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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12051 — Intmd Rpr Face/mm 2.5 Cm/<

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 $523

Usually $354–$819 (25th–75th percentile) across 2,831 hospitals · 9,765 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 12051 — 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
$354 $523 typical $819

The middle 50% of negotiated facility rates for this procedure, measured across 2,831 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. $523
Surgeon (professional fee) Estimate national typical Medicare $149 × 1.22 commercial. $182
Likely subtotal $705
Surgical episode (typical) ~$705
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
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Nc Commercial $1.00 $0.60 2026-05-13 MRF ↗
BETSY JOHNSON REGIONAL HOSPITAL Outpatient Blue Cross Blue Shield Of Nc Commercial $1.00 $0.60 2026-05-24 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 2026-02-28 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California HMO $455.00 $373.10 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage $455.00 $373.10 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient SCAN Health Plan Medicare Advantage $2,682.44 $1,743.59 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $455.00 $373.10 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage $455.00 $373.10 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California Covered $455.00 $373.10 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 United Healthcare HMO $455.00 $373.10 2025-11-26 MRF ↗
COMMUNITY MEMORIAL HOSPITAL MEDICAL CENTER OutpatientFacility None $1.00 $0.80 2025-04-15 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage $455.00 $373.10 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. HMO $455.00 $373.10 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare POS $455.00 $373.10 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage $455.00 $373.10 2025-11-26 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Wppa/Providrscare Commercial $899.00 $674.25 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Phcs/Multiplan Commercial $899.00 $674.25 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Healthy Blue Medicaid $899.00 $674.25 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Sunflower Medicaid $899.00 $674.25 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient United Healthcare Commercial $899.00 $674.25 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Hpk (Incl. Cigna) Commercial $899.00 $674.25 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Ks Commercial $1.14 $899.00 $674.25 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Aetna Commercial $899.00 $674.25 2026-05-18 MRF ↗
HANCOCK COUNTY HEALTH SYSTEM Outpatient WELLMARK HMO-ALL OTHER PLANS WELLMARK HMO-ALL OTHER PLANS $1.44 $147.00 $110.25 2026-03-26 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $1.78 $481.00 $456.95 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.78 $481.00 $456.95 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.78 $481.00 $456.95 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.83 $481.00 $456.95 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.88 $481.00 $456.95 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.92 $481.00 $456.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.31 $481.00 $456.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.31 $481.00 $456.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.36 $481.00 $456.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $2.36 $481.00 $456.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.36 $481.00 $456.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.36 $481.00 $456.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.40 $481.00 $456.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.45 $481.00 $456.95 2026-02-20 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $2.48 $386.00 $289.50 2025-03-07 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.50 $481.00 $456.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $2.60 $481.00 $456.95 2026-02-20 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $3.61 $1,687.51 $1,012.51 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $3.61 $1,687.51 $1,012.51 2025-08-11 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CA (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NM WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TN WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MT WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ME (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MN WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OR (REGENCE) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VT WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ID WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IN (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MS WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - HI WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS DOMESTIC WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NV (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NJ (HORIZON) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK HMO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - CA WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KS WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FEDERAL WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MO (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NH (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCBS GENERIC WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCN DOMESTIC WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OH (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility WC DOMESTIC WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - RI WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MA WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (CAPITAL) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OK WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility KAISER DOMESTIC WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - WA (REGENCE) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SD (WELLMARK) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AL WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - UT (REGENCE) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KY (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SC WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WA (PREMERA) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WY WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CO (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CARE NETWORK WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE DISTINCTION TRANSPLANT WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AR WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NE WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CT (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FL WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AK (PREMERA) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ND WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility PRE-EMPLOYMENT WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AZ WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MI WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WI (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TX WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL ALTERNATE WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - GA (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - ID (REGENCE) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (ANTHEM) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NC WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - LA WELLMARK PPO $4.14 $14,485.61 2026-03-31 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Molina Molina Medi-Cal $4.50 $2,679.00 $2,009.25 2026-04-01 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Health Net Health Net Individual - HMO $4.50 $2,679.00 $2,009.25 2026-04-01 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Medicare Medicare $4.50 $2,679.00 $2,009.25 2026-04-01 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $4.65 $447.10 $447.10 2026-04-24 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $4.85 $433.00 $82.27 2026-01-25 MRF ↗
Ventura County Medical Center - Santa Paula Hospital Outpatient UHC MCR ADV UHC MCR ADV $4.85 $1,496.00 $748.00 2026-03-23 MRF ↗
OTTAWA COUNTY HEALTH CENTER Outpatient CHOICECARE MCR ADV - ALL PLANS CHOICECARE MCR ADV - ALL PLANS $4.85 $395.00 $395.00 2026-03-09 MRF ↗
COMANCHE COUNTY MEDICAL CENTER Outpatient MPI - ALL PLANS MPI - ALL PLANS $5.34 $254.00 $165.10 2026-05-07 MRF ↗
COMANCHE COUNTY MEDICAL CENTER Outpatient MPI - ALL PLANS MPI - ALL PLANS $5.34 $453.00 $294.45 2026-05-07 MRF ↗
CHERRY COUNTY HOSPITAL Both AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $6.11 $587.65 $587.65 2026-04-24 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $6.60 2026-03-18 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $6.74 $337.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $6.74 $337.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $6.74 $337.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $6.74 $337.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $6.74 $337.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $6.74 $337.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $6.74 $337.00 2026-03-31 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $6.79 $28,106.45 $5,621.29 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $6.79 $28,106.45 $5,621.29 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $6.79 $28,106.45 $5,621.29 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $6.91 $28,106.45 $5,621.29 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $6.91 $28,106.45 $5,621.29 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $6.91 $28,106.45 $5,621.29 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $6.92 $28,106.45 $5,621.29 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $6.92 $28,106.45 $5,621.29 2026-03-26 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $7.19 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $7.23 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $7.23 2026-03-18 MRF ↗
MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility LONGEVITY HEALTH PLAN [10477] HB OKLC MANAGED MEDICARE $8.45 $7,345.92 $4,774.85 2026-03-12 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $8.45 $812.55 $812.55 2026-04-24 MRF ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $8.46 $1,090.00 $403.30 2026-03-31 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $9.52 $1,687.51 $1,012.51 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $9.52 $1,687.51 $1,012.51 2025-08-11 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $9.70 $459.00 $459.00 2026-02-13 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $13.39 $206.00 $133.90 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $13.39 $206.00 $133.90 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $13.39 $206.00 $133.90 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $13.39 $206.00 $133.90 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $13.39 $206.00 $133.90 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $13.39 $206.00 $133.90 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $13.39 $206.00 $133.90 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $13.39 $206.00 $133.90 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $13.39 $206.00 $133.90 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $13.39 $206.00 $133.90 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $13.39 $206.00 $133.90 2026-03-12 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $13.79 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $13.79 2026-04-14 MRF ↗
CONEMAUGH MINERS MEDICAL CENTER Outpatient Bcbs Of Pa Highmark Medicare Advantage $13.86 $407.00 $162.80 2026-05-22 MRF ↗
CONEMAUGH MINERS MEDICAL CENTER Outpatient Bcbs Of Pa Highmark Medicare Advantage $13.86 $407.00 $162.80 2026-05-13 MRF ↗

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