10019 — Set Screw Spinal Dynesys 7.2x35mm Cannul Protasul-100 Hap Pedicle F/dynamic Stabiliz System
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SET SCREW SPINAL DYNESYS 7.2X35MM CANNUL PROTASUL-100 HAP PEDICLE F/DYNAMIC STABILIZ SYSTEM (OTHER 10019) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/10019?code_type=OTHER
MLA (9th ed.)
“SET SCREW SPINAL DYNESYS 7.2X35MM CANNUL PROTASUL-100 HAP PEDICLE F/DYNAMIC STABILIZ SYSTEM (OTHER 10019) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/10019?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“SET SCREW SPINAL DYNESYS 7.2X35MM CANNUL PROTASUL-100 HAP PEDICLE F/DYNAMIC STABILIZ SYSTEM (OTHER 10019) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/10019?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $435–$2,939 (25th–75th percentile) across 8 hospitals · 56 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 10019 — 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 |
|---|---|---|---|---|---|---|---|
| CUMBERLAND COUNTY HOSPITAL Both | Wellcare | Medicare Advantage | $32.70 | $54.50 | $40.88 | 2026-05-08 | MRF ↗ |
| CUMBERLAND COUNTY HOSPITAL Both | United Healthcare | Medicare Advantage | $32.70 | $54.50 | $40.88 | 2026-05-08 | MRF ↗ |
| CUMBERLAND COUNTY HOSPITAL Both | Velocity National Provider Network | Group Health | $37.60 | $54.50 | $40.88 | 2026-05-08 | MRF ↗ |
| CUMBERLAND COUNTY HOSPITAL Both | Velocity National Provider Network | Medicare Advantage | $37.60 | $54.50 | $40.88 | 2026-05-08 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicare | — | $39.16 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Marketplace | — | $42.61 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Marketplace | — | $48.62 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Humana Medicare | — | $49.51 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicare | — | $50.99 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Aetna Medicare | — | $54.15 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicare | — | $60.58 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Healthy Connection Prime | — | $62.28 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicaid | — | $64.41 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Medicare | — | $66.96 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Select Medicaid | — | $80.09 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicaid | — | $83.95 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicaid | — | $88.71 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Bluechoice Medicaid | — | $92.29 | $213.04 | $127.82 | 2026-05-28 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $335.00 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $338.94 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Humana Medicare Facility | Humana Medicare Facility | $349.60 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $398.54 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $412.53 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Medicare Advantage Facility | Aetna Medicare Advantage Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Siho Commercial Facility | Siho Commercial Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Eskenazi Health | Anthem Facility Exchange | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $435.25 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $468.46 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $655.50 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $742.90 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $742.90 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $742.90 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $745.15 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $776.51 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $786.60 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $826.07 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $850.85 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $850.85 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $867.38 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Aetna Commercial Facility | Aetna Commercial Facility | $874.00 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $874.00 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $874.00 | $874.00 | $874.00 | 2026-05-27 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $953.67 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,020.43 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $1,253.00 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $1,253.00 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $1,281.64 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $1,321.02 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $1,335.34 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $1,374.72 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $1,825.80 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $1,893.82 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Ambetter-Atc Exchange | — | $2,148.00 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $2,148.00 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $2,148.00 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Magellan Behavioral Health | — | $2,148.00 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $2,231.79 | $3,188.27 | $1,594.14 | 2026-05-09 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $2,316.26 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $2,391.20 | $3,188.27 | $1,594.14 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $2,508.26 | $3,344.34 | $1,672.17 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $2,508.26 | $3,344.34 | $1,672.17 | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $2,523.90 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $2,620.56 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna | — | $2,649.20 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare | — | $2,649.20 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $2,656.36 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $2,675.47 | $3,344.34 | $1,672.17 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $2,675.47 | $3,344.34 | $1,672.17 | 2026-05-23 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicare | — | $2,701.26 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $2,842.69 | $3,344.34 | $1,672.17 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $2,842.69 | $3,344.34 | $1,672.17 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $2,842.69 | $3,344.34 | $1,672.17 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $2,842.69 | $3,344.34 | $1,672.17 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $2,842.69 | $3,344.34 | $1,672.17 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $2,842.69 | $3,344.34 | $1,672.17 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $2,842.69 | $3,344.34 | $1,672.17 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $2,842.69 | $3,344.34 | $1,672.17 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $2,842.69 | $3,344.34 | $1,672.17 | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Behavioral Health | — | $2,864.00 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $2,864.00 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Aetna Rental Network | — | $2,864.00 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $2,864.00 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $2,869.44 | $3,188.27 | $1,594.14 | 2026-05-09 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Marketplace | — | $2,939.34 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Multiplan | — | $3,043.00 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $3,043.00 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $3,169.19 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $3,169.19 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Marketplace | — | $3,354.02 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Humana Medicare | — | $3,415.17 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicare | — | $3,517.25 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $3,580.00 | $3,580.00 | $2,327.00 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Aetna Medicare | — | $3,735.65 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicare | — | $4,179.26 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Healthy Connection Prime | — | $4,296.52 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicaid | — | $4,443.39 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Medicare | — | $4,619.61 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Select Medicaid | — | $5,525.24 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicaid | — | $5,791.05 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicaid | — | $6,119.76 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Bluechoice Medicaid | — | $6,366.41 | $14,696.71 | $8,818.03 | 2026-05-28 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Cross] | [Hmo,Ppo] | $8,485.52 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Uhc United Health Care] | [Hmo,Ppo] | $11,523.54 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Cross] | [Federal] | $11,785.44 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Cross] | [Federal] | $11,785.44 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Umr] | [Hmo,Ppo] | $12,833.04 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Humana] | [Hmo,Ppo] | $13,094.94 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Plus] | [Pmap] | $13,618.73 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Prime West] | [Hmo,Ppo] | $14,142.53 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Plus] | [Non Pmap] | $14,928.23 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Cigna] | [Hmo,Ppo] | $15,713.92 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Medica Non Pmap] | [Hmo,Ppo] | $15,713.92 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Ucare] | [Hmo,Ppo] | $16,499.62 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Health Partners] | [Hmo,Ppo] | $17,547.21 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Plus] | [Nonpmap] | — | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Aetna] | [Aetna Hmo,Ppo] | $18,856.71 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |