0717 — Instill Adstiladrin, Tx Dose
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Instill adstiladrin, tx dose (OTHER 0717) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0717?code_type=OTHER
MLA (9th ed.)
“Instill adstiladrin, tx dose (OTHER 0717) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0717?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Instill adstiladrin, tx dose (OTHER 0717) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0717?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $63,342–$77,858 (25th–75th percentile) across 18 hospitals · 47 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0717 — 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 |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | BCBS | Anthem Senior Advantage Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | BCBS | Anthem Senior Advantage Medicare Managed Care Plan | $35.00 | — | — | 2025-01-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $33,128.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $33,128.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $33,128.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $33,128.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $33,128.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $33,128.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $33,128.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $33,128.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $33,128.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $33,128.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Huron Valley Pace | Medicare Advantage | $60,175.17 | — | — | 2026-05-09 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicare | All Plans | $60,796.22 | — | — | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $60,796.22 | — | — | 2026-05-23 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $61,789.09 | — | — | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medicare | All Plans | $61,789.09 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $62,075.44 | — | — | 2026-05-09 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | Humana | $62,134.00 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | Humana | $62,134.00 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | AlohaCare | Medicare Advantage | $62,134.00 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Humana | $62,134.00 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $62,134.00 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Medicare Advantage | $62,134.00 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $62,134.00 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | AlohaCare | Medicare Advantage | $62,134.00 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $62,134.00 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $62,134.00 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Medicare Advantage | $62,134.00 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | UnitedHealthcare AARP | $62,134.00 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $62,134.00 | — | — | 2026-02-12 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP PREMIER INDIVIDUAL [290002] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Thome Pace | Medicare Advantage | $63,342.28 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Paramount Elite-Ohio | Medicare Advantage | $63,342.28 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicare Advantage | $63,342.28 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Triwest | Government | $63,342.28 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicare Advantage | $63,342.28 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Paramount Health Care | Medicare Advantage | $63,342.28 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Blue Care Network Of Michigan | Medicare Advantage | $63,342.28 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Health Management Llc | Medicare Advantage | $63,342.28 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Humana Health Plan Inc | Medicare Advantage | $63,342.28 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc | Medicare Advantage | $63,342.28 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medigold Trinity Health Plan Of Michigan | Medicare Advantage | $63,342.28 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Veteran Affairs Community Care Program | Government | $63,342.28 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs [100001] | Bcbs Medicare Plus Blue Ppo [10000107] | $63,342.28 | — | — | 2026-05-09 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP PREMIER INDIVIDUAL [290002] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP HEALTH CARE [290001], MVP PREMIER GROUP [290003] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP COMMERCIAL PPO FULLY INSURED [290006] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CIGNA [5144] | CIGNA HEALTHCARE (POB 182223) [514405] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE [1312] | HUMANA MEDICARE [131201] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MARTINS POINT [1205] | US FAMILY PLAN AT MARTIN'S POINT [120501] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS BLUE CHOICE [220107] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS METAL TIERS [220102] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] | HIGHMARK BCBS MEDICARE [130101] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201] | EXCELLUS HIGH PERFORMANCE [220103] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE [1311] | FIDELIS MEDICARE [131101] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP COMMERCIAL PPO FULLY INSURED [290006] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP HEALTH CARE [290001], MVP PREMIER GROUP [290003] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CIGNA [5144] | CIGNA HEALTHCARE (POB 182223) [514405] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | HUMANA MEDICARE [1312] | HUMANA MEDICARE [131201] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MARTINS POINT [1205] | US FAMILY PLAN AT MARTIN'S POINT [120501] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS BLUE CHOICE [220107] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS METAL TIERS [220102] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] | HIGHMARK BCBS MEDICARE [130101] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201] | EXCELLUS HIGH PERFORMANCE [220103] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS MEDICARE [1311] | FIDELIS MEDICARE [131101] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $63,342.28 | — | — | 2026-04-01 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana | Medicare Advantage | $63,402.04 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | AlohaCare | Quest Non ABD | $63,402.04 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Ohana | Medicare Advantage | $63,402.04 | — | — | 2026-02-12 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Uniform Exchange | $63,499.33 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Uniform Exchange | $63,499.33 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicare Advantage | $63,975.70 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Health Alliance Plan | Medicare Advantage | $64,292.42 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Alliance Health And Life Medicare Advantage | Medicare Advantage | $64,292.42 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Community Plan Inc | Snp | $64,609.13 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicare Advantage | $64,609.13 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicare Advantage | $64,609.13 | — | — | 2026-05-09 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Ohana | Medicare Advantage | $64,670.08 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Devoted Health | Commercial | $65,304.10 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Devoted Health | Commercial | $65,304.10 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Devoted Health | Commercial | $65,304.10 | — | — | 2026-02-12 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Zing Health | Medicare Advantage | $66,509.40 | — | — | 2026-05-09 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Non ABD | $69,742.25 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Ohana Health Plan | Quest Non ABD | $76,082.45 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana Health Plan | Quest Non ABD | $76,082.45 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Ohana Health Plan | Quest Non ABD | $76,082.45 | — | — | 2026-02-12 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | SD Exchange True | $76,826.63 | — | — | 2026-03-04 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | Medicare Advantage | $78,888.60 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Heritage Provider Network, Inc. | Medicare Advantage | $78,888.60 | — | — | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Aetna Health of California Inc., a California corporation and Aetna Health Management, LLC. | Medicare Advantage | $78,888.60 | — | — | 2025-11-26 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | SD Exchange True | $78,918.02 | — | — | 2026-03-04 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | $84,319.04 | — | — | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO, City of LA, Vivity | $84,319.04 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | $84,319.04 | — | — | 2025-11-26 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | Group Health/True | $87,603.70 | — | — | 2026-03-04 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Regence Realvalue Other Commercial Plan | $88,581.57 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Regence Realvalue Other Commercial Plan | $88,581.57 | — | — | 2026-04-01 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | Group Health/True | $89,986.75 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | SD Exchange Commercial | $90,385.11 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | SD Exchange Commercial | $92,846.40 | — | — | 2026-03-04 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO, Non-City of LA, Vivity | $94,967.25 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | $94,967.25 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | $94,967.25 | — | — | 2025-11-26 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Regence All Commercial Plans | $95,249.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Regence All Commercial Plans | $95,249.00 | — | — | 2026-04-01 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | Commercial/ND Pers | $103,061.50 | — | — | 2026-03-04 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | $104,770.14 | — | — | 2025-11-26 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | United Health Care | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | Commercial/ND Pers | $105,864.25 | — | — | 2026-03-04 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Heritage Provider Network, Inc. | Medi-Cal | $106,499.61 | — | — | 2025-11-26 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Employee Benefit Logistic | Ppo | $107,681.88 | — | — | 2026-05-09 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | $118,011.14 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Covered | $145,849.92 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | $145,849.92 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | $145,849.92 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | $145,849.92 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | $163,445.40 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | $163,445.40 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | EPO | $163,445.40 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | $163,445.40 | — | — | 2025-11-26 | MRF ↗ |