126092 — Revsc Low Ext Ivl St/ath
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REVSC LOW EXT IVL ST/ATH (CDM 126092) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/126092?code_type=CDM
MLA (9th ed.)
“REVSC LOW EXT IVL ST/ATH (CDM 126092) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/126092?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“REVSC LOW EXT IVL ST/ATH (CDM 126092) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/126092?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $94–$40,603 (25th–75th percentile) across 12 hospitals · 44 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 126092 — 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 |
|---|---|---|---|---|---|---|---|
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | United Healthcare | All Payer | $17.15 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $17.15 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | United Healthcare | All Payer | $17.15 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | HIX | $17.15 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | United Healthcare | HIX | $17.15 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS ST FRANCES CABRINI HOSPITAL OutpatientFacility | United Healthcare | All Payer | $25.78 | $107.42 | $27.93 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Multiplan | PPO | $40.02 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | Five Point Credit Union | PPO | $40.02 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | Healthsmart | Accel PPO | $40.02 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Healthsmart | Accel PPO | $40.02 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Five Point Credit Union | PPO | $40.02 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Phcs | PPO | $40.02 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | Phcs | PPO | $40.02 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | Five Point Credit Union | PPO | $40.02 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | Phcs | PPO | $40.02 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | Multiplan | PPO | $40.02 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | Healthsmart | Accel PPO | $40.02 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | Multiplan | PPO | $40.02 | $57.18 | $11.44 | 2026-01-13 | MRF ↗ |
| CHRISTUS ST FRANCES CABRINI HOSPITAL OutpatientFacility | Multiplan | PPO | $64.45 | $107.42 | $27.93 | 2026-01-13 | MRF ↗ |
| CHRISTUS ST FRANCES CABRINI HOSPITAL OutpatientFacility | PPOplus Llc | PPO | $64.45 | $107.42 | $27.93 | 2026-01-13 | MRF ↗ |
| CHRISTUS ST FRANCES CABRINI HOSPITAL OutpatientFacility | Phcs | PPO | $64.45 | $107.42 | $27.93 | 2026-01-13 | MRF ↗ |
| CHRISTUS ST FRANCES CABRINI HOSPITAL OutpatientFacility | Vantage Health Plan Inc. | PPO | $69.82 | $107.42 | $27.93 | 2026-01-13 | MRF ↗ |
| CHRISTUS ST FRANCES CABRINI HOSPITAL OutpatientFacility | Five Point Credit Union | PPO | $75.19 | $107.42 | $27.93 | 2026-01-13 | MRF ↗ |
| CHRISTUS Health - West Beaumont OutpatientFacility | Five Point Credit Union | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH OutpatientFacility | Phcs | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH OutpatientFacility | Phcs | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH OutpatientFacility | Multiplan | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH OutpatientFacility | Multiplan | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH OutpatientFacility | Healthsmart | Accel PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Hospital - Orange OutpatientFacility | MCT Credit Union | All Plans | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH OutpatientFacility | Healthsmart | Accel PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Southeast Texas - MidCounty OutpatientFacility | MCT Credit Union | All Plans | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Southeast Texas - MidCounty OutpatientFacility | Partners Direct Health | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Southeast Texas - MidCounty OutpatientFacility | Five Point Credit Union | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Southeast Texas - MidCounty OutpatientFacility | Phcs | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Southeast Texas - MidCounty OutpatientFacility | Multiplan | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Southeast Texas - MidCounty OutpatientFacility | Healthsmart | Accel PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Health - West Beaumont OutpatientFacility | MCT Credit Union | All Plans | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH OutpatientFacility | Five Point Credit Union | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH OutpatientFacility | Five Point Credit Union | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH OutpatientFacility | Partners Direct Health | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH OutpatientFacility | Partners Direct Health | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH OutpatientFacility | MCT Credit Union | All Plans | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH OutpatientFacility | MCT Credit Union | All Plans | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Health - West Beaumont OutpatientFacility | Healthsmart | Accel PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Health - West Beaumont OutpatientFacility | Multiplan | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Health - West Beaumont OutpatientFacility | Phcs | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Health - West Beaumont OutpatientFacility | Partners Direct Health | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Hospital - Orange OutpatientFacility | Partners Direct Health | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Hospital - Orange OutpatientFacility | Five Point Credit Union | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Hospital - Orange OutpatientFacility | Phcs | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Hospital - Orange OutpatientFacility | Multiplan | PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| CHRISTUS Hospital - Orange OutpatientFacility | Healthsmart | Accel PPO | $94.29 | $134.70 | $44.45 | 2026-01-13 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $2,631.16 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $2,631.16 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $5,223.99 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $5,223.99 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $6,170.55 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | NPR | $7,157.84 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $7,816.03 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Aetna | MGMCR | $8,726.97 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $9,050.14 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Lifeworks | MCR | $11,054.16 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | IFP | $11,519.59 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Universal Healthcare Group | MCR | $12,799.55 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $14,397.95 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $15,015.00 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | OptionsPPO | $16,290.34 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $16,412.79 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $16,412.79 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | HMO | $16,495.94 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | PPO | $18,100.28 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $18,511.65 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | PPO | $19,606.58 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | HMO | $19,606.58 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $19,969.96 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $19,969.96 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $19,969.96 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $19,969.96 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $20,568.50 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $23,246.13 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $23,246.13 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $24,012.49 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $24,012.49 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $24,012.49 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $24,012.49 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $24,682.20 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Cigna | IFP | $25,373.21 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Cigna | IFP | $25,387.22 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CareFirst | RPN | $25,599.10 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CareFirst | HMO | $25,599.10 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $26,180.90 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Aetna | MGMCR | $26,615.25 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Aetna | MGMCR | $26,629.95 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $26,886.32 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $26,886.32 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $28,291.31 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $28,291.31 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $28,291.31 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $28,291.31 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Nursing Center | COMM | $28,795.90 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Graham-White Manufacturing | COMM | $28,795.90 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | WC | $29,207.27 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $29,207.27 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $29,249.25 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $29,249.25 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CorVel | WorkersComp | $29,618.64 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Retirement Community | COMM | $30,852.75 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Community Care Network | COMM | $30,852.75 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | PPO | $32,909.60 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $32,909.60 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | POS | $32,909.60 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CSX Hotels | Product | $32,909.60 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Lifeworks | MCR | $33,712.65 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Lifeworks | MCR | $33,731.27 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $33,841.00 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $33,841.00 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $34,907.86 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Patients Choice | COMM | $36,200.56 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $36,529.64 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $36,529.64 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | United | OptionsPPO | $36,906.48 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | United | OptionsPPO | $36,926.86 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Star Transportation | COMM | $37,023.30 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Multiplan | PHCS | $37,023.30 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | PHCS | COMM | $37,023.30 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | 4Most | COMM | $37,023.30 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Alleghany Highland Community | COMM | $37,023.30 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | American Postal Workers Union | COMM | $37,023.30 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | C&O Employees Hospital Assn | COMM | $37,023.30 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Cigna | PPO | $37,261.35 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Cigna | HMO | $37,261.35 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Cigna | HMO | $37,281.93 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Cigna | PPO | $37,281.93 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Universal Healthcare Group | MCR | $39,035.70 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $39,057.26 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $40,425.28 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | PPO | $40,425.28 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | HMO | $40,425.28 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | EPO | $40,425.28 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | PPO | $40,425.28 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $40,425.28 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | HMO | $40,425.28 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | EPO | $40,425.28 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $41,137.00 | $41,137.00 | $41,137.00 | 2026-03-07 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $41,307.64 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $41,307.64 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $41,307.64 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $41,889.43 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $42,149.58 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $42,149.58 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | CorVel | WorkersComp | $45,981.36 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | CorVel | WorkersComp | $45,981.36 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $46,543.82 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Mutual of Omaha | COMM | $51,090.40 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | EverNorth | COMM | $51,090.40 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | EverNorth | COMM | $51,090.40 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Mutual of Omaha | COMM | $51,090.40 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Claritev (MultiPlan) | COMM | $51,729.03 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Claritev (MultiPlan) | COMM | $51,729.03 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | 4Most Health Network | COMM | $52,361.79 | $58,179.77 | $58,179.77 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Healthcare Value Mgmt | COMM | $58,115.33 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | First Health | PPO | $58,115.33 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | First Health | PPO | $58,115.33 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Healthcare Value Mgmt | COMM | $58,115.33 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Oxford Health Plans | COMM | $60,669.85 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Oxford Health Plans | COMM | $60,669.85 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Virginia Health Network | ULTRA | $62,102.25 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $62,136.55 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $63,863.00 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $63,863.00 | $63,863.00 | $63,863.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | United | GlobalBenefitPlan | $79,845.75 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $79,889.85 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Greenvbrier Sporting Club | COMM | $106,461.00 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Value Options | COMM | $106,519.80 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $106,519.80 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Virginia Health Network | COMM | $115,332.75 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Virginia Health Network | WC | $115,332.75 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Virginia Health Network | WC | $115,396.45 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Naphcare | GVT | $115,396.45 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $115,396.45 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | CorVel | WorkersComp | $127,753.20 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | CorVel | WorkersComp | $127,823.76 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | OccuNet Workers Comp | WorkersComp | $141,948.00 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Evernorth | COMM | $142,026.40 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $142,026.40 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Multiplan | PHCS | $159,691.50 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | 4Most Health Nework | COMM | $159,691.50 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | 4Most Health Nework | COMM | $159,779.70 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Multiplan | PHCS | $159,779.70 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | United Behavioral Health | VACCN | $177,435.00 | $177,435.00 | $177,435.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $177,533.00 | $177,533.00 | $177,533.00 | 2026-03-01 | MRF ↗ |