna Aetna Whole Health Adult — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both Aetna Aetna Whole Health Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Both Aetna Aetna Better Health — $0.01 — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both Aetna Aetna TN Preferred Adult — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both Aetna Aetna TN Preferred Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both Molina Molina Passport KY MCD — $0.01 — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC United Healthcare Heritage Select Adv Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC UHC Community Plan/DSNP — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC UHC Community Plan/TennCare Adult — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC UHC Community Plan/TennCare Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC UHC Medicare — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC UHCCP Kentucky Medicaid Adult — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC UHCCP Kentucky Medicaid Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC United Healthcare Emp Adult — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC United Healthcare Emp Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC United Healthcare Heritage Select Adv Adult — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC United Healthcare Nexus ACO Adult — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC United Healthcare Nexus ACO Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC United Healthcare Options PPO Adult — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC United Healthcare Options PPO Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC United Healthcare PPO Adult — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both UHC United Healthcare PPO Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both Aetna Aetna Whole Health Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both Aetna Aetna Whole Health Adult — — — 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Both Aetna Aetna VHAN Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC United Healthcare PPO Adult — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC United Healthcare Options PPO Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC United Healthcare Options PPO Adult — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC United Healthcare Nexus ACO Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC United Healthcare Nexus ACO Adult — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC United Healthcare Heritage Select Adv Pediatric — — — 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Both UHC United Healthcare Emp Pediatric — — — 2025-10-01 MRF ↗
CLARION HOSPITAL Outpatient Highmark - Ind.& Managed Care Mcr Advantage — — — 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Highmark Community Blue Mcr Advantage — — — 2026-05-13 MRF ↗
CLARION HOSPITAL Outpatient Highmark Community Blue Mcr Advantage — — — 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Highmark - Ind.& Managed Care Mcr Advantage — — — 2026-05-13 MRF ↗
CLARION HOSPITAL Outpatient Highmark Chip — — — 2026-05-13 MRF ↗
CLARION HOSPITAL Outpatient Highmark Chip — — — 2026-05-23 MRF ↗
PROVIDENCE ALASKA MEDICAL CENTER OutpatientFacility Aetna Active Other Commercial Plan $0.04 — — 2026-04-01 MRF ↗
GRACE SURGICAL HOSPITAL OutpatientFacility Aetna Preferred Other Commercial Plan $0.05 — — 2026-04-01 MRF ↗
PROVIDENCE ALASKA MEDICAL CENTER OutpatientFacility Aetna Retirees Other Commercial Plan $0.06 — — 2026-04-01 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Group Health Inc Medicare $3.50 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Group Health Inc Medicare $3.50 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL InpatientFacility Hamaspik Choice Inc Medicaid $5.00 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Hamaspik Choice Inc Medicare $5.00 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Group Health Inc Commercial $5.00 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Hamaspik Choice Inc Medicare $5.00 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility EmblemHealth Commercial $5.00 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL InpatientFacility Hamaspik Choice Inc Medicaid $5.00 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Group Health Inc Commercial $5.00 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility EmblemHealth Commercial $5.00 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility 1199SEIU National Benefit Fund Commercial $5.50 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility 1199SEIU National Benefit Fund Commercial $5.50 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Cigna LocalPlus Benefit Plan $6.80 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Cigna LocalPlus Benefit Plan $6.80 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Brighton Health Commercial $7.50 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Brighton Health Commercial $7.50 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Cigna HMO/Network Benefit Plan/Open Access $8.00 $10.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Cigna HMO/Network Benefit Plan/Open Access $8.00 $10.00 — 2026-02-27 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS 2201 UNIVERA 220104 $12.75 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient MEDICARE BLUE CHOICE 1306 UNIVERA SENIOR CHOICE MEDICARE 130603 $12.75 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient LIFETIME BENEFIT SOLUTIONS 2200, EXCELLUS 2201, OUT OF AREA BLUE CROSS BLUE SHIELD 2401, OUT OF AREA BLUE CROSS BLUE SHIELD GENERIC 2402 ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001, LIFETIME BENEFIT SOLUTIONS 220002, EXCELLUS 220101, EXCELLUS HIGH PERFORMANCE 220103, UNIVERA 220104, EXCELLUS UR 220105, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE CHOICE 220107, ANTHEM BC/ $12.75 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 UNIVERA ESSENTIAL (W/ MEDICAID) 170605, UNIVERA ESSENTIAL (NO MEDICAID) 220111, UNIVERA HEALTHY NY 220112 $12.75 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient LIFETIME BENEFIT SOLUTIONS 2200, EXCELLUS 2201, OUT OF AREA BLUE CROSS BLUE SHIELD 2401, OUT OF AREA BLUE CROSS BLUE SHIELD GENERIC 2402 ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001, LIFETIME BENEFIT SOLUTIONS 220002, EXCELLUS 220101, EXCELLUS HIGH PERFORMANCE 220103, UNIVERA 220104, EXCELLUS UR 220105, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE CHOICE 220107, ANTHEM BC/ $12.75 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient MEDICARE BLUE CHOICE 1306 UNIVERA SENIOR CHOICE MEDICARE 130603 $12.75 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MEDICARE BLUE CHOICE 1306 UNIVERA SENIOR CHOICE MEDICARE 130603 $12.75 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS 2201 UNIVERA 220104 $12.75 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 UNIVERA ESSENTIAL (W/ MEDICAID) 170605, UNIVERA ESSENTIAL (NO MEDICAID) 220111, UNIVERA HEALTHY NY 220112 $12.75 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient LIFETIME BENEFIT SOLUTIONS 2200, EXCELLUS 2201, OUT OF AREA BLUE CROSS BLUE SHIELD 2401, OUT OF AREA BLUE CROSS BLUE SHIELD GENERIC 2402 ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001, LIFETIME BENEFIT SOLUTIONS 220002, EXCELLUS 220101, EXCELLUS HIGH PERFORMANCE 220103, UNIVERA 220104, EXCELLUS UR 220105, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE CHOICE 220107, ANTHEM BC/ $12.75 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient MEDICARE BLUE CHOICE 1306 UNIVERA SENIOR CHOICE MEDICARE 130603 $12.75 — — 2026-01-01 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient EXCELLUS INDEMNITY [127] BLUE CROSS & BLUE SHIELD [12702] $12.75 $18.00 $18.00 2024-12-30 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MEDICARE BLUE CHOICE 1306 UNIVERA SENIOR CHOICE MEDICARE 130603 $12.75 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO $15.00 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient LIFETIME BENEFIT SOLUTIONS 2200,EXCELLUS 2201,OUT OF AREA BLUE CROSS BLUE SHIELD 2401,OUT OF AREA BLUE CROSS BLUE SHIELD GENERIC 2402 ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001,LIFETIME BENEFIT SOLUTIONS 220002,EXCELLUS 220101,EXCELLUS HIGH PERFORMANCE 220103,UNIVERA 220104,EXCELLUS UR 220105,EXCELLUS SIMPLY BLUE 220106,EXCELLUS BLUE CHOICE 220107,ANTHEM BC/BS OF CO $15.00 — — 2026-01-01 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Medicare $15.00 — — 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Commercial $15.00 — — 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $15.00 — — 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $15.00 — — 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $15.00 — — 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $15.00 — — 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Commercial $15.00 — — 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Medicare $15.00 — — 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $15.00 — — 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Commercial $15.00 — — 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Medicare $15.00 — — 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $15.00 — — 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $15.00 — — 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Commercial $15.00 — — 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $15.00 — — 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Medicare $15.00 — — 2026-04-14 MRF ↗
F F THOMPSON HOSPITAL Outpatient EXCELLUS 2201 EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL 220113, UNIVERA METAL TIERS SMALL GROUP 220114 $15.00 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MEDICARE BLUE CHOICE 1306 UNIVERA SENIOR CHOICE MEDICARE 130603 $15.00 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient EXCELLUS 2201 EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL 220113, UNIVERA METAL TIERS SMALL GROUP 220114 $15.00 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient EXCELLUS 2201 EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL 220113, UNIVERA METAL TIERS SMALL GROUP 220114 $15.00 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS 2201 EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL 220113, UNIVERA METAL TIERS SMALL GROUP 220114 $15.00 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS 2201 UNIVERA 220104 $15.00 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO $15.00 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 UNIVERA ESSENTIAL (W/ MEDICAID) 170605, UNIVERA ESSENTIAL (NO MEDICAID) 220111, UNIVERA HEALTHY NY 220112 $15.00 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MEDICARE BLUE CHOICE 1306 UNIVERA SENIOR CHOICE MEDICARE 130603 $15.00 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient LIFETIME BENEFIT SOLUTIONS 2200, EXCELLUS 2201, OUT OF AREA BLUE CROSS BLUE SHIELD 2401, OUT OF AREA BLUE CROSS BLUE SHIELD GENERIC 2402 ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001, LIFETIME BENEFIT SOLUTIONS 220002, EXCELLUS 220101, EXCELLUS HIGH PERFORMANCE 220103, UNIVERA 220104, EXCELLUS UR 220105, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE CHOICE 220107, ANTHEM BC/ $15.00 — — 2026-01-01 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $15.00 — — 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $15.00 — — 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $15.00 — — 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $15.00 — — 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Medicare $15.00 — — 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $15.00 — — 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $15.00 — — 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Medicare $15.00 — — 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Commercial $15.00 — — 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $15.00 — — 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $15.00 — — 2026-04-14 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 UNIVERA ESSENTIAL (W/ MEDICAID) 170605, UNIVERA ESSENTIAL (NO MEDICAID) 220111, UNIVERA HEALTHY NY 220112 $15.00 — — 2026-01-01 MRF ↗

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