0569T — Hc Ttvr Percutaneous Approach Initial Prosthesis
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS (OTHER 0569T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0569T?code_type=OTHER
MLA (9th ed.)
“HC TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS (OTHER 0569T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0569T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“HC TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS (OTHER 0569T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0569T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,358–$14,571 (25th–75th percentile) across 483 hospitals · 519 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0569T — 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 |
|---|---|---|---|---|---|---|---|
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $11.44 | $6,353.00 | — | 2024-12-31 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $4,700.00 | $3,055.00 | 2026-08-10 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Shield - Asc | All Commercial Plans | $355.95 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | Rite Care Other Commercial Plan | $480.00 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | Rite Care Other Commercial Plan | $480.00 | — | — | 2026-04-01 | MRF ↗ |
| CROOK COUNTY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $507.00 | — | — | 2026-04-01 | MRF ↗ |
| CROOK COUNTY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $507.00 | — | — | 2026-04-01 | MRF ↗ |
| PARK NICOLLET METHODIST HOSPITAL BothFacility | MEDICA MEDICAID REPLACEMENT [950298] | MEDICA CHOICE CARE PMAP [50314] | $523.00 | $69,409.00 | $18,046.34 | 2026-03-31 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Humana | Medicare Midlevels | $606.05 | $12,535.00 | $8,197.89 | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos | $721.00 | — | — | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos | $721.00 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Humana | Medicare | $727.26 | $12,535.00 | $8,197.89 | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Unitedhealthcare - Asc | All Commercial Plans | $728.00 | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $730.19 | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $730.19 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $730.19 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $730.19 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $730.19 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $730.19 | — | — | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Ppo | $741.00 | — | — | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Ppo | $741.00 | — | — | 2026-04-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Both | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $765.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Both | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $765.00 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Both | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $765.00 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | United | Empire Plan - Midlevels | $773.54 | $12,535.00 | $8,197.89 | 2026-04-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | — | — | — | 2026-01-01 | MRF ↗ |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER OutpatientFacility | UnitedHealthCare | All Commercial Plans | $785.00 | — | — | 2026-03-31 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $787.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $811.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $811.00 | — | — | 2026-04-01 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | Exchange | $813.12 | — | — | 2026-10-06 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Essential Plans | $815.26 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Essential Plans | $815.26 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Essential Plans | $815.26 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $829.00 | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos | $837.00 | — | — | 2026-04-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $844.95 | $6,353.00 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $844.95 | $6,353.00 | — | 2024-12-31 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $864.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $864.86 | — | — | 2026-01-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $867.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $883.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $885.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $885.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $894.00 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $895.77 | $6,353.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $895.77 | $6,353.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $902.13 | $6,353.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $902.13 | $6,353.00 | — | 2025-12-31 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $903.58 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $903.58 | — | — | 2025-06-04 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | United | Empire Plan MD/Dos | $907.24 | $12,535.00 | $8,197.89 | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $911.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $911.00 | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Ppo/Epo | $917.00 | — | — | 2026-04-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Occunet | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Fidelis | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Longevity Health | Medicare | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Three Rivers | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Medicare | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Contigo Health | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Pnoa | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | United Community | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellcare | Medicare | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Geisinger | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | — | — | — | $55,122.00 | $5,512.20 | 2026-04-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Community | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellcare | Medicare | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellcare | Medicare | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellcare | Medicare | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Humana Tricare | Commercial | $934.06 | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Fidelis | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Prime Health | Ppo | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Geisinger | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Medicare | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Community | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Phcs | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Geisinger | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Fidelis | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Community | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Community | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Humana Tricare | Commercial | $934.06 | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Geisinger | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Humana Tricare | Commercial | $934.06 | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Multiplan | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Amerihealth | Casualty | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Humana Tricare | Commercial | $934.06 | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Humana Tricare | Commercial | $934.06 | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Fidelis | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | First Health | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Geisinger | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Medicare | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Better Health | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Workers Comp | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Naphcare | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Fidelis | Medicaid | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Qualcare | Commercial | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $55,122.00 | $5,512.20 | 2026-07-15 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.