13692 — Crown Dental Unitek 914012 Strip Form Size 2 Ped Ur Ant Primary Central Interproximal Preform
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CROWN DENTAL UNITEK 914012 STRIP FORM SIZE 2 PED UR ANT PRIMARY CENTRAL INTERPROXIMAL PREFORM (OTHER 13692) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/13692?code_type=OTHER
MLA (9th ed.)
“CROWN DENTAL UNITEK 914012 STRIP FORM SIZE 2 PED UR ANT PRIMARY CENTRAL INTERPROXIMAL PREFORM (OTHER 13692) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/13692?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CROWN DENTAL UNITEK 914012 STRIP FORM SIZE 2 PED UR ANT PRIMARY CENTRAL INTERPROXIMAL PREFORM (OTHER 13692) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/13692?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $536–$4,095 (25th–75th percentile) across 7 hospitals · 51 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 13692 — 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 |
|---|---|---|---|---|---|---|---|
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $312.42 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $314.31 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $318.00 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Humana Medicare Facility | Humana Medicare Facility | $328.00 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $373.92 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $387.04 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Medicare Advantage Facility | Aetna Medicare Advantage Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Siho Commercial Facility | Siho Commercial Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Eskenazi Health | Anthem Facility Exchange | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $408.36 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $439.52 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Ambttr Slvr Smmit Hlth Pln | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Northbay Healthcare | Medicare Advantage | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Coordinated Care | Managed Medicaid | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Anthem | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | United Healthcare | Nat | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Multiplan | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Kaiser Permanente | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Triwest Healthcare Alliance | Triwest | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Smart | Preferred Care | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Dignity Health | Commercial | $536.00 | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Prime Health Services | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Providence Health Plan | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Providence Health Plan | Managed Medicaid | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Sana Benefits | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Net Federal Services | Tricare | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Alliance Coal Health Plan | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Stratose | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Aetna National | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Aetna Better Health Of Mi | Managed Medicaid | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Meridian Health Of Mi | Managed Medicaid | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Trillium Community Health Plan | Mgd Mcd | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Blue Cross Blue Shield Of Ca | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Silversummitt Healthplan | Medicare | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Western Sky Community Care | Mgd. Medicaid | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Net Of Ca | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Sutter Medical Foundation | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Uc Of Davis | Commercial | — | $140.10 | $140.10 | 2026-05-23 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $615.00 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $697.00 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $697.00 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $697.00 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $820.00 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $820.00 | $820.00 | $820.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $1,083.40 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $1,083.40 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $1,083.40 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $1,083.40 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $1,083.40 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $1,083.40 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Wayne County Jail | Commercial | $1,506.00 | $3,012.00 | $1,415.64 | 2026-05-06 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Health Net | Medicare Adv | $1,570.93 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | United Healthcare | Medicare Adv | $1,570.93 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Blue Shield | Medicare Adv | $1,570.93 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Lewis County Jail | Commercial | $2,259.00 | $3,012.00 | $1,415.64 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Marshall County Jail | Commercial | $2,259.00 | $3,012.00 | $1,415.64 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Lawrence County Jail | Commercial | $2,259.00 | $3,012.00 | $1,415.64 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Beech Street | Commercial Ppo | $2,409.60 | $3,012.00 | $1,415.64 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Multiplan | Commercial | $2,409.60 | $3,012.00 | $1,415.64 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Phcs | Commercial | $2,409.60 | $3,012.00 | $1,415.64 | 2026-05-06 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $2,708.50 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $2,708.50 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $2,708.50 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Aetna | Commercial Hmo & Ppo - Inpatient | $2,710.80 | $3,012.00 | $1,415.64 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Firsthealth | Commercial | $2,891.52 | $3,012.00 | $1,415.64 | 2026-05-06 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $2,979.35 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $2,979.35 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $2,979.35 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $2,979.35 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $2,979.35 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $2,979.35 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| CUMBERLAND COUNTY HOSPITAL Both | Wellcare | Medicare Advantage | $3,090.00 | $5,150.00 | $3,862.50 | 2026-05-08 | MRF ↗ |
| CUMBERLAND COUNTY HOSPITAL Both | United Healthcare | Medicare Advantage | $3,090.00 | $5,150.00 | $3,862.50 | 2026-05-08 | MRF ↗ |
| CUMBERLAND COUNTY HOSPITAL Both | Velocity National Provider Network | Group Health | $3,553.50 | $5,150.00 | $3,862.50 | 2026-05-08 | MRF ↗ |
| CUMBERLAND COUNTY HOSPITAL Both | Velocity National Provider Network | Medicare Advantage | $3,553.50 | $5,150.00 | $3,862.50 | 2026-05-08 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $4,095.25 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $4,095.25 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $4,095.25 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $4,198.18 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $4,198.18 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $4,198.18 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $4,447.36 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $4,447.36 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $4,447.36 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $4,485.28 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $4,485.28 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $4,485.28 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $4,875.30 | $5,417.00 | $3,791.90 | 2026-05-27 | MRF ↗ |