1100556 — US Complete Ext Non-vasc Rt
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). US COMPLETE EXT NON-VASC RT (CDM 1100556) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1100556?code_type=CDM
MLA (9th ed.)
“US COMPLETE EXT NON-VASC RT (CDM 1100556) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1100556?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“US COMPLETE EXT NON-VASC RT (CDM 1100556) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1100556?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $73–$539 (25th–75th percentile) across 2 hospitals · 38 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 1100556 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION PROVIDENCE Outpatient | UHC STAR KIDS | 909_UHC STAR KIDS OUTPATIENT 20241201 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | MEDICAID REPLACEMENT 100% | 816_MEDICAID REPLACEMENT 100% INPATIENT 20240901 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | WELLPOINT STAR | 902_WELLPOINT (AMERIGROUP) STAR OUTPATIENT 20241201 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | WELLPOINT STAR | 902_WELLPOINT (AMERIGROUP) STAR OUTPATIENT 20241201 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | MEDICAID REPLACEMENT 100% | 903_MEDICAID REPLACEMENT 100% OUTPATIENT 20241201 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | SUPERIOR STAR PLUS | 856_SUPERIOR STAR PLUS INPATIENT 20240901 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SUPERIOR STAR PLUS | 907_SUPERIOR STAR PLUS OUTPATIENT 20241201 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SUPERIOR STAR | 904_SUPERIOR STAR OUTPATIENT 20241201 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | SUPERIOR STAR | 817_SUPERIOR STAR INPATIENT 20240901 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | UHC STAR PLUS | 852_UHC STAR PLUS INPATIENT 20240901 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | UHC STAR KIDS | 909_UHC STAR KIDS OUTPATIENT 20241201 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | MEDICAID REPLACEMENT 100% | 816_MEDICAID REPLACEMENT 100% INPATIENT 20240901 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | MEDICAID REPLACEMENT 100% | 903_MEDICAID REPLACEMENT 100% OUTPATIENT 20241201 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | UHC STAR | 928_UHC STAR OUTPATIENT 20250701 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | UHC STAR | 928_UHC STAR OUTPATIENT 20250701 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | UHC STAR PLUS | 852_UHC STAR PLUS INPATIENT 20240901 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | SUPERIOR STAR | 817_SUPERIOR STAR INPATIENT 20240901 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SUPERIOR STAR | 904_SUPERIOR STAR OUTPATIENT 20241201 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | SUPERIOR STAR PLUS | 856_SUPERIOR STAR PLUS INPATIENT 20240901 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SUPERIOR STAR PLUS | 907_SUPERIOR STAR PLUS OUTPATIENT 20241201 | $66.04 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | UHC STAR | 929_UHC STAR INPATIENT 20250701 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | UHC STAR PLUS | 906_UHC STAR PLUS OUTPATIENT 20241201 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS STAR | 975_BCBS STAR OUTPATIENT 20241201 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | BCBS STAR | 974_BCBS STAR INPATIENT 20240901 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | WELLPOINT STAR | 815_WELLPOINT (AMERIGROUP) STAR INPATIENT 20240901 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | SUPERIOR CHIP/CHIP PERINATE | 898_SUPERIOR CHIP INPATIENT 20240901 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SUPERIOR CHIP/CHIP PERINATE | 910_SUPERIOR CHIP OUTPATIENT 20241201 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | UHC STAR KIDS | 894_UHC STAR KIDS INPATIENT 20240901 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | MCLENNAN COUNTY INDIGENT | 933_MCLENNAN COUNTY INDIGENT INPATIENT 20250601 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | MOLINA MEDICAID REPLACEMENT CHIP | 908_MOLINA CHIP OUTPATIENT 20241201 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | MOLINA MEDICAID REPLACEMENT CHIP | 891_MOLINA CHIP INPATIENT 20240901 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SWHP RIGHTCARE STAR | 905_SWHP RIGHTCARE STAR OUTPATIENT 20241201 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | SWHP RIGHTCARE STAR | 818_SWHP RIGHTCARE STAR INPATIENT 20240901 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | UHC STAR PLUS | 906_UHC STAR PLUS OUTPATIENT 20241201 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS STAR | 975_BCBS STAR OUTPATIENT 20241201 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | BCBS STAR | 974_BCBS STAR INPATIENT 20240901 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | UHC STAR | 929_UHC STAR INPATIENT 20250701 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | WELLPOINT STAR | 815_WELLPOINT (AMERIGROUP) STAR INPATIENT 20240901 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | SUPERIOR CHIP/CHIP PERINATE | 898_SUPERIOR CHIP INPATIENT 20240901 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SUPERIOR CHIP/CHIP PERINATE | 910_SUPERIOR CHIP OUTPATIENT 20241201 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | UHC STAR KIDS | 894_UHC STAR KIDS INPATIENT 20240901 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | MCLENNAN COUNTY INDIGENT | 933_MCLENNAN COUNTY INDIGENT INPATIENT 20250601 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | MOLINA MEDICAID REPLACEMENT CHIP | 891_MOLINA CHIP INPATIENT 20240901 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | MOLINA MEDICAID REPLACEMENT CHIP | 908_MOLINA CHIP OUTPATIENT 20241201 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SWHP RIGHTCARE STAR | 905_SWHP RIGHTCARE STAR OUTPATIENT 20241201 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | SWHP RIGHTCARE STAR | 818_SWHP RIGHTCARE STAR INPATIENT 20240901 | $72.65 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HEALTHSMART | 808_HEALTHSMART PREFERRED CARE PPO | $73.38 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HEALTHSMART | 808_HEALTHSMART PREFERRED CARE PPO | $73.38 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | MCLENNAN COUNTY INDIGENT | 936_MCLENNAN COUNTY INDIGENT OUTPATIENT 20250601 | $104.94 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | MCLENNAN COUNTY INDIGENT | 936_MCLENNAN COUNTY INDIGENT OUTPATIENT 20250601 | $104.94 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SMARTHEALTH | 824_SMARTHEALTH INPATIENT 20241001 | $139.41 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SMARTHEALTH | 824_SMARTHEALTH INPATIENT 20241001 | $139.41 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SMARTHEALTH | 875_SMARTHEALTH OUTPATIENT 20250101 | $139.41 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SMARTHEALTH | 875_SMARTHEALTH OUTPATIENT 20250101 | $139.41 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | MOLINA MEDICAID-ALL OTHER PLANS | MOLINA MEDICAID-ALL OTHER PLANS | $227.49 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $264.15 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $264.15 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SELF PAY | 924_UNINSURED DISCOUNT 20250701 | $264.15 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SELF PAY | 924_UNINSURED DISCOUNT 20250701 | $264.15 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $299.33 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | AETNA | 935_AETNA 20250801 | $308.18 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | AETNA | 935_AETNA 20250801 | $308.18 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS ADVANTAGE HMO | 871_BLUE CROSS BLUE SHIELD ADVANTAGE HMO 20250101 | $322.85 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS ADVANTAGE HMO | 871_BLUE CROSS BLUE SHIELD ADVANTAGE HMO 20250101 | $322.85 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS ESSENTIALS HMO | 870_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $379.41 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS ESSENTIALS HMO | 870_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $379.41 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SWHP MANAGED CARE | 841_SCOTT & WHITE HEALTH PLAN 20241001 | $435.92 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS PPO | 869_BLUE CROSS BLUE SHIELD PPO 20250101 | $435.92 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SWHP MANAGED CARE | 841_SCOTT & WHITE HEALTH PLAN 20241001 | $435.92 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS PPO | 869_BLUE CROSS BLUE SHIELD PPO 20250101 | $435.92 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | CIGNA | 930_CIGNA 20250701 | $460.13 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | CIGNA | 930_CIGNA 20250701 | $460.13 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HUMANA | 644_HUMANA HMO PPO 20230701 | $506.29 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HUMANA | 644_HUMANA HMO PPO 20230701 | $506.29 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HOSPICE COMMUNITY | 611_COMMUNITY HEALTHPLAN OF TEXAS-PROVIDENCE HOSPICE 20201105 | $513.63 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | FIRSTCARE PPO | 840_FIRSTCARE PPO 20241001 | $513.63 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | FIRSTCARE PPO | 840_FIRSTCARE PPO 20241001 | $513.63 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HOSPICE COMMUNITY | 611_COMMUNITY HEALTHPLAN OF TEXAS-PROVIDENCE HOSPICE 20201105 | $513.63 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $538.80 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | UNITED HEALTHCARE MCARE | UNITED HEALTHCARE MCARE | $538.80 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $538.80 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | LA CARE MEDICARE ADV | LA CARE MEDICARE ADV | $538.80 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | HEALTHNET TRICARE | HEALTHNET TRICARE | $544.19 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | MOLINA MEDICARE | MOLINA MEDICARE | $565.74 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | COVENTRY/FIRST HEALTH | 102_FIRSTHEALTH 20130101 | $589.29 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | COVENTRY/FIRST HEALTH | 102_FIRSTHEALTH 20130101 | $589.29 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | PHCS | 376_PHCS 20191001 | $605.44 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | PHCS | 376_PHCS 20191001 | $605.44 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | USA HEALTHNET | 128_USA HEALTHNET 20130101 | $645.70 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | USA HEALTHNET | 128_USA HEALTHNET 20130101 | $645.70 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $733.75 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $733.75 | $733.75 | $264.15 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HOSPICE COMPASSUS | 819_HOSPICE COMPASSUS 20241001 | $807.25 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HOSPICE COMPASSUS | 819_HOSPICE COMPASSUS 20241001 | $807.25 | $807.25 | $290.61 | 2026-01-01 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | TORRANCE MEMORIAL HMO IPA | TORRANCE MEMORIAL HMO IPA | $838.13 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | HEALTHNET-ALL OTHER PLANS | HEALTHNET-ALL OTHER PLANS | $1,200.00 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,348.99 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $1,396.89 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | BLUE SHIELD EXCHANGE | BLUE SHIELD EXCHANGE | $1,454.76 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | BLUE SHIELD VALUE NETWORK | BLUE SHIELD VALUE NETWORK | $1,454.76 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $1,616.40 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $1,776.04 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $1,796.00 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | BLUE CROSS-ALL OTHER PLANS | BLUE CROSS-ALL OTHER PLANS | $1,796.00 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | MULTIPLAN/PHCS PRIME | MULTIPLAN/PHCS PRIME | $1,796.00 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | ACPN-ALL PLANS | ACPN-ALL PLANS | $1,895.77 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | MULTIPLAN/PHCS-ALL PLANS | MULTIPLAN/PHCS-ALL PLANS | $1,895.77 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | BLUE SHIELD VA | BLUE SHIELD VA | $1,995.55 | $1,995.55 | $1,396.89 | 2026-03-17 | MRF ↗ |