1378486_1 — Operating Room Services - General Classification
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OPERATING ROOM SERVICES - GENERAL CLASSIFICATION (CDM 1378486_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1378486_1?code_type=CDM
MLA (9th ed.)
“OPERATING ROOM SERVICES - GENERAL CLASSIFICATION (CDM 1378486_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1378486_1?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“OPERATING ROOM SERVICES - GENERAL CLASSIFICATION (CDM 1378486_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1378486_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $270–$2,244 (25th–75th percentile) across 16 hospitals · 126 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 1378486_1 — 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 |
|---|---|---|---|---|---|---|---|
| DECATUR COUNTY HOSPITAL Outpatient | BLUE CROSS-ALL PLANS | BLUE CROSS-ALL PLANS | $96.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | BLUE CROSS-ALL PLANS | BLUE CROSS-ALL PLANS | $96.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | SELECT HEALTH MCR ADV | SELECT HEALTH MCR ADV | $103.88 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | SELECT HEALTH/BRIGHT PATH MCR ADV | SELECT HEALTH/BRIGHT PATH MCR ADV | $103.88 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $103.88 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | PACIFIC SOURCE MCR ADV | PACIFIC SOURCE MCR ADV | $103.88 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | REGENCE BLUE SHIELD MCR | REGENCE BLUE SHIELD MCR | $103.88 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $104.92 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $123.48 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CHAMPVA -ALL PLANS | CHAMPVA -ALL PLANS | $135.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CHAMPVA -ALL PLANS | CHAMPVA -ALL PLANS | $135.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | EVERYSTEP HOSPICE-ALL PLANS | EVERYSTEP HOSPICE-ALL PLANS | $156.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | EVERYSTEP HOSPICE-ALL PLANS | EVERYSTEP HOSPICE-ALL PLANS | $156.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | WELLMARK PPO - ALL OTHER PLANS | WELLMARK PPO - ALL OTHER PLANS | $159.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | WELLMARK HMO | WELLMARK HMO | $159.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | WELLMARK HMO | WELLMARK HMO | $159.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | WELLMARK PPO - ALL OTHER PLANS | WELLMARK PPO - ALL OTHER PLANS | $159.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $162.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AETNA MCR ADV-ALL PLANS | AETNA MCR ADV-ALL PLANS | $162.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $162.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AETNA MCR ADV-ALL PLANS | AETNA MCR ADV-ALL PLANS | $162.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | FIRST CHOICE HEALTH-ALL PLANS | FIRST CHOICE HEALTH-ALL PLANS | $176.40 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | OPTUM VA | OPTUM VA | $180.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | OPTUM VA | OPTUM VA | $180.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | BC QUALIFIED HP (QHP) | BC QUALIFIED HP (QHP) | $182.28 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | DESERET HEALTHCARE-ALL PLANS | DESERET HEALTHCARE-ALL PLANS | $186.20 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $190.12 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | PACIFIC SOURCE-ALL OTHER PLANS | PACIFIC SOURCE-ALL OTHER PLANS | $190.12 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $192.08 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | REGENCE BLUE SHIELD-ALL OTHER PLANS | REGENCE BLUE SHIELD-ALL OTHER PLANS | $192.08 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | MONTANA HEALTH CO-OP-ALL PLANS | MONTANA HEALTH CO-OP-ALL PLANS | $192.08 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | SELECT HEALTH-ALL OTHER PLANS | SELECT HEALTH-ALL OTHER PLANS | $192.08 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $192.08 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | BLUE CROSS-ALL OTHER PLANS | BLUE CROSS-ALL OTHER PLANS | $192.08 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | AETNA RENTAL PRODUCTS | AETNA RENTAL PRODUCTS | $192.08 | $196.00 | $137.20 | 2026-03-16 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | BENEFIT ADMIN SYSTEM-ALL PLANS | BENEFIT ADMIN SYSTEM-ALL PLANS | $195.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | BENEFIT ADMIN SYSTEM-ALL PLANS | BENEFIT ADMIN SYSTEM-ALL PLANS | $195.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $219.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MERITAIN HEALTH-ALL PLANS | MERITAIN HEALTH-ALL PLANS | $219.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MISC COMMERCIAL-ALL PLANS | MISC COMMERCIAL-ALL PLANS | $219.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MERITAIN HEALTH-ALL PLANS | MERITAIN HEALTH-ALL PLANS | $219.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $219.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MISC COMMERCIAL-ALL PLANS | MISC COMMERCIAL-ALL PLANS | $219.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | ALL SAVERS-ALL PLANS | ALL SAVERS-ALL PLANS | $225.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | ALLIED BENEFIT SYSTEM-ALL PLANS | ALLIED BENEFIT SYSTEM-ALL PLANS | $225.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AMERICAN FAMILY INS GRP-ALL PLANS | AMERICAN FAMILY INS GRP-ALL PLANS | $225.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | ALL SAVERS-ALL PLANS | ALL SAVERS-ALL PLANS | $225.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AMERICAN FAMILY INS GRP-ALL PLANS | AMERICAN FAMILY INS GRP-ALL PLANS | $225.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | ALLIED BENEFIT SYSTEM-ALL PLANS | ALLIED BENEFIT SYSTEM-ALL PLANS | $225.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | RURAL CARRIER BENEFIT PLAN-ALL PLANS | RURAL CARRIER BENEFIT PLAN-ALL PLANS | $231.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | RURAL CARRIER BENEFIT PLAN-ALL PLANS | RURAL CARRIER BENEFIT PLAN-ALL PLANS | $231.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $237.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AETNA LIFE INS | AETNA LIFE INS | $237.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $237.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AETNA LIFE INS | AETNA LIFE INS | $237.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CHRISTIAN HEALTHCARE -ALL PLANS | CHRISTIAN HEALTHCARE -ALL PLANS | $240.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CHRISTIAN HEALTHCARE -ALL PLANS | CHRISTIAN HEALTHCARE -ALL PLANS | $240.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MEDICA-ALL OTHER PLANS | MEDICA-ALL OTHER PLANS | $240.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MEDICA-ALL OTHER PLANS | MEDICA-ALL OTHER PLANS | $240.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | NTCA THE RURAL BROADBAND-ALL PLANS | NTCA THE RURAL BROADBAND-ALL PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UHC RIVER VALLE | UHC RIVER VALLE | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UHC RIVER VALLE | UHC RIVER VALLE | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | GOLDEN RULE-ALL PLANS | GOLDEN RULE-ALL PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UMR-ALL PLANS | UMR-ALL PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UMR-ALL PLANS | UMR-ALL PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | GOLDEN RULE-ALL PLANS | GOLDEN RULE-ALL PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | NTCA THE RURAL BROADBAND-ALL PLANS | NTCA THE RURAL BROADBAND-ALL PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $258.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CIGNA HEALTH AND LIFE | CIGNA HEALTH AND LIFE | $258.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $258.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CIGNA HEALTH AND LIFE | CIGNA HEALTH AND LIFE | $258.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MEDICAL MUTUAL-ALL PLANS | MEDICAL MUTUAL-ALL PLANS | $264.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MEDICAL MUTUAL-ALL PLANS | MEDICAL MUTUAL-ALL PLANS | $264.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | FARM BUREAU PROPERTY AND CA | FARM BUREAU PROPERTY AND CA | $270.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | FARM BUREAU PROPERTY AND CA | FARM BUREAU PROPERTY AND CA | $270.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | FARM BUREAU FINANCIAL-ALL OTHER PLANS | FARM BUREAU FINANCIAL-ALL OTHER PLANS | $270.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | FARM BUREAU FINANCIAL-ALL OTHER PLANS | FARM BUREAU FINANCIAL-ALL OTHER PLANS | $270.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MEDI SHARE-ALL PLANS | MEDI SHARE-ALL PLANS | $273.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UHSS-ALL PLANS | UHSS-ALL PLANS | $273.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UHSS-ALL PLANS | UHSS-ALL PLANS | $273.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MEDI SHARE-ALL PLANS | MEDI SHARE-ALL PLANS | $273.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | HEALTH PARTNERS-ALL PLANS | HEALTH PARTNERS-ALL PLANS | $276.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | HEALTH PARTNERS-ALL PLANS | HEALTH PARTNERS-ALL PLANS | $276.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | LEWERMARK-ALL PLANS | LEWERMARK-ALL PLANS | $285.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | LEWERMARK-ALL PLANS | LEWERMARK-ALL PLANS | $285.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $294.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MAIL HANDLERS BENEFIT-ALL PLANS | MAIL HANDLERS BENEFIT-ALL PLANS | $294.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $294.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MAIL HANDLERS BENEFIT-ALL PLANS | MAIL HANDLERS BENEFIT-ALL PLANS | $294.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | PRIORITY HEALTH-ALL PLANS | PRIORITY HEALTH-ALL PLANS | $300.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | PRIORITY HEALTH-ALL PLANS | PRIORITY HEALTH-ALL PLANS | $300.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | AETNA MCARE ADV - ALL PLANS | AETNA MCARE ADV - ALL PLANS | $360.50 | $2,575.00 | $2,575.00 | 2026-05-07 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | AETNA MCR ADV-ALL PLANS | AETNA MCR ADV-ALL PLANS | $405.50 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $427.36 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | MOLINA MCAID/CHIP - ALL PLANS | MOLINA MCAID/CHIP - ALL PLANS | $427.36 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | MERCY ONE - ALL PLANS | MERCY ONE - ALL PLANS | $427.36 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $431.63 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | AMERIGROUP MCR ADV - ALL OTHER PLANS | AMERIGROUP MCR ADV - ALL OTHER PLANS | $435.91 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | HOME STATE HLTH MCR | HOME STATE HLTH MCR | $437.94 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | MT CARMEL HP-ALL PLANS | MT CARMEL HP-ALL PLANS | $437.94 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $437.94 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | HOME STATE HLTH EXCH - ALL OTHER PLANS | HOME STATE HLTH EXCH - ALL OTHER PLANS | $437.94 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | CHOICECARE MCR ADV | CHOICECARE MCR ADV | $437.94 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $440.18 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | AMERIGROUP MCR ADV-ALL OTHER PLANS | AMERIGROUP MCR ADV-ALL OTHER PLANS | $446.70 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER Outpatient | PROVIDERS CARE (WPPA)-ALL PLANS | PROVIDERS CARE (WPPA)-ALL PLANS | $450.00 | $600.00 | $480.00 | 2026-02-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | AMERICAN HP MCR ADV-ALL PLANS | AMERICAN HP MCR ADV-ALL PLANS | $459.84 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | HOME STATE HLTH MCAID | HOME STATE HLTH MCAID | $486.60 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | IOWA TOTAL CARE MCAID-ALL PLANS | IOWA TOTAL CARE MCAID-ALL PLANS | $496.33 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | MOLINA MCAID-ALL PLANS | MOLINA MCAID-ALL PLANS | $503.63 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | AMERIGROUP MCAID | AMERIGROUP MCAID | $506.06 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER Outpatient | BCBS BLUE CHOICE - ALL OTHER PLANS | BCBS BLUE CHOICE - ALL OTHER PLANS | $510.00 | $600.00 | $480.00 | 2026-02-10 | MRF ↗ |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER Outpatient | UHC COMMERCIAL - ALL OTHER PLANS | UHC COMMERCIAL - ALL OTHER PLANS | $540.00 | $600.00 | $480.00 | 2026-02-10 | MRF ↗ |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER Outpatient | BCBS CAP | BCBS CAP | $540.00 | $600.00 | $480.00 | 2026-02-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $567.70 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | PREFERRED HLTH CHOICES - ALL PLANS | PREFERRED HLTH CHOICES - ALL PLANS | $608.25 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $624.19 | $2,013.50 | $1,208.10 | 2025-12-20 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $666.66 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $666.66 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MEDIGOLD MCR ADV - ALL PLANS | MEDIGOLD MCR ADV - ALL PLANS | $666.66 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MERCY ONE / HUMANA MCR ADV - ALL PLANS | MERCY ONE / HUMANA MCR ADV - ALL PLANS | $686.66 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | CHOICECARE COMM - ALL OTHER PLANS | CHOICECARE COMM - ALL OTHER PLANS | $770.45 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | HEALTH PARTNERS NEW BUS - ALL OTHER PLANS | HEALTH PARTNERS NEW BUS - ALL OTHER PLANS | $787.24 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $787.24 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $853.59 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | MAGNOLIA COMM/EXCHANGE-ALL OTHER PLANS | MAGNOLIA COMM/EXCHANGE-ALL OTHER PLANS | $854.90 | $2,575.00 | $2,575.00 | 2026-05-07 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | MEDICAL ASSOCIATES - ALL PLANS | MEDICAL ASSOCIATES - ALL PLANS | $955.94 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | PREFERRED HEALTH - ALL PLANS | PREFERRED HEALTH - ALL PLANS | $955.94 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | OSCAR - ALL PLANS | OSCAR - ALL PLANS | $999.99 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | ML HEALTHCARE-ALL PLANS | ML HEALTHCARE-ALL PLANS | $1,030.00 | $2,575.00 | $2,575.00 | 2026-05-07 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | AETNA HMO | AETNA HMO | $1,045.91 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | AETNA PPO - ALL OTHER PLANS | AETNA PPO - ALL OTHER PLANS | $1,068.40 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $1,068.40 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | HEALTH PARTNERS EXISITING BUS | HEALTH PARTNERS EXISITING BUS | $1,090.89 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | AETNA PPO RENTAL | AETNA PPO RENTAL | $1,090.89 | $1,124.63 | $899.70 | 2026-03-31 | MRF ↗ |
| VAN DIEST MEDICAL CENTER Outpatient | WELLMARK PPO | WELLMARK PPO | $1,219.00 | $2,300.00 | $1,840.00 | 2022-11-12 | MRF ↗ |
| VAN DIEST MEDICAL CENTER Outpatient | WELLMARK HMO | WELLMARK HMO | $1,219.00 | $2,300.00 | $1,840.00 | 2022-11-12 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | AMERIGROUP MCR ADV-ALL PLANS | AMERIGROUP MCR ADV-ALL PLANS | $1,279.25 | $2,975.00 | $2,380.00 | 2026-05-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MEDICAL ASSOCIATES HP - ALL PLANS | MEDICAL ASSOCIATES HP - ALL PLANS | $1,382.10 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | PREFERRED HEALTH - ALL PLANS | PREFERRED HEALTH - ALL PLANS | $1,382.10 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | HEALTHSMART ACCEL | HEALTHSMART ACCEL | $1,430.88 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | UHC- ALL PLANS | UHC- ALL PLANS | $1,449.72 | $2,013.50 | $1,208.10 | 2025-12-20 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | HOSPICE OF NORTH IOWA - ALL PLANS | HOSPICE OF NORTH IOWA - ALL PLANS | $1,463.40 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | AETNA PPO - ALL OTHER PLANS | AETNA PPO - ALL OTHER PLANS | $1,463.40 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | COMPRESULTS LLC-ALL PLANS | COMPRESULTS LLC-ALL PLANS | $1,463.40 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | HEALTHSMART HPO/PPO - ALL OTHER PLANS | HEALTHSMART HPO/PPO - ALL OTHER PLANS | $1,495.92 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | SANFORD-ALL PLANS | SANFORD-ALL PLANS | $1,510.13 | $2,013.50 | $1,208.10 | 2025-12-20 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $1,544.70 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $1,544.70 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $1,544.70 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | HEALTHSMART WC/AUTO | HEALTHSMART WC/AUTO | $1,544.70 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | HUMANA MILITARY-ALL PLANS | HUMANA MILITARY-ALL PLANS | $1,545.00 | $2,575.00 | $2,575.00 | 2026-05-07 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $1,548.07 | $4,778.00 | $2,389.00 | 2026-07-16 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $1,548.07 | $4,778.00 | $2,389.00 | 2026-03-24 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | BCBS MMAI | BCBS MMAI | $1,562.10 | $3,824.00 | $3,441.60 | 2026-05-07 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | WELLMARK PPO-ALL OTHER PLANS | WELLMARK PPO-ALL OTHER PLANS | $1,576.75 | $2,975.00 | $2,380.00 | 2026-05-15 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | IOWA TOTAL CARE MCAID-ALL PLANS | IOWA TOTAL CARE MCAID-ALL PLANS | $1,576.75 | $2,975.00 | $2,380.00 | 2026-05-15 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | WELLMARK HMO | WELLMARK HMO | $1,576.75 | $2,975.00 | $2,380.00 | 2026-05-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $1,577.22 | $1,626.00 | $1,219.50 | 2026-03-26 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | MOLINA MCR ADV - ALL PLANS | MOLINA MCR ADV - ALL PLANS | $1,654.14 | $4,778.00 | $2,389.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | MOLINA MCR ADV - ALL PLANS | MOLINA MCR ADV - ALL PLANS | $1,654.14 | $4,778.00 | $2,389.00 | 2026-07-16 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | UNIVERSITY HEALTH CARE - ALL OTHER PLANS | UNIVERSITY HEALTH CARE - ALL OTHER PLANS | $1,672.30 | $4,778.00 | $2,389.00 | 2026-07-16 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | UNIVERSITY HEALTH CARE - ALL OTHER PLANS | UNIVERSITY HEALTH CARE - ALL OTHER PLANS | $1,672.30 | $4,778.00 | $2,389.00 | 2026-03-24 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $1,677.21 | $3,824.00 | $3,441.60 | 2026-05-07 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $1,677.21 | $3,824.00 | $3,441.60 | 2026-05-07 | MRF ↗ |
| SENECA DISTRICT HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $1,697.08 | $4,466.00 | $3,572.80 | 2026-06-09 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $1,720.08 | $4,778.00 | $2,389.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $1,720.08 | $4,778.00 | $2,389.00 | 2026-07-16 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $1,720.08 | $4,778.00 | $2,389.00 | 2026-07-16 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $1,720.08 | $4,778.00 | $2,389.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $1,720.08 | $4,778.00 | $2,389.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $1,720.08 | $4,778.00 | $2,389.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | WELLCARE MCR ADV | WELLCARE MCR ADV | $1,720.08 | $4,778.00 | $2,389.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | UNIVERSITY HEALTH CARE MCR ADV | UNIVERSITY HEALTH CARE MCR ADV | $1,720.08 | $4,778.00 | $2,389.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $1,720.08 | $4,778.00 | $2,389.00 | 2026-07-16 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $1,720.08 | $4,778.00 | $2,389.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | WELLCARE MCR ADV | WELLCARE MCR ADV | $1,720.08 | $4,778.00 | $2,389.00 | 2026-07-16 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $1,720.08 | $4,778.00 | $2,389.00 | 2026-07-16 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | UNIVERSITY HEALTH CARE MCR ADV | UNIVERSITY HEALTH CARE MCR ADV | $1,720.08 | $4,778.00 | $2,389.00 | 2026-07-16 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $1,720.08 | $4,778.00 | $2,389.00 | 2026-07-16 | MRF ↗ |
| VAN DIEST MEDICAL CENTER Outpatient | PREFERRED HEALTH CHOICES-ALL PLANS | PREFERRED HEALTH CHOICES-ALL PLANS | $1,725.00 | $2,300.00 | $1,840.00 | 2022-11-12 | MRF ↗ |
| VAN DIEST MEDICAL CENTER Inpatient | MEDICAL ASSOCIATES HP-ALL PLANS | MEDICAL ASSOCIATES HP-ALL PLANS | $1,725.00 | $2,300.00 | $1,840.00 | 2022-11-12 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | DAKOTACARE - ALL PLANS | DAKOTACARE - ALL PLANS | $1,792.02 | $2,013.50 | $1,208.10 | 2025-12-20 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $1,802.50 | $2,575.00 | $2,575.00 | 2026-05-07 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | AHS-ALL PLANS | AHS-ALL PLANS | $1,802.50 | $2,575.00 | $2,575.00 | 2026-05-07 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $1,812.15 | $2,013.50 | $1,208.10 | 2025-12-20 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | MEDICA COMM - ALL OTHER PLANS | MEDICA COMM - ALL OTHER PLANS | $1,818.19 | $2,013.50 | $1,208.10 | 2025-12-20 | MRF ↗ |
| VAN DIEST MEDICAL CENTER Inpatient | SELF PAY DISCOUNT | SELF PAY DISCOUNT | $1,840.00 | $2,300.00 | $1,840.00 | 2022-11-12 | MRF ↗ |
| VAN DIEST MEDICAL CENTER Inpatient | WELLMARK PPO | WELLMARK PPO | $1,863.00 | $2,300.00 | $1,840.00 | 2022-11-12 | MRF ↗ |
| VAN DIEST MEDICAL CENTER Inpatient | WELLMARK HMO | WELLMARK HMO | $1,863.00 | $2,300.00 | $1,840.00 | 2022-11-12 | MRF ↗ |
| ST JOHNS MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $1,886.58 | $2,115.00 | $2,115.00 | 2026-05-05 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | AMBETTER COMM/EXCH - ALL PLANS | AMBETTER COMM/EXCH - ALL PLANS | $1,892.09 | $4,778.00 | $2,389.00 | 2026-07-16 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | AMBETTER COMM/EXCH - ALL PLANS | AMBETTER COMM/EXCH - ALL PLANS | $1,892.09 | $4,778.00 | $2,389.00 | 2026-03-24 | MRF ↗ |
| ST JOHNS MEDICAL CENTER Outpatient | GEHA-ALL PLANS | GEHA-ALL PLANS | $1,924.65 | $2,115.00 | $2,115.00 | 2026-05-05 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | PHCS-ALL PLANS | PHCS-ALL PLANS | $1,931.25 | $2,575.00 | $2,575.00 | 2026-05-07 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | HEALTHPARTNERS - ALL PLANS | HEALTHPARTNERS - ALL PLANS | $1,932.96 | $2,013.50 | $1,208.10 | 2025-12-20 | MRF ↗ |
| ST JOHNS MEDICAL CENTER Outpatient | UHC ALL PAYER-ALL PLANS | UHC ALL PAYER-ALL PLANS | $1,945.80 | $2,115.00 | $2,115.00 | 2026-05-05 | MRF ↗ |
| ST JOHNS MEDICAL CENTER Outpatient | MOUNTAIN HEALTH COOP-ALL PLANS | MOUNTAIN HEALTH COOP-ALL PLANS | $1,945.80 | $2,115.00 | $2,115.00 | 2026-05-05 | MRF ↗ |
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