1110864 — Lithotripsy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LITHOTRIPSY (OTHER 1110864) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1110864?code_type=OTHER
MLA (9th ed.)
“LITHOTRIPSY (OTHER 1110864) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1110864?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“LITHOTRIPSY (OTHER 1110864) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1110864?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,243–$32,431 (25th–75th percentile) across 38 hospitals · 194 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1110864 — 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 |
|---|---|---|---|---|---|---|---|
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna All | $893.00 | $39,508.64 | $7,111.56 | 2026-05-08 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Bcbs Fl Bsl | $1,429.00 | $36,750.00 | $6,615.00 | 2026-05-08 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Bcbs Fl Mbn | $1,429.00 | $36,750.00 | $6,615.00 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Plus Medicaid Tx | Node Wellpoint Star Plus Medicaid Tx | $1,493.43 | $39,508.64 | $7,111.56 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $1,493.43 | $39,508.64 | $7,111.56 | 2026-05-08 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Bcbs Fl Sbn | Bcbs Fl Sbn | $1,539.00 | $36,750.00 | $6,615.00 | 2026-05-08 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Bcbs Fl Hmo | $1,539.00 | $36,750.00 | $6,615.00 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Star Medicaid Tx | Node Wellpoint Star Medicaid Tx | $1,605.51 | $30,338.54 | $7,281.25 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Amerigroup | Node Wellpoint Star Plus Medicaid Tx | $1,605.51 | $30,338.54 | $7,281.25 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $1,605.51 | $30,338.54 | $7,281.25 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $1,605.51 | $30,338.54 | $7,281.25 | 2026-05-08 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Bcbs Fl Ppo | $1,827.00 | $36,750.00 | $6,615.00 | 2026-05-08 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Bcbs Fl Nwb | $1,827.00 | $36,750.00 | $6,615.00 | 2026-05-08 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Bcbs Fl Phs | $2,007.00 | $36,750.00 | $6,615.00 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Self Pay | Self Pay | $2,123.70 | $30,338.54 | $7,281.25 | 2026-05-08 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Community Bluee | Node Community Blue Medicare Advantage | $2,345.41 | $29,281.00 | $7,027.44 | 2026-05-24 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $2,370.52 | $39,508.64 | $7,111.56 | 2026-05-08 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Node Hm Freedom Blue Mcr Adv | Node Hm Freedom Blue Mcr Adv | $2,444.96 | $29,281.00 | $7,027.44 | 2026-05-24 | MRF ↗ |
| CARLSBAD MEDICAL CENTER Outpatient | Self Pay | Self Pay | $2,464.70 | $24,647.00 | $2,464.70 | 2026-05-09 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Cigna Local Plus | Cigna Local Plus | $2,559.00 | $24,694.00 | $4,444.92 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna | Cigna Localplus | $2,559.00 | $24,694.00 | $5,926.56 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna Localflex | Cigna Localflex | $2,559.00 | $24,694.00 | $5,926.56 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Cigna | Cigna Localplus | $2,559.00 | $24,694.00 | $5,926.56 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Local Plus | Cigna Local Plus | $2,559.00 | $24,694.00 | $4,444.92 | 2026-05-27 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Ga Non Par Medicaid | Non Par Medicaid Ga | $2,567.26 | $44,128.00 | $11,914.56 | 2026-05-06 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Healthchoice | Healthchoice Non Standard 1 | $2,600.00 | $66,878.00 | $10,031.70 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Healthchoice | Healthchoice Non Standard 1 | $2,600.00 | $66,878.00 | $10,031.70 | 2026-05-24 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Peach State Hlth Plan Mcaid Ga | Peach State Hlth Plan Mcaid Ga | $2,618.61 | $44,128.00 | $11,914.56 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Amerigroup Medicaid | Amerigroup Medicaid | $2,643.79 | $44,128.00 | $11,914.56 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Cigna Localflex | Cigna Localflex | $2,666.00 | $24,694.00 | $4,444.92 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Cigna Localflex | Cigna Localflex | $2,666.00 | $24,694.00 | $5,926.56 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Cigna | Cigna Hmo | $2,666.00 | $24,694.00 | $5,926.56 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Cigna Hmo | Cigna Hmo | $2,666.00 | $24,694.00 | $4,444.92 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | $2,666.00 | $24,694.00 | $5,926.56 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Localflex | Cigna Localflex | $2,666.00 | $24,694.00 | $4,444.92 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Hmo | Cigna Hmo | $2,666.00 | $24,694.00 | $4,444.92 | 2026-05-27 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Uhc Medicaid | Uhc Medicaid | $2,695.62 | $44,128.00 | $11,914.56 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Caresource Medicaid | Caresource Medicaid | $2,695.62 | $44,128.00 | $11,914.56 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $26,932.18 | $5,655.76 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $26,932.18 | $5,655.76 | 2026-05-09 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Node Simply Mcr Adv | Node Simply Mcr Adv | $3,000.00 | $39,444.17 | $8,283.28 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $26,932.18 | $4,847.79 | 2026-05-09 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Outpatient | Self Pay | Self Pay | $3,034.87 | $33,720.82 | $3,034.87 | 2026-05-23 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Outpatient | Self Pay | Self Pay | $3,034.87 | $33,720.82 | $3,034.87 | 2026-05-14 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $3,089.83 | $36,012.00 | $9,723.24 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $3,089.83 | $36,012.00 | $9,723.24 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $3,089.83 | $36,012.00 | $9,723.24 | 2026-05-14 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $3,219.47 | $36,012.00 | $9,723.24 | 2026-05-14 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $3,219.47 | $36,012.00 | $9,723.24 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $3,219.47 | $36,012.00 | $9,723.24 | 2026-05-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $3,309.00 | $24,694.00 | $9,630.66 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $3,309.00 | $24,694.00 | $9,630.66 | 2026-05-27 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Mbn | $3,331.00 | $26,932.18 | $5,655.76 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Mbn | $3,331.00 | $26,932.18 | $5,655.76 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Aetna | Node Aetna Mcr Adv | $3,476.76 | $39,508.64 | $7,111.56 | 2026-05-08 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Choicecare | Choicecare Ppo | $3,500.00 | $66,878.00 | $10,031.70 | 2026-05-07 | MRF ↗ |
| NORTHEAST REGIONAL MEDICAL CENTER Outpatient | Uhc | Uhc At Still | $3,500.00 | $30,748.64 | $7,379.67 | 2026-05-06 | MRF ↗ |
| FLOWERS HOSPITAL Outpatient | Choicecare Commercial | Choicecare Ppo | $3,500.00 | $91,727.00 | $13,759.05 | 2026-05-24 | MRF ↗ |
| FLOWERS HOSPITAL Outpatient | Choicecare Commercial | Choicecare Ppo | $3,500.00 | $91,727.00 | $13,759.05 | 2026-05-13 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Choicecare | Choicecare Ppo | $3,500.00 | $66,878.00 | $10,031.70 | 2026-05-24 | MRF ↗ |
| NORTHEAST REGIONAL MEDICAL CENTER Outpatient | Uhc | Uhc | $3,500.00 | $30,748.64 | $7,379.67 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Mbn | $3,506.00 | $26,932.18 | $4,847.79 | 2026-05-09 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $3,555.78 | $39,508.64 | $10,667.33 | 2026-05-08 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Mercy Care | Mercy Care Medicaid Az | $3,558.41 | $24,694.00 | $4,444.92 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $3,558.41 | $24,694.00 | $5,926.56 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Medicaid | Az Medicaid | $3,558.41 | $24,694.00 | $5,926.56 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $3,558.41 | $24,694.00 | $4,444.92 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $3,558.41 | $24,694.00 | $5,926.56 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $3,558.41 | $24,694.00 | $5,926.56 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $3,558.41 | $24,694.00 | $5,926.56 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $3,558.41 | $24,694.00 | $5,926.56 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid Non Par | Az Medicaid Non Par | $3,558.41 | $24,694.00 | $4,444.92 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid | Az Medicaid | $3,558.41 | $24,694.00 | $4,444.92 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $3,558.41 | $24,694.00 | $4,444.92 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $3,558.41 | $24,694.00 | $5,926.56 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $3,558.41 | $24,694.00 | $5,926.56 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $3,558.41 | $24,694.00 | $4,444.92 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $3,558.41 | $24,694.00 | $4,444.92 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $3,558.41 | $24,694.00 | $5,926.56 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Az Medicaid Non Par | Az Medicaid Non Par | $3,558.41 | $24,694.00 | $4,444.92 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Az Medicaid | Az Medicaid | $3,558.41 | $24,694.00 | $4,444.92 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $3,558.41 | $24,694.00 | $4,444.92 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $3,558.41 | $24,694.00 | $5,926.56 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $3,558.41 | $24,694.00 | $4,444.92 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Medicaid | Az Medicaid | $3,558.41 | $24,694.00 | $5,926.56 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $3,558.41 | $24,694.00 | $4,444.92 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $3,558.41 | $24,694.00 | $5,926.56 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Sbn | $3,587.00 | $26,932.18 | $4,847.79 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Sbn | $3,587.00 | $26,932.18 | $5,655.76 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Hmo | $3,587.00 | $26,932.18 | $5,655.76 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Hmo | $3,587.00 | $26,932.18 | $5,655.76 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Sbn | $3,587.00 | $26,932.18 | $5,655.76 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $3,683.28 | $54,051.00 | $9,729.18 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $3,683.28 | $54,051.00 | $9,729.18 | 2026-05-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $3,704.10 | $24,694.00 | $8,889.84 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Magellan | Magellan Medicaid Az | $3,736.33 | $24,694.00 | $5,926.56 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Magellan Medicaid Az | Magellan Medicaid Az | $3,736.33 | $24,694.00 | $4,444.92 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Magellan | Magellan Medicaid Az | $3,736.33 | $24,694.00 | $5,926.56 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Magellan Medicaid Az | Magellan Medicaid Az | $3,736.33 | $24,694.00 | $4,444.92 | 2026-05-27 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Hmo | $3,774.00 | $26,932.18 | $4,847.79 | 2026-05-09 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $3,778.18 | $24,694.00 | $10,371.48 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $3,807.49 | $24,694.00 | $5,926.56 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $3,807.49 | $24,694.00 | $4,444.92 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $3,807.49 | $24,694.00 | $4,444.92 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $3,807.49 | $24,694.00 | $5,926.56 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Fl Bsl | $3,834.00 | $39,444.17 | $8,283.28 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Fl Mbn | $3,834.00 | $39,444.17 | $8,283.28 | 2026-05-06 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Outpatient | Viva Healthcare | Viva Hmo | $3,900.00 | $99,999.58 | $11,999.95 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Bsl | $3,943.00 | $26,932.18 | $5,655.76 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Bsl | $3,943.00 | $26,932.18 | $5,655.76 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Self Pay | Self Pay | $3,944.01 | $30,338.54 | $10,618.49 | 2026-05-08 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Bcbs Fl Sbn | Bcbs Fl Sbn | $4,126.00 | $39,444.17 | $8,283.28 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Fl Hmo | $4,126.00 | $39,444.17 | $8,283.28 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Bsl | $4,149.00 | $26,932.18 | $4,847.79 | 2026-05-09 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Department Of Health | Department Of Health | $4,221.17 | $44,128.00 | $11,914.56 | 2026-05-06 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Outpatient | Self Pay | Self Pay | $4,239.78 | $70,663.00 | $12,719.34 | 2026-05-06 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $4,405.36 | $28,239.46 | $11,860.57 | 2026-05-09 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $4,405.36 | $28,239.46 | $10,166.21 | 2026-05-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $4,405.36 | $28,239.46 | $9,319.02 | 2026-05-06 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $4,405.36 | $28,239.46 | $10,166.21 | 2026-05-14 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Self Pay | Self Pay | $4,444.92 | $24,694.00 | $4,444.92 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Self Pay | Self Pay | $4,444.92 | $24,694.00 | $4,444.92 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Aetna | Aetna Asbait | $4,444.92 | $24,694.00 | $8,889.84 | 2026-05-06 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $4,541.49 | $85,818.00 | $18,021.78 | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $4,541.49 | $85,818.00 | $18,021.78 | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $4,541.49 | $85,818.00 | $18,021.78 | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Outpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $4,541.49 | $85,818.00 | $18,021.78 | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $4,541.49 | $85,818.00 | $18,021.78 | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $4,541.49 | $85,818.00 | $18,021.78 | 2026-05-09 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Aetna | Aetna Asbait | $4,691.86 | $24,694.00 | $10,371.48 | 2026-05-27 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Self Pay | Self Pay | $4,847.79 | $26,932.18 | $5,655.76 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Self Pay | Self Pay | $4,847.79 | $26,932.18 | $4,847.79 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Self Pay | Self Pay | $4,847.79 | $26,932.18 | $5,655.76 | 2026-05-09 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Fl Ppo | $4,908.00 | $39,444.17 | $8,283.28 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Fl Nwb | $4,908.00 | $39,444.17 | $8,283.28 | 2026-05-06 | MRF ↗ |
| CARLSBAD MEDICAL CENTER Inpatient | Self Pay | Self Pay | $4,929.40 | $24,647.00 | $4,929.40 | 2026-05-09 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Self Pay | Self Pay | $5,000.00 | $99,999.91 | $17,999.98 | 2026-05-07 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Ppo | $5,051.00 | $26,932.18 | $5,655.76 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Nwb | $5,051.00 | $26,932.18 | $4,847.79 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Ppo | $5,051.00 | $26,932.18 | $4,847.79 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Nwb | $5,051.00 | $26,932.18 | $5,655.76 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Ppo | $5,051.00 | $26,932.18 | $5,655.76 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Nwb | $5,051.00 | $26,932.18 | $5,655.76 | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Outpatient | First Health | First Health | $5,056.00 | $85,818.00 | $18,021.78 | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | First Health | First Health | $5,056.00 | $85,818.00 | $18,021.78 | 2026-05-08 | MRF ↗ |
| Northwest Medical Center - Bentonville Outpatient | Bcbs | Bcbs Ar Exchange | $5,083.10 | $28,239.46 | $6,777.47 | 2026-05-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Outpatient | Bcbs | Bcbs Ar Exchange | $5,083.10 | $28,239.46 | $5,930.29 | 2026-05-06 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Outpatient | Bcbs | Bcbs Ar Exchange | $5,083.10 | $28,239.46 | $6,777.47 | 2026-05-14 | MRF ↗ |
| Willow Creek Women's Hospital Outpatient | Bcbs Ar Exchange | Bcbs Ar Exchange | $5,083.10 | $28,239.46 | $9,319.02 | 2026-05-09 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Outpatient | Self Pay | Self Pay | $5,169.22 | $73,846.00 | $17,723.04 | 2026-05-24 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Outpatient | Self Pay | Self Pay | $5,169.22 | $73,846.00 | $17,723.04 | 2026-05-13 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Node Wellpoint Star Medicaid Tx | $5,256.86 | $39,508.64 | $7,111.56 | 2026-05-08 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $5,395.04 | $44,958.63 | $5,395.04 | 2026-05-24 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $5,395.04 | $44,958.63 | $5,395.04 | 2026-05-07 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Upmc Health Plan | Upmc Chip Medicaid Pa | $5,563.39 | $29,281.00 | $7,027.44 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $5,571.66 | $49,747.00 | $14,924.10 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $5,571.66 | $49,747.00 | $14,924.10 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $5,728.75 | $39,508.64 | $10,667.33 | 2026-05-08 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Humana All | Humana All | $5,916.63 | $39,444.17 | $8,283.28 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Self Pay | Self Pay | $5,926.56 | $24,694.00 | $5,926.56 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Self Pay | Self Pay | $5,926.56 | $24,694.00 | $5,926.56 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Outpatient | Self Pay | Self Pay | $5,930.29 | $28,239.46 | $5,930.29 | 2026-05-06 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Bcnepa Hm | Bcnepa Hm Aso Chs Employee | $6,149.01 | $29,281.00 | $10,541.16 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Aetna | Aetna Hpn | $6,194.06 | $36,012.00 | $9,723.24 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Aetna | Aetna Hpn | $6,194.06 | $36,012.00 | $9,723.24 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Aetna | Aetna Hpn | $6,194.06 | $36,012.00 | $9,723.24 | 2026-05-14 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $6,276.22 | $44,958.63 | $5,395.04 | 2026-05-24 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $6,276.22 | $44,958.63 | $5,395.04 | 2026-05-24 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Medicaid | Az Medicaid | $6,276.22 | $44,958.63 | $5,395.04 | 2026-05-24 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Uhccp Medicaid Az | Uhccp Medicaid Az | $6,276.22 | $44,958.63 | $5,395.04 | 2026-05-24 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $6,276.22 | $44,958.63 | $5,395.04 | 2026-05-07 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $6,276.22 | $44,958.63 | $5,395.04 | 2026-05-07 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Uhccp Medicaid Az | Uhccp Medicaid Az | $6,276.22 | $44,958.63 | $5,395.04 | 2026-05-07 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Medicaid | Az Medicaid | $6,276.22 | $44,958.63 | $5,395.04 | 2026-05-07 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Aetna | Aetna Hpn | $6,295.41 | $29,281.00 | $7,027.44 | 2026-05-24 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Aetna | Aetna | $6,382.93 | $26,932.18 | $5,655.76 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Aetna | Aetna | $6,382.93 | $26,932.18 | $5,655.76 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Aetna | Aetna | $6,382.93 | $26,932.18 | $4,847.79 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Self Pay | Self Pay | $6,463.72 | $26,932.18 | $6,463.72 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Self Pay | Self Pay | $6,463.72 | $26,932.18 | $6,463.72 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Self Pay | Self Pay | $6,463.72 | $26,932.18 | $6,463.72 | 2026-05-09 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Upmc Chip Medicaid Pa | Upmc Chip Medicaid Pa | $6,482.16 | $36,012.00 | $9,723.24 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Upmc Chip Medicaid Pa | Upmc Chip Medicaid Pa | $6,482.16 | $36,012.00 | $9,723.24 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Upmc Chip Medicaid Pa | Upmc Chip Medicaid Pa | $6,482.16 | $36,012.00 | $9,723.24 | 2026-05-14 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $6,517.59 | $26,932.18 | $6,463.72 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $6,517.59 | $26,932.18 | $6,463.72 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $6,517.59 | $26,932.18 | $6,463.72 | 2026-05-09 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Care1St | Care1St Medicaid Az | $6,590.04 | $44,958.63 | $5,395.04 | 2026-05-07 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Magellan | Magellan Medicaid Az | $6,590.04 | $44,958.63 | $5,395.04 | 2026-05-07 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Magellan | Magellan Medicaid Az | $6,590.04 | $44,958.63 | $5,395.04 | 2026-05-24 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Care1St | Care1St Medicaid Az | $6,590.04 | $44,958.63 | $5,395.04 | 2026-05-24 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $6,613.80 | $30,338.54 | $10,618.49 | 2026-05-08 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Self Pay | Self Pay | $6,615.00 | $36,750.00 | $6,615.00 | 2026-05-08 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Fl Phs | $6,615.00 | $39,444.17 | $8,283.28 | 2026-05-06 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $6,715.56 | $44,958.63 | $5,395.04 | 2026-05-24 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $6,715.56 | $44,958.63 | $5,395.04 | 2026-05-07 | MRF ↗ |
| Northwest Medical Center - Bentonville Outpatient | Self Pay | Self Pay | $6,777.47 | $28,239.46 | $6,777.47 | 2026-05-24 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Outpatient | Self Pay | Self Pay | $6,777.47 | $28,239.46 | $6,777.47 | 2026-05-14 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Phs | $6,807.00 | $26,932.18 | $5,655.76 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Phs | $6,807.00 | $26,932.18 | $4,847.79 | 2026-05-09 | MRF ↗ |
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