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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10061 — Pr Incision & Drainage Abscess Complicated/Multiple

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

Typical negotiated price $503

Usually $348–$817 (25th–75th percentile) across 3,044 hospitals · 10,481 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 10061 — 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 the surgeon's fee are estimated 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
$348 $503 typical $817

The middle 50% of negotiated facility rates for this procedure, measured across 3,044 hospitals. The the surgeon's fee 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. $503
Surgeon (professional fee) Estimate national typical Medicare $173 × 1.22 commercial. $211
Likely subtotal $714
Surgical episode (typical) ~$714
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
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Cdphp Managedmedicaid $0.19 $27.94 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both United Essentialplans1Thru4 $0.19 $27.94 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both United Managedmedicaid $0.19 $27.94 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Cdphp Managedmedicaid $0.19 $27.94 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both United Essentialplans1Thru4 $0.19 $27.94 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both United Managedmedicaid $0.19 $27.94 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Mvp Managedmedicaid $0.19 $27.94 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Mvp Managedmedicaid $0.19 $27.94 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Empire Managedmedicaidaliessa $0.20 $27.94 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Empire Managedmedicaidaliessa $0.20 $27.94 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Fidelis Managedmedicaid $0.27 $27.94 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Fidelis Managedmedicaid $0.27 $27.94 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Mvp Essentialplans1Thru6 $0.40 $27.94 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Mvp Essentialplans1Thru6 $0.40 $27.94 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Empire Managedmedicaidnonaliessaessentialplans1Thru4 $0.43 $27.94 2026-05-13 MRF ↗
HANCOCK COUNTY HEALTH SYSTEM Outpatient WELLMARK HMO-ALL OTHER PLANS WELLMARK HMO-ALL OTHER PLANS $0.43 $135.00 $101.25 2026-03-26 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Empire Managedmedicaidnonaliessaessentialplans1Thru4 $0.43 $27.94 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Highmark $0.48 $27.94 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Highmark $0.48 $27.94 2026-05-13 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 $1,877.00 $555.60 2026-02-28 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Cigna Cigna - HMO $0.96 $2,203.00 $1,652.25 2026-04-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare POS $1,380.00 $1,131.60 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage $1,380.00 $1,131.60 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage $1,380.00 $1,131.60 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage $1,380.00 $1,131.60 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $1,380.00 $1,131.60 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage $1,380.00 $1,131.60 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California HMO $1,380.00 $1,131.60 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare HMO $1,380.00 $1,131.60 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $2,063.43 $1,341.23 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California Covered $1,380.00 $1,131.60 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage $2,063.43 $1,341.23 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Health Net of California, Inc. HMO $1,380.00 $1,131.60 2025-11-26 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $1.43 $386.00 $366.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.43 $386.00 $366.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.43 $386.00 $366.70 2026-02-20 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Anthem Medicare Supplement $1.44 $1,135.00 $681.00 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Medicare Anthem Medicare $1.44 $1,135.00 $681.00 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Anthem Medicare 105187 Anthem Medicare 105187 $1.44 $1,135.00 $681.00 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Medicare Anthem Mediblue Greater Dayton $1.44 $1,135.00 $681.00 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Bcbs Of Michigan Medicare Plus $1.44 $1,135.00 $681.00 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Anthem - Secondary $1.44 $1,135.00 $681.00 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Anthem - Tertiary $1.44 $1,135.00 $681.00 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Medicare Anthem Medicare Preferred $1.44 $1,135.00 $681.00 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Bcbs Blue Advantage Administrators Of Arkansas $1.44 $1,135.00 $681.00 2026-05-08 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.47 $386.00 $366.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.51 $386.00 $366.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.54 $386.00 $366.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.85 $386.00 $366.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.85 $386.00 $366.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.89 $386.00 $366.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.89 $386.00 $366.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.89 $386.00 $366.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $1.89 $386.00 $366.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.93 $386.00 $366.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.97 $386.00 $366.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.01 $386.00 $366.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $2.08 $386.00 $366.70 2026-02-20 MRF ↗
CHERRY COUNTY HOSPITAL Both AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $2.36 $227.15 $227.15 2026-04-24 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MS WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - ID (REGENCE) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KS WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ME (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - GA (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VT WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCN DOMESTIC WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MT WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ID WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SD (WELLMARK) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - HI WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MN WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MA WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OK WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NM WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IN (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ND WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WA (PREMERA) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MO (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - WA (REGENCE) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - CA WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OH (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FL WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS DOMESTIC WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AR WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KY (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NC WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CARE NETWORK WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WI (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CT (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - LA WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - RI WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NH (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCBS GENERIC WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK HMO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OR (REGENCE) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NJ (HORIZON) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility WC DOMESTIC WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CO (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CA (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL ALTERNATE WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (CAPITAL) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WY WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility KAISER DOMESTIC WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AL WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SC WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NV (ANTHEM) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AZ WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NE WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TX WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AK (PREMERA) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - UT (REGENCE) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MI WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility PRE-EMPLOYMENT WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TN WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FEDERAL WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE DISTINCTION TRANSPLANT WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $2.46 $13,287.04 2026-03-31 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $2.51 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 ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $2.53 2026-03-18 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $2.81 $429.00 $321.75 2025-03-07 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 Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $3.16 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 ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) HR [40] Plans $3.47 $8,679.40 $8,679.40 2026-04-03 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $3.92 $1,978.02 $1,186.81 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $3.92 $1,978.02 $1,186.81 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $4.77 $1,978.02 $1,186.81 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $4.77 $1,978.02 $1,186.81 2025-08-11 MRF ↗
OTTAWA COUNTY HEALTH CENTER Outpatient CHOICECARE MCR ADV - ALL PLANS CHOICECARE MCR ADV - ALL PLANS $5.21 $300.00 $300.00 2026-03-09 MRF ↗
Ventura County Medical Center - Santa Paula Hospital Outpatient UHC MCR ADV UHC MCR ADV $5.21 $1,496.00 $748.00 2026-03-23 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $5.21 $475.00 $90.25 2026-01-25 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO HR [303] Plans $5.60 $8,679.40 $8,679.40 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO HR [307] Plans $5.60 $8,679.40 $8,679.40 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON MCO HR [305] Plans $5.60 $8,679.40 $8,679.40 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON ACO HR [304] Plans $5.60 $8,679.40 $8,679.40 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient MASSHEALTH [20302] All MASSHEALTH HR [91] Plans $5.60 $8,679.40 $8,679.40 2026-04-03 MRF ↗
COMANCHE COUNTY MEDICAL CENTER Outpatient MPI - ALL PLANS MPI - ALL PLANS $5.73 $306.00 $198.90 2026-05-07 MRF ↗
CHEYENNE COUNTY HOSPITAL Outpatient AETNA COVENTRY - ALL OTHER PLANS AETNA COVENTRY - ALL OTHER PLANS $6.25 $259.00 2026-03-02 MRF ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $6.34 $983.00 $363.71 2026-03-31 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $6.34 $609.20 $609.20 2026-04-24 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $6.50 $325.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $6.50 $325.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $6.50 $325.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $6.50 $325.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $6.50 $325.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $6.50 $325.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $6.50 $325.00 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] BELOW FPIL WELLPOINT CHIP PERINATE [100708] $6.79 $3,768.84 $1,507.54 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] ABOVE FPIL WELLPOINT CHIP PERINATE [100709] $6.79 $3,768.84 $1,507.54 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] BELOW FPIL WELLPOINT CHIP PERINATE [100708] $6.79 $3,768.84 $1,507.54 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] ABOVE FPIL WELLPOINT CHIP PERINATE [100709] $6.79 $3,768.84 $1,507.54 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] BELOW FPIL WELLPOINT CHIP PERINATE [100708] $7.27 $3,102.00 $1,240.80 2026-05-29 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] ABOVE FPIL WELLPOINT CHIP PERINATE [100709] $7.27 $3,102.00 $1,240.80 2026-05-29 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP|CIGNA|GWH CIGNA|NALC CIGNA $967.68 $628.99 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $967.68 $628.99 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $967.68 $628.99 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient HIGHMARK [114] HIGHMARK MEDICARE $967.68 $628.99 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EMBLEM GHI [113] EMBLEM GHI $967.68 $628.99 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $7.59 $967.68 $628.99 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 $967.68 $628.99 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE MEDICARE HMO $967.68 $628.99 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $7.59 $967.68 $628.99 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EXCELLUS HMO [104] BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 $967.68 $628.99 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient GENERIC MEDICARE HMO [125] HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|CDPHP MEDICARE HMO $967.68 $628.99 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC CHPS|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES $967.68 $628.99 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE $967.68 $628.99 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 3&4 $7.59 $967.68 $628.99 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $8.10 $967.68 $628.99 2024-12-30 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient FALLON MEDICAID [10904] All FALLON ACO HA [79] Plans $8.35 $3,312.52 $3,312.52 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO HA [223] Plans $8.35 $3,312.52 $3,312.52 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) HA [43] Plans $8.35 $3,312.52 $3,312.52 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient FALLON MEDICAID [10904] All FALLON MCO HA [55] Plans $8.35 $3,312.52 $3,312.52 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient MASSHEALTH [20302] All MASSHEALTH HA [93] Plans $8.35 $3,312.52 $3,312.52 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO HA [197] Plans $8.35 $3,312.52 $3,312.52 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER HA [122] Plans $8.35 $3,312.52 $3,312.52 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient INSTITUTION [10406] All WORCESTER RECOVERY HA [235] Plans $8.35 $3,312.52 $3,312.52 2026-03-26 MRF ↗
MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE $9.47 $4,918.00 2026-03-31 MRF ↗
MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility GEHA UNITED HEALTHCARE $9.47 $4,918.00 2026-03-31 MRF ↗
MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $9.47 $4,918.00 2026-03-31 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $9.52 $1,978.02 $1,186.81 2025-08-11 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON MCO UM [104] Plans $9.52 $7,357.00 $7,357.00 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON ACO UM [130] Plans $9.52 $7,357.00 $7,357.00 2026-03-26 MRF ↗

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