Price Transparency 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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10060 — Pr Incision & Drainage Abscess Simple/Single

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $302

Usually $193–$504 (25th–75th percentile) across 3,188 hospitals · 10,892 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 10060 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What the whole episode might cost

Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$193 $302 typical $504

The middle 50% of negotiated facility rates for this procedure, measured across 3,188 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $302
Surgeon (professional fee) Estimate national typical Medicare PFS $101 × 1.22 commercial. $123
Likely subtotal $425
Surgical episode (typical) ~$425

Your recovery plan — adjust to what your surgeon told you

After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$4,210
How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Surgeon (professional fee) (estimate)
rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

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
KEARNY COUNTY HOSPITAL Inpatient WPS GHA - MAC J5 PART A $0.01 2026-01-01 MRF ↗
CUBA MEMORIAL HOSPITAL, INC Outpatient Cigna Default $403.40 $403.40 2026-04-16 MRF ↗
KEARNY COUNTY HOSPITAL Inpatient VYTALIZE HEALTH 9 ACO LLC $0.01 2026-01-01 MRF ↗
NOVANT HEALTH MATTHEWS MEDICAL CENTER OutpatientFacility AmeriHealth Medicaid 2026-03-30 MRF ↗
MERCYONE NEWTON MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $0.16 $9,255.40 2026-03-31 MRF ↗
MERCYONE NEWTON MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $0.16 $9,255.40 2026-03-31 MRF ↗
HANCOCK COUNTY HEALTH SYSTEM Outpatient WELLMARK HMO-ALL OTHER PLANS WELLMARK HMO-ALL OTHER PLANS $0.43 $76.00 $57.00 2026-03-26 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient COVENTRY MCR ADV COVENTRY MCR ADV $0.52 $1.10 $0.77 2026-04-06 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient TRICARE-ALL PLANS TRICARE-ALL PLANS $0.52 $1.10 $0.77 2026-04-06 MRF ↗
MEMORIAL HOSPITAL Outpatient HUMANA CHOICE CARE MCR ADV - ALL PLANS HUMANA CHOICE CARE MCR ADV - ALL PLANS $0.55 $1.10 $1.10 2026-02-18 MRF ↗
MEMORIAL HOSPITAL Outpatient TRICARE HNFS-ALL PLANS TRICARE HNFS-ALL PLANS $0.55 $1.10 $1.10 2026-02-18 MRF ↗
MEMORIAL HOSPITAL Outpatient COVENTRY MEDICARE ADV COVENTRY MEDICARE ADV $0.56 $1.10 $1.10 2026-02-18 MRF ↗
MEMORIAL HOSPITAL Outpatient AMBETTER COMML EXCH-ALL PLANS AMBETTER COMML EXCH-ALL PLANS $0.61 $1.10 $1.10 2026-02-18 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 $695.00 $205.72 2026-02-28 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient PREFERRED PHSIC PREFERRED PHSIC $0.66 $1.10 $0.77 2026-01-12 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.81 $220.00 $209.00 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.81 $220.00 $209.00 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $0.84 $220.00 $209.00 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $0.88 $220.00 $209.00 2026-02-20 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient PREFERRED HEALTHCARE - ALL OTHER PLANS PREFERRED HEALTHCARE - ALL OTHER PLANS $0.89 $1.10 $0.77 2026-01-12 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient CIGNA-ALL PLANS CIGNA-ALL PLANS $0.94 $1.10 $0.77 2026-04-06 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient UHC-ALL PLANS UHC-ALL PLANS $0.99 $1.10 $0.77 2026-04-06 MRF ↗
MEMORIAL HOSPITAL Outpatient COVENTRY - ALL OTHER PLANS COVENTRY - ALL OTHER PLANS $0.99 $1.10 $1.10 2026-02-18 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient AETNA HMO AETNA HMO $0.99 $1.10 $0.77 2026-01-12 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient AETNA PPO - ALL OTHER PLANS AETNA PPO - ALL OTHER PLANS $0.99 $1.10 $0.77 2026-01-12 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient COVENTRY COMM-ALL OTHER PLANS COVENTRY COMM-ALL OTHER PLANS $0.99 $1.10 $0.77 2026-04-06 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient CIGNA-ALL PLANS CIGNA-ALL PLANS $0.99 $1.10 $0.77 2026-01-12 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient MULTIPLAN (MPI)-ALL PLANS MULTIPLAN (MPI)-ALL PLANS $0.99 $1.10 $0.77 2026-01-12 MRF ↗
CLOUD COUNTY HEALTH CENTER Outpatient AETNA/COVENTRY-ALL OTHER PLANS AETNA/COVENTRY-ALL OTHER PLANS $0.99 $1.10 $0.77 2026-04-06 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient PROVIDERS CARE (WPPA)-ALL PLANS PROVIDERS CARE (WPPA)-ALL PLANS $0.99 $1.10 $0.77 2026-01-12 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare HMO $917.00 $751.94 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $1,562.80 $1,015.82 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California Covered $917.00 $751.94 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage $917.00 $751.94 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage $1,562.80 $1,015.82 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage $917.00 $751.94 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare POS $917.00 $751.94 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Health Net of California, Inc. HMO $917.00 $751.94 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $917.00 $751.94 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage $917.00 $751.94 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage $917.00 $751.94 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California HMO $917.00 $751.94 2025-11-26 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient MULTIPLAN-ALL PLANS MULTIPLAN-ALL PLANS $1.02 $1.10 $0.77 2026-04-06 MRF ↗
CLOUD COUNTY HEALTH CENTER Outpatient AETNA/COVENTRY PPO AETNA/COVENTRY PPO $1.02 $1.10 $0.77 2026-04-06 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient PHCS PREFERRED-ALL PLANS PHCS PREFERRED-ALL PLANS $1.02 $1.10 $0.77 2026-04-06 MRF ↗
MEMORIAL HOSPITAL Outpatient PREFERRED HEALTHCARE-ALL PLANS PREFERRED HEALTHCARE-ALL PLANS $1.05 $1.10 $1.10 2026-02-18 MRF ↗
CLOUD COUNTY HEALTH CENTER Outpatient PPONEXT-ALL PLANS PPONEXT-ALL PLANS $1.05 $1.10 $0.77 2026-04-06 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient CENTURY HEALTH-ALL PLANS CENTURY HEALTH-ALL PLANS $1.05 $1.10 $0.77 2026-04-06 MRF ↗
CLOUD COUNTY HEALTH CENTER Outpatient HEALTH PARTNERS - ALL PLANS HEALTH PARTNERS - ALL PLANS $1.05 $1.10 $0.77 2026-04-06 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient HEALTH PARTNERS -ALL PLANS HEALTH PARTNERS -ALL PLANS $1.05 $1.10 $0.77 2026-04-06 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient WPPA-ALL PLANS WPPA-ALL PLANS $1.05 $1.10 $0.77 2026-04-06 MRF ↗
MEMORIAL HOSPITAL Outpatient HEALTH PARTNERS OF KANSAS - ALL PLANS HEALTH PARTNERS OF KANSAS - ALL PLANS $1.05 $1.10 $1.10 2026-02-18 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient COVENTRY WC COVENTRY WC $1.05 $1.10 $0.77 2026-04-06 MRF ↗
CLOUD COUNTY HEALTH CENTER Outpatient MPI-ALL PLANS MPI-ALL PLANS $1.05 $1.10 $0.77 2026-04-06 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.06 $220.00 $209.00 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.06 $220.00 $209.00 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $1.08 $220.00 $209.00 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.08 $220.00 $209.00 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.08 $220.00 $209.00 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.08 $220.00 $209.00 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.10 $220.00 $209.00 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.19 $220.00 $209.00 2026-02-20 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $1.33 $1,081.85 $649.11 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $1.33 $1,081.85 $649.11 2025-08-11 MRF ↗
MEMORIAL HOSPITAL Outpatient WPPA/PROVIDERS CARE-ALL PLANS WPPA/PROVIDERS CARE-ALL PLANS $1.54 $1.10 $1.10 2026-02-18 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.57 $424.00 $402.80 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $1.57 $424.00 $402.80 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.57 $424.00 $402.80 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.61 $424.00 $402.80 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.65 $424.00 $402.80 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.70 $424.00 $402.80 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.73 $360.00 $342.00 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.73 $360.00 $342.00 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.76 $360.00 $342.00 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $1.76 $360.00 $342.00 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.84 $360.00 $342.00 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.85 $378.00 $359.10 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.85 $378.00 $359.10 2026-02-20 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $1.89 $174.00 $130.50 2025-03-07 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.89 $378.00 $359.10 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.97 $378.00 $359.10 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $2.04 $378.00 $359.10 2026-02-20 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $2.19 $1,081.85 $649.11 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $2.19 $1,081.85 $649.11 2025-08-11 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $2.51 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $2.53 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $2.53 2026-03-18 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $2.60 $1,081.85 $649.11 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $2.60 $1,081.85 $649.11 2025-08-11 MRF ↗
WASHINGTON COUNTY HOSPITAL Both Alabama Medicaid PPO $2.65 $2.65 $1.06 2025-05-21 MRF ↗
CHERRY COUNTY HOSPITAL Both AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $2.74 $263.50 $263.50 2026-04-24 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $2.78 $1,081.85 $649.11 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $2.78 $1,081.85 $649.11 2025-08-11 MRF ↗
Ventura County Medical Center - Santa Paula Hospital Outpatient UHC MCR ADV UHC MCR ADV $2.87 $751.00 $375.50 2026-03-23 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $2.87 $279.00 $53.01 2026-01-25 MRF ↗
OTTAWA COUNTY HEALTH CENTER Outpatient CHOICECARE MCR ADV - ALL PLANS CHOICECARE MCR ADV - ALL PLANS $2.87 $180.00 $180.00 2026-03-09 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $2.88 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $2.90 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $2.90 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $3.14 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $3.16 2026-03-18 MRF ↗
COMANCHE COUNTY MEDICAL CENTER Outpatient MPI - ALL PLANS MPI - ALL PLANS $3.16 $213.00 $138.45 2026-05-07 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $3.16 2026-03-18 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $3.41 $327.45 $327.45 2026-04-24 MRF ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $3.80 $689.00 $254.93 2026-03-31 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $3.80 $365.40 $365.40 2026-04-24 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL UNITED HEALTHCARE CARE [700909] $3.98 $12,696.36 $12,696.36 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL UNITED HEALTHCARE CARE [300609] $3.98 $12,696.36 $12,696.36 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL UNITED HEALTHCARE LABS [106809] $3.98 $12,696.36 $12,696.36 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL AETNA BETTER HEALTH MEDICAID [300612] $4.47 $12,696.36 $12,696.36 2026-03-23 MRF ↗
MERCY HOSPITAL COLUMBUS OutpatientFacility CENTIVO CONTRACTED [320505] HB MNCK CENTIVO 165% MEDICARE $4.93 $483.00 $313.95 2026-03-14 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $4.94 $1,081.85 $649.11 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $4.94 $1,081.85 $649.11 2025-08-11 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL CIGNA PRIORITY HEALTH [106826] $5.21 $12,696.36 $12,696.36 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL PRIORITY HEALTH PLAN [106814] $5.21 $12,696.36 $12,696.36 2026-03-23 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $5.50 $275.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $5.50 $275.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $5.50 $275.00 2026-03-31 MRF ↗
Mercy Hospital, Inc OutpatientFacility TriWest Healthcare Alliance $5.50 $22.00 $18.70 2026-03-06 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $5.50 $275.00 2026-03-31 MRF ↗
Mercy Hospital, Inc OutpatientFacility TriWest Healthcare Alliance $5.50 $22.00 $18.70 2026-03-06 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $5.50 $275.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $5.50 $275.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $5.50 $275.00 2026-03-31 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL HUMANA LABS [106813] $5.68 $12,696.36 $12,696.36 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL HUMANA CARE LABS [700905] $5.68 $12,696.36 $12,696.36 2026-03-23 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $5.74 $1,180.00 $1,180.00 2026-02-13 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $5.77 $288.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $5.77 $288.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $5.77 $288.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $5.77 $288.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $5.77 $288.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $5.77 $288.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $5.77 $288.50 2026-03-31 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL MERIDIAN CAID [300605] $6.19 $12,696.36 $12,696.36 2026-03-23 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $6.90 $345.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $6.90 $345.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $6.90 $345.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $6.90 $345.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $6.90 $345.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $6.90 $345.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $6.90 $345.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $7.10 $355.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $7.10 $355.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $7.10 $355.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $7.10 $355.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $7.10 $355.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $7.10 $355.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $7.10 $355.00 2026-03-31 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $7.22 $111.00 $72.15 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $7.22 $111.00 $72.15 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $7.22 $111.00 $72.15 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $7.22 $111.00 $72.15 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $7.22 $111.00 $72.15 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $7.22 $111.00 $72.15 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $7.22 $111.00 $72.15 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $7.22 $111.00 $72.15 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $7.22 $111.00 $72.15 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $7.22 $111.00 $72.15 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $7.22 $111.00 $72.15 2026-03-18 MRF ↗
METHODIST MIDLOTHIAN MEDICAL CENTER Outpatient MEDICAID [4000] MHS HB TEXAS HEALTHY WOMEN MLMC $7.27 $2,786.00 $1,393.00 2025-12-22 MRF ↗
METHODIST MANSFIELD MEDICAL CENTER Outpatient MEDICAID [4000] MHS HB TEXAS HEALTHY WOMEN MMMC $7.27 $2,786.00 $1,393.00 2025-12-22 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL BLUE CROSS COMPLETE [300610] $7.45 $12,696.36 $12,696.36 2026-03-23 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $7.55 $377.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $7.55 $377.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $7.55 $377.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $7.55 $377.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $7.55 $377.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $7.55 $377.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $7.55 $377.50 2026-03-31 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL WELLCARE CARE [700920] $7.58 $12,696.36 $12,696.36 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL MERIDIAN HEALTH ADVANTAGE [700910] $7.58 $12,696.36 $12,696.36 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL MED PLUS BLUE CARE [700903] $7.58 $12,696.36 $12,696.36 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL MIDWEST HEALTH CAID [300607] $7.60 $12,696.36 $12,696.36 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL HAP EMPOWERED [300613] $7.60 $12,696.36 $12,696.36 2026-03-23 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Martins Point Default $7.92 $22.00 $16.50 2026-05-18 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] BELOW FPIL WELLPOINT CHIP PERINATE [100708] $7.95 $3,284.53 $1,313.81 2026-05-29 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] ABOVE FPIL WELLPOINT CHIP PERINATE [100709] $7.95 $3,284.53 $1,313.81 2026-05-29 MRF ↗
METHODIST DALLAS MEDICAL CENTER Outpatient MEDICAID [4000] MHS HB TEXAS HEALTHY WOMEN MDMC $7.95 $2,138.00 $1,069.00 2025-12-22 MRF ↗
WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient VA CCN-ALL PLANS VA CCN-ALL PLANS $8.14 $22.60 $18.08 2026-01-05 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Ppo $8.16 $22.00 $16.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Default $8.16 $22.00 $16.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Federal $8.16 $22.00 $16.50 2026-05-18 MRF ↗
The Burdett Care Center OutpatientFacility ALBANY COUNTY CORRECTIONAL FACILITY ALBANY CORRECTIONAL FACILITY $8.23 $377.00 2026-03-31 MRF ↗
SWEENY COMMUNITY HOSPITAL Outpatient BCBSTX BLUE ADV BCBSTX BLUE ADV $8.34 $27.80 $16.68 2026-04-02 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $8.45 $130.00 $84.50 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $8.45 $130.00 $84.50 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $8.45 $130.00 $84.50 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $8.45 $130.00 $84.50 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $8.45 $130.00 $84.50 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $8.45 $130.00 $84.50 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $8.45 $130.00 $84.50 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $8.45 $130.00 $84.50 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $8.45 $130.00 $84.50 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $8.45 $130.00 $84.50 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $8.45 $130.00 $84.50 2026-03-12 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE EMPIRE MEDICAID $8.73 $377.00 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE EMPIRE MEDICAID $8.73 $377.00 2026-03-31 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $8.74 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $8.74 2026-04-14 MRF ↗

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