1110865 — Bilat Lithotripsy
Cite this view
HANK Price Transparency. (n.d.). BILAT LITHOTRIPSY (OTHER 1110865) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1110865?code_type=OTHER
“BILAT LITHOTRIPSY (OTHER 1110865) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1110865?code_type=OTHER. Accessed .
“BILAT LITHOTRIPSY (OTHER 1110865) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1110865?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,491–$38,968 (25th–75th percentile) across 29 hospitals · 163 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1110865 — 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 | $79,017.28 | $14,223.11 | 2026-05-08 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna Localflex | Cigna Localflex | $2,559.00 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Cigna | Cigna Localplus | $2,559.00 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Cigna Local Plus | Cigna Local Plus | $2,559.00 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna | Cigna Localplus | $2,559.00 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Local Plus | Cigna Local Plus | $2,559.00 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Cigna Localflex | Cigna Localflex | $2,666.00 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Hmo | Cigna Hmo | $2,666.00 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Cigna Hmo | Cigna Hmo | $2,666.00 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Cigna | Cigna Hmo | $2,666.00 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Cigna Localflex | Cigna Localflex | $2,666.00 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | $2,666.00 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Localflex | Cigna Localflex | $2,666.00 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Ga Non Par Medicaid | Non Par Medicaid Ga | $2,823.88 | $48,539.00 | $13,105.53 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Peach State Hlth Plan Mcaid Ga | Peach State Hlth Plan Mcaid Ga | $2,880.36 | $48,539.00 | $13,105.53 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Amerigroup Medicaid | Amerigroup Medicaid | $2,908.06 | $48,539.00 | $13,105.53 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Caresource Medicaid | Caresource Medicaid | $2,965.08 | $48,539.00 | $13,105.53 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Uhc Medicaid | Uhc Medicaid | $2,965.08 | $48,539.00 | $13,105.53 | 2026-05-06 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $2,986.85 | $79,017.28 | $14,223.11 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Plus Medicaid Tx | Node Wellpoint Star Plus Medicaid Tx | $2,986.85 | $79,017.28 | $14,223.11 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $64,169.50 | $13,475.60 | 2026-05-08 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Node Simply Mcr Adv | Node Simply Mcr Adv | $3,000.00 | $59,166.82 | $12,425.03 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $64,169.50 | $11,550.51 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $64,169.50 | $13,475.60 | 2026-05-09 | MRF ↗ |
| CARLSBAD MEDICAL CENTER Outpatient | Self Pay | Self Pay | $3,007.90 | $30,079.00 | $3,007.90 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Mbn | $3,331.00 | $64,169.50 | $13,475.60 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Mbn | $3,331.00 | $64,169.50 | $13,475.60 | 2026-05-08 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Community Bluee | Node Community Blue Medicare Advantage | $3,410.10 | $42,573.00 | $10,217.52 | 2026-05-24 | MRF ↗ |
| FLOWERS HOSPITAL Outpatient | Choicecare Commercial | Choicecare Ppo | $3,500.00 | $99,999.99 | $15,000.00 | 2026-05-24 | MRF ↗ |
| FLOWERS HOSPITAL Outpatient | Choicecare Commercial | Choicecare Ppo | $3,500.00 | $99,999.99 | $15,000.00 | 2026-05-13 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Mbn | $3,506.00 | $64,169.50 | $11,550.51 | 2026-05-09 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Node Hm Freedom Blue Mcr Adv | Node Hm Freedom Blue Mcr Adv | $3,554.85 | $42,573.00 | $10,217.52 | 2026-05-24 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Sbn | $3,587.00 | $64,169.50 | $13,475.60 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Hmo | $3,587.00 | $64,169.50 | $13,475.60 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Sbn | $3,587.00 | $64,169.50 | $11,550.51 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Sbn | $3,587.00 | $64,169.50 | $13,475.60 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Hmo | $3,587.00 | $64,169.50 | $13,475.60 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $3,683.28 | $58,282.00 | $10,490.76 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $3,683.28 | $58,282.00 | $10,490.76 | 2026-05-24 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Hmo | $3,774.00 | $64,169.50 | $11,550.51 | 2026-05-09 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Fl Bsl | $3,834.00 | $59,166.82 | $12,425.03 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Fl Mbn | $3,834.00 | $59,166.82 | $12,425.03 | 2026-05-06 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Outpatient | Viva Healthcare | Viva Hmo | $3,900.00 | $99,999.50 | $11,999.94 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Bsl | $3,943.00 | $64,169.50 | $13,475.60 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Bsl | $3,943.00 | $64,169.50 | $13,475.60 | 2026-05-09 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Fl Hmo | $4,126.00 | $59,166.82 | $12,425.03 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Bcbs Fl Sbn | Bcbs Fl Sbn | $4,126.00 | $59,166.82 | $12,425.03 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Bsl | $4,149.00 | $64,169.50 | $11,550.51 | 2026-05-09 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $4,223.01 | $31,515.00 | $12,290.85 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $4,223.01 | $31,515.00 | $12,290.85 | 2026-05-27 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $4,414.07 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $4,414.07 | $51,446.00 | $13,890.42 | 2026-05-14 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $4,414.07 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Az Medicaid Non Par | Az Medicaid Non Par | $4,541.31 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $4,541.31 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Mercy Care | Mercy Care Medicaid Az | $4,541.31 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $4,541.31 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $4,541.31 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Medicaid | Az Medicaid | $4,541.31 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $4,541.31 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Medicaid | Az Medicaid | $4,541.31 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $4,541.31 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $4,541.31 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $4,541.31 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $4,541.31 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Az Medicaid | Az Medicaid | $4,541.31 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $4,541.31 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $4,541.31 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $4,541.31 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $4,541.31 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $4,541.31 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $4,541.31 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $4,541.31 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $4,541.31 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid | Az Medicaid | $4,541.31 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $4,541.31 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid Non Par | Az Medicaid Non Par | $4,541.31 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $4,599.27 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $4,599.27 | $51,446.00 | $13,890.42 | 2026-05-14 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $4,599.27 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Department Of Health | Department Of Health | $4,643.11 | $48,539.00 | $13,105.53 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $4,727.25 | $31,515.00 | $11,345.40 | 2026-05-06 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $4,741.04 | $79,017.28 | $14,223.11 | 2026-05-08 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Magellan Medicaid Az | Magellan Medicaid Az | $4,768.38 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Magellan | Magellan Medicaid Az | $4,768.38 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Magellan Medicaid Az | Magellan Medicaid Az | $4,768.38 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Magellan | Magellan Medicaid Az | $4,768.38 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $4,821.80 | $31,515.00 | $13,236.30 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $4,859.20 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $4,859.20 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $4,859.20 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $4,859.20 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Fl Nwb | $4,908.00 | $59,166.82 | $12,425.03 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Fl Ppo | $4,908.00 | $59,166.82 | $12,425.03 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Ppo | $5,051.00 | $64,169.50 | $11,550.51 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Ppo | $5,051.00 | $64,169.50 | $13,475.60 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Ppo | $5,051.00 | $64,169.50 | $13,475.60 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Nwb | $5,051.00 | $64,169.50 | $13,475.60 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Nwb | $5,051.00 | $64,169.50 | $13,475.60 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Nwb | $5,051.00 | $64,169.50 | $11,550.51 | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Outpatient | First Health | First Health | $5,056.00 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | First Health | First Health | $5,056.00 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $5,291.95 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $5,291.95 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Outpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $5,291.95 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $5,291.95 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $5,291.95 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $5,291.95 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Self Pay | Self Pay | $5,672.70 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Aetna | Aetna Asbait | $5,672.70 | $31,515.00 | $11,345.40 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Self Pay | Self Pay | $5,672.70 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $5,726.97 | $36,711.35 | $15,418.77 | 2026-05-09 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $5,726.97 | $36,711.35 | $13,216.09 | 2026-05-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $5,726.97 | $36,711.35 | $12,114.75 | 2026-05-06 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $5,726.97 | $36,711.35 | $13,216.09 | 2026-05-14 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Aetna | Aetna Asbait | $5,987.85 | $31,515.00 | $13,236.30 | 2026-05-27 | MRF ↗ |
| CARLSBAD MEDICAL CENTER Inpatient | Self Pay | Self Pay | $6,015.80 | $30,079.00 | $6,015.80 | 2026-05-09 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Outpatient | Self Pay | Self Pay | $6,069.63 | $67,440.29 | $6,069.63 | 2026-05-23 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Outpatient | Self Pay | Self Pay | $6,069.63 | $67,440.29 | $6,069.63 | 2026-05-14 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Outpatient | Bcbs | Bcbs Ar Exchange | $6,608.04 | $36,711.35 | $7,709.38 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center - Bentonville Outpatient | Bcbs | Bcbs Ar Exchange | $6,608.04 | $36,711.35 | $8,810.72 | 2026-05-24 | MRF ↗ |
| Willow Creek Women's Hospital Outpatient | Bcbs Ar Exchange | Bcbs Ar Exchange | $6,608.04 | $36,711.35 | $12,114.75 | 2026-05-09 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Outpatient | Bcbs | Bcbs Ar Exchange | $6,608.04 | $36,711.35 | $8,810.72 | 2026-05-14 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Fl Phs | $6,615.00 | $59,166.82 | $12,425.03 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Phs | $6,807.00 | $64,169.50 | $13,475.60 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Phs | $6,807.00 | $64,169.50 | $11,550.51 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Blue Cross Blue Shield | Bcbs Fl Phs | $6,807.00 | $64,169.50 | $13,475.60 | 2026-05-09 | MRF ↗ |
| BALDWIN HEALTH Outpatient | Self Pay | Self Pay | $6,839.79 | $37,998.81 | $6,839.79 | 2026-05-06 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $6,941.65 | $61,979.00 | $18,593.70 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $6,941.65 | $61,979.00 | $18,593.70 | 2026-05-24 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Aetna | Node Aetna Mcr Adv | $6,953.52 | $79,017.28 | $14,223.11 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $7,111.56 | $79,017.28 | $21,334.67 | 2026-05-08 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Self Pay | Self Pay | $7,563.60 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Self Pay | Self Pay | $7,563.60 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Outpatient | Self Pay | Self Pay | $7,709.38 | $36,711.35 | $7,709.38 | 2026-05-06 | MRF ↗ |
| MERIT HEALTH RIVER REGION Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $7,926.35 | $58,282.00 | $17,484.60 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $7,926.35 | $58,282.00 | $17,484.60 | 2026-05-13 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Upmc Health Plan | Upmc Chip Medicaid Pa | $8,088.87 | $42,573.00 | $10,217.52 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $8,796.30 | $61,979.00 | $13,015.59 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $8,796.30 | $61,979.00 | $13,015.59 | 2026-05-24 | MRF ↗ |
| Northwest Medical Center - Bentonville Outpatient | Self Pay | Self Pay | $8,810.72 | $36,711.35 | $8,810.72 | 2026-05-24 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Outpatient | Self Pay | Self Pay | $8,810.72 | $36,711.35 | $8,810.72 | 2026-05-14 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Aetna | Aetna Hpn | $8,848.71 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Aetna | Aetna Hpn | $8,848.71 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Aetna | Aetna Hpn | $8,848.71 | $51,446.00 | $13,890.42 | 2026-05-14 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Humana All | Humana All | $8,875.02 | $59,166.82 | $12,425.03 | 2026-05-06 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Uhc La Medicaid Chip | Uhc La Medicaid Chip | $8,888.00 | $58,282.00 | $10,490.76 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Uhc La Medicaid Chip | Uhc La Medicaid Chip | $8,888.00 | $58,282.00 | $10,490.76 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | La Medicaid Non Par | La Medicaid Non Par | $8,888.00 | $58,282.00 | $10,490.76 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Uhc La Medicaid | Uhc La Medicaid | $8,888.00 | $58,282.00 | $10,490.76 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Humana Health Benefit Plan Of La Medicaid | Humana Health Benefit Plan Of La Medicaid | $8,888.00 | $58,282.00 | $10,490.76 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | La Medicaid Non Par | La Medicaid Non Par | $8,888.00 | $58,282.00 | $10,490.76 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Humana Health Benefit Plan Of La Medicaid | Humana Health Benefit Plan Of La Medicaid | $8,888.00 | $58,282.00 | $10,490.76 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Uhc La Medicaid | Uhc La Medicaid | $8,888.00 | $58,282.00 | $10,490.76 | 2026-05-24 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Bcnepa Hm | Bcnepa Hm Aso Chs Employee | $8,940.33 | $42,573.00 | $15,326.28 | 2026-05-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Aetna Qhp | Aetna Qhp | $8,981.77 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna Qhp | Aetna Qhp | $8,981.77 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Aetna Qhp | Aetna Qhp | $8,981.77 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Aetna Qhp | Aetna Qhp | $8,981.77 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Aetna | Aetna Hpn | $9,153.19 | $42,573.00 | $10,217.52 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Upmc Chip Medicaid Pa | Upmc Chip Medicaid Pa | $9,260.28 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Upmc Chip Medicaid Pa | Upmc Chip Medicaid Pa | $9,260.28 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Upmc Chip Medicaid Pa | Upmc Chip Medicaid Pa | $9,260.28 | $51,446.00 | $13,890.42 | 2026-05-14 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | La Medicaid Non Par | La Medicaid Non Par | $9,451.80 | $61,979.00 | $13,015.59 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | La Medicaid Non Par | La Medicaid Non Par | $9,451.80 | $61,979.00 | $13,015.59 | 2026-05-08 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Node Devoted Health Mcr Adv | Node Devoted Health Mcr Adv | $9,454.50 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Node Devoted Health Mcr Adv | Node Devoted Health Mcr Adv | $9,454.50 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Node Devoted Health Mcr Adv | Node Devoted Health Mcr Adv | $9,454.50 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center - Bentonville Outpatient | Medpartners | Medpartners | $9,912.06 | $36,711.35 | $8,810.72 | 2026-05-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Outpatient | Medpartners | Medpartners | $9,912.06 | $36,711.35 | $7,709.38 | 2026-05-06 | MRF ↗ |
| Willow Creek Women's Hospital Outpatient | Medpartners | Medpartners | $9,912.06 | $36,711.35 | $12,114.75 | 2026-05-09 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Outpatient | Medpartners | Medpartners | $9,912.06 | $36,711.35 | $8,810.72 | 2026-05-14 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Upmc Health Plan | Upmc Commercial | $10,004.65 | $42,573.00 | $10,217.52 | 2026-05-24 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Aetna Performance | Aetna Performance | $10,034.38 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Aetna Performance | Aetna Performance | $10,034.38 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Aetna Performance | Aetna Performance | $10,034.38 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna Performance | Aetna Performance | $10,034.38 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $10,130.99 | $58,224.09 | $19,213.95 | 2026-05-24 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Self Pay | Self Pay | $10,217.52 | $42,573.00 | $10,217.52 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Upmchp | Upmchp Medicaid Pa | $10,289.20 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Upmchp | Upmchp Medicaid Pa | $10,289.20 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Upmchp | Upmchp Medicaid Pa | $10,289.20 | $51,446.00 | $13,890.42 | 2026-05-14 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Self Pay | Self Pay | $10,490.76 | $58,282.00 | $10,490.76 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Self Pay | Self Pay | $10,490.76 | $58,282.00 | $10,490.76 | 2026-05-13 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Node Wellpoint Star Medicaid Tx | $10,513.72 | $79,017.28 | $14,223.11 | 2026-05-08 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna | Aetna All | $10,563.83 | $31,515.00 | $7,563.60 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Aetna | Aetna All | $10,563.83 | $31,515.00 | $7,563.60 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Aetna | Aetna | $10,563.83 | $31,515.00 | $5,672.70 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Aetna | Aetna | $10,563.83 | $31,515.00 | $5,672.70 | 2026-05-06 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Independence Blue Cross | Ibc Chs Employee | $10,643.25 | $42,573.00 | $15,326.28 | 2026-05-24 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Pennsylvania Health And Wellness | Hw Medicaid Pa | $10,643.25 | $42,573.00 | $10,217.52 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Aetna | Aetna | $10,700.77 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Aetna | Aetna | $10,700.77 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Aetna | Aetna | $10,700.77 | $51,446.00 | $13,890.42 | 2026-05-14 | MRF ↗ |
| CARLSBAD MEDICAL CENTER Inpatient | Work Comp Nm | Nm Work Comp | $10,828.44 | $30,079.00 | $6,015.80 | 2026-05-09 | MRF ↗ |
| Adventhealth Port Charlotte Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $10,886.69 | $59,166.82 | $15,975.04 | 2026-05-06 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Health America | Health America | $10,906.55 | $51,446.00 | $13,890.42 | 2026-05-14 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Health America | Health America | $10,906.55 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Health America | Health America | $10,906.55 | $51,446.00 | $13,890.42 | 2026-05-24 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $10,946.13 | $58,224.09 | $13,682.66 | 2026-05-23 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.