1410039 — Aicd Dual Chamber L5
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). AICD DUAL CHAMBER L5 (OTHER 1410039) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1410039?code_type=OTHER
MLA (9th ed.)
“AICD DUAL CHAMBER L5 (OTHER 1410039) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1410039?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“AICD DUAL CHAMBER L5 (OTHER 1410039) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1410039?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,552–$59,000 (25th–75th percentile) across 28 hospitals · 182 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1410039 — 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 |
|---|---|---|---|---|---|---|---|
| NEWPORT HOSPITAL Inpatient | Cigna | Cigna All | $310.00 | $99,999.21 | $23,499.81 | 2026-05-07 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Cigna | Cigna All | $310.00 | $99,999.21 | $23,499.81 | 2026-05-23 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Cigna | Cigna All | $470.00 | $99,999.21 | $32,999.74 | 2026-05-24 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna All | $893.00 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $99,999.00 | $17,999.82 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Node Simply Mcr Adv | Node Simply Mcr Adv | $3,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| LOWER KEYS MEDICAL CENTER Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $99,999.90 | $26,999.97 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | First Health | First Health | $3,500.00 | $99,999.00 | $14,999.85 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | First Health | First Health | $3,500.00 | $99,999.00 | $14,999.85 | 2026-05-24 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Medicaid | Node Tx Medicaid | $3,599.96 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $3,599.96 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $3,599.96 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $3,683.28 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $3,683.28 | $99,999.00 | $17,999.82 | 2026-05-24 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Plus Medicaid Tx | Node Wellpoint Star Plus Medicaid Tx | $3,779.96 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Superior | Node Superior Star Plus Medicaid Tx | $3,779.96 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $3,779.96 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $3,779.96 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Superior Star Kids Medicaid Tx | Node Superior Star Kids Medicaid Tx | $3,779.96 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Self Pay | Self Pay | $4,738.00 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| MERIT HEALTH NATCHEZ Inpatient | Medpartners | Medpartners | $4,999.99 | $99,999.75 | $41,999.90 | 2026-05-08 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Healthspring | Healthspring Commercial | $5,000.00 | $99,999.00 | $23,999.76 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Healthspring | Healthspring Commercial | $5,000.00 | $99,999.00 | $23,999.76 | 2026-05-24 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $5,039.95 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Medicaid | Node Tx Medicaid | $5,039.95 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $5,291.95 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Amerigroup | Node Wellpoint Star Plus Medicaid Tx | $5,291.95 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Star Medicaid Tx | Node Wellpoint Star Medicaid Tx | $5,291.95 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $5,291.95 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $5,291.95 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Inpatient | Aetna | Aetna All | $5,399.95 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Ga Non Par Medicaid | Non Par Medicaid Ga | $5,817.70 | $99,999.00 | $26,999.73 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Peach State Hlth Plan Mcaid Ga | Peach State Hlth Plan Mcaid Ga | $5,934.06 | $99,999.00 | $26,999.73 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Amerigroup Medicaid | Amerigroup Medicaid | $5,991.11 | $99,999.00 | $26,999.73 | 2026-05-06 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $5,999.94 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Uhc Medicaid | Uhc Medicaid | $6,108.59 | $99,999.00 | $26,999.73 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Caresource Medicaid | Caresource Medicaid | $6,108.59 | $99,999.00 | $26,999.73 | 2026-05-06 | MRF ↗ |
| MERIT HEALTH NATCHEZ Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $6,153.84 | $99,999.75 | $17,999.96 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Self Pay | Self Pay | $6,999.93 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $7,559.92 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Community Bluee | Node Community Blue Medicare Advantage | $8,009.92 | $99,999.00 | $23,999.76 | 2026-05-24 | MRF ↗ |
| MOBERLY REGIONAL MEDICAL CENTER Outpatient | Us Department Of Labor | Node Us Dept Of Labor | $8,174.83 | $81,748.31 | $22,072.04 | 2026-05-08 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Uhc Apa | Uhc Apa | $8,279.92 | $89,999.10 | $32,399.68 | 2026-05-14 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Uhc Apa | Uhc Apa | $8,279.92 | $89,999.10 | $32,399.68 | 2026-05-24 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Node Hm Freedom Blue Mcr Adv | Node Hm Freedom Blue Mcr Adv | $8,349.92 | $99,999.00 | $23,999.76 | 2026-05-24 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Uhc Apa | Uhc Apa | $8,369.92 | $89,999.10 | $37,799.62 | 2026-05-09 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $8,387.91 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $8,796.30 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | Ms Dept Of Rehabilitation Services | Ms Dept Of Rehabilitation Services | $8,796.30 | $99,999.00 | $20,999.79 | 2026-05-24 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Aetna | Node Aetna Mcr Adv | $8,799.91 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Ar Workers Comp | Ar Workers Comp | $8,999.91 | $89,999.10 | $32,399.68 | 2026-05-14 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Ar Work Comp | Ar Work Comp | $8,999.91 | $89,999.10 | $37,799.62 | 2026-05-09 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $8,999.91 | $99,999.00 | $26,999.73 | 2026-05-08 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Ar Workers Comp | Ar Workers Comp | $8,999.91 | $89,999.10 | $32,399.68 | 2026-05-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Ar Workers Comp | Ar Workers Comp | $8,999.91 | $89,999.10 | $29,699.70 | 2026-05-06 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $9,424.71 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Self Pay | Self Pay | $9,476.00 | $94,760.00 | $25,585.20 | 2026-05-07 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Uhc Apa | Uhc Apa | $9,539.90 | $89,999.10 | $29,699.70 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Department Of Health | Department Of Health | $9,565.64 | $99,999.00 | $26,999.73 | 2026-05-06 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $9,727.10 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Aetna | Aetna Asbait | $9,750.00 | $97,500.00 | $35,100.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Aetna Qhp | Aetna Qhp | $9,750.00 | $97,500.00 | $23,400.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Aetna | Aetna All | $9,750.00 | $97,500.00 | $23,400.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Aetna Performance | Aetna Performance | $9,750.00 | $97,500.00 | $23,400.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Aetna Qhp | Aetna Qhp | $9,750.00 | $97,500.00 | $17,550.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Aetna | Aetna | $9,750.00 | $97,500.00 | $17,550.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Aetna Performance | Aetna Performance | $9,750.00 | $97,500.00 | $17,550.00 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $9,750.00 | $97,500.00 | $23,400.00 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna Qhp | Aetna Qhp | $9,750.00 | $97,500.00 | $23,400.00 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna | Aetna All | $9,750.00 | $97,500.00 | $23,400.00 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Aetna Performance | Aetna Performance | $9,750.00 | $97,500.00 | $17,550.00 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Aetna | Aetna | $9,750.00 | $97,500.00 | $17,550.00 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Aetna Qhp | Aetna Qhp | $9,750.00 | $97,500.00 | $17,550.00 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna Performance | Aetna Performance | $9,750.00 | $97,500.00 | $23,400.00 | 2026-05-27 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Superior Star Kids Medicaid Tx | Node Superior Star Kids Medicaid Tx | $9,895.95 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Aetna | Aetna All | $9,899.90 | $99,999.00 | $23,999.76 | 2026-05-24 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Aetna | Aetna All | $9,899.90 | $99,999.00 | $23,999.76 | 2026-05-07 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-24 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Apa | $9,999.90 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $9,999.90 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $9,999.90 | $99,999.00 | $23,999.76 | 2026-05-24 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Corvel | Corvel Acc And Health | $9,999.90 | $99,999.00 | $14,999.85 | 2026-05-24 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Plan Stewards Health | Plan Stewards Health | $9,999.90 | $99,999.00 | $35,999.64 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Nhp | $9,999.90 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Apa | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-09 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | United Health Care | Uhc Nbr | $9,999.90 | $99,999.00 | $35,999.64 | 2026-05-24 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Phoenix Administrators | Performance Health Tpa | $9,999.90 | $99,999.00 | $35,999.64 | 2026-05-24 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Nhp | $9,999.90 | $99,999.00 | $17,999.82 | 2026-05-09 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Geisinger Indemnity | Geisinger Hp | $9,999.90 | $99,999.00 | $35,999.64 | 2026-05-24 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Geisinger Indemnity | Geisinger Medicaid Pa | $9,999.90 | $99,999.00 | $35,999.64 | 2026-05-24 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Nhp | $9,999.90 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Apa | $9,999.90 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Corvel | Corvel Acc And Health | $9,999.90 | $99,999.00 | $14,999.85 | 2026-05-07 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $9,999.90 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Upmc Medicaid Pa | Upmc Medicaid Pa | $9,999.90 | $99,999.00 | $23,999.76 | 2026-05-24 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Outpatient | Us Department Of Labor | Node Us Dept Of Labor | $9,999.92 | $99,999.21 | $22,649.82 | 2026-05-06 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Corvel | Corvel Acc And Health | $9,999.96 | $99,999.61 | $29,999.88 | 2026-05-13 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Corvel | Corvel Acc And Health | $9,999.96 | $99,999.61 | $29,999.88 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH NATCHEZ Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $9,999.98 | $99,999.75 | $17,999.96 | 2026-05-08 | MRF ↗ |
| LOWER KEYS MEDICAL CENTER Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $9,999.99 | $99,999.90 | $26,999.97 | 2026-05-08 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Uhc Apa | Uhc Apa | $10,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Oscar | Oscar | $10,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Uhc Nhp | Uhc Nhp | $10,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $10,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Tx Childrens Health Plan Star Medicaid Tx | Node Tx Childrens Health Plan Star Medicaid Tx | $10,044.56 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Uhc Chip Medicaid Tx | Node Uhc Chip Medicaid Tx | $10,044.56 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Non-Par Medicaid Tx | Node Tx Medicaid Non Par | $10,044.56 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Medicaid | Node Tx Medicaid | $10,044.56 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $10,044.56 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Tx Childrens Health Plan Chip/Star Kids/ Star Health Medicaid Tx | Node Tx Childrens Health Plan Chip Medicaid Tx | $10,044.56 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Superior Star Medicaid Tx | Node Superior Star Medicaid Tx | $10,213.46 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $10,231.10 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $10,546.79 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Wellpoint Star Plus Medicaid Tx | Node Wellpoint Star Plus Medicaid Tx | $10,546.79 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Superior Star Kids Medicaid Tx | Node Superior Star Kids Medicaid Tx | $10,546.79 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Molina Chip Medicaid Tx | Node Molina Chip Medicaid Tx | $10,546.79 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $10,546.79 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Superior | Node Superior Star Plus Medicaid Tx | $10,546.79 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Wellpoint Chip Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $10,546.79 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Molina Star Medicaid Tx | Node Molina Star Medicaid Tx | $10,546.79 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Superior | Node Superior Star Plus Medicaid Tx | $10,742.66 | $99,999.00 | $23,999.76 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH NATCHEZ Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $10,799.97 | $99,999.75 | $41,999.90 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $11,199.89 | $99,999.00 | $29,999.70 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $11,199.89 | $99,999.00 | $29,999.70 | 2026-05-24 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Inpatient | Cigna | Cigna All | $11,999.88 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $11,999.94 | $99,999.51 | $11,999.94 | 2026-05-06 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Self Pay | Self Pay | $12,999.87 | $99,999.00 | $34,999.65 | 2026-05-08 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $13,065.00 | $97,500.00 | $38,025.00 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $13,065.00 | $97,500.00 | $38,025.00 | 2026-05-27 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $13,158.37 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Node Wellpoint Star Medicaid Tx | $13,305.46 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Superior Star Medicaid Tx | Node Superior Star Medicaid Tx | $13,305.46 | $99,999.00 | $17,999.82 | 2026-05-08 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $13,459.71 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Tx Childrens Health Plan Star Kids Medicaid Tx | Node Tx Childrens Health Plan Star Kids Medicaid Tx | $13,459.71 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| MERIT HEALTH RIVER REGION Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $13,599.86 | $99,999.00 | $29,999.70 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $13,599.86 | $99,999.00 | $29,999.70 | 2026-05-24 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Molina Medicaid Tx | Node Molina Star Plus Medicaid Tx | $13,816.29 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $13,834.96 | $94,760.00 | $25,585.20 | 2026-05-07 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $14,039.86 | $89,999.10 | $32,399.68 | 2026-05-14 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $14,039.86 | $89,999.10 | $37,799.62 | 2026-05-09 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $14,039.86 | $89,999.10 | $29,699.70 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $14,039.86 | $89,999.10 | $32,399.68 | 2026-05-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Medicaid | Az Medicaid | $14,049.75 | $97,500.00 | $23,400.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $14,049.75 | $97,500.00 | $23,400.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Az Medicaid Non Par | Az Medicaid Non Par | $14,049.75 | $97,500.00 | $17,550.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $14,049.75 | $97,500.00 | $23,400.00 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid Non Par | Az Medicaid Non Par | $14,049.75 | $97,500.00 | $17,550.00 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $14,049.75 | $97,500.00 | $17,550.00 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $14,049.75 | $97,500.00 | $17,550.00 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $14,049.75 | $97,500.00 | $23,400.00 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $14,049.75 | $97,500.00 | $17,550.00 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $14,049.75 | $97,500.00 | $23,400.00 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Az Medicaid | Az Medicaid | $14,049.75 | $97,500.00 | $17,550.00 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid | Az Medicaid | $14,049.75 | $97,500.00 | $17,550.00 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $14,049.75 | $97,500.00 | $23,400.00 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $14,049.75 | $97,500.00 | $23,400.00 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $14,049.75 | $97,500.00 | $23,400.00 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $14,049.75 | $97,500.00 | $17,550.00 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $14,049.75 | $97,500.00 | $17,550.00 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $14,049.75 | $97,500.00 | $23,400.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $14,049.75 | $97,500.00 | $23,400.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $14,049.75 | $97,500.00 | $17,550.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $14,049.75 | $97,500.00 | $23,400.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $14,049.75 | $97,500.00 | $17,550.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Mercy Care | Mercy Care Medicaid Az | $14,049.75 | $97,500.00 | $17,550.00 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Medicaid | Az Medicaid | $14,049.75 | $97,500.00 | $23,400.00 | 2026-05-27 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $14,499.86 | $99,999.00 | $26,999.73 | 2026-05-08 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $14,625.00 | $97,500.00 | $35,100.00 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Magellan | Magellan Medicaid Az | $14,752.24 | $97,500.00 | $23,400.00 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Magellan | Magellan Medicaid Az | $14,752.24 | $97,500.00 | $23,400.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Magellan Medicaid Az | Magellan Medicaid Az | $14,752.24 | $97,500.00 | $17,550.00 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Magellan Medicaid Az | Magellan Medicaid Az | $14,752.24 | $97,500.00 | $17,550.00 | 2026-05-27 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Amerigroup | Node Wellpoint Star Medicaid Tx | $14,765.51 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Superior Star Medicaid Tx | Node Superior Star Medicaid Tx | $14,765.51 | $94,760.00 | $17,056.80 | 2026-05-07 | MRF ↗ |
| MERIT HEALTH NATCHEZ Outpatient | Uhc Iex | Uhc Iex | $14,799.96 | $99,999.75 | $17,999.96 | 2026-05-08 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $14,917.50 | $97,500.00 | $40,950.00 | 2026-05-27 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Alamed | Alamed Work Comp Al | $14,999.85 | $99,999.00 | $23,999.76 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Self Pay | Self Pay | $14,999.85 | $99,999.00 | $14,999.85 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Self Pay | Self Pay | $14,999.85 | $99,999.00 | $14,999.85 | 2026-05-24 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Node Meshoppen Stone | Node Meshoppen Stone | $14,999.85 | $99,999.00 | $35,999.64 | 2026-05-24 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Alamed | Alamed Work Comp Al | $14,999.85 | $99,999.00 | $23,999.76 | 2026-05-24 | MRF ↗ |
| FLOWERS HOSPITAL Outpatient | Self Pay | Self Pay | $14,999.94 | $99,999.61 | $14,999.94 | 2026-05-13 | MRF ↗ |
| FLOWERS HOSPITAL Outpatient | Self Pay | Self Pay | $14,999.94 | $99,999.61 | $14,999.94 | 2026-05-24 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Humana All | Humana All | $15,000.00 | $99,999.99 | $21,000.00 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $15,033.23 | $97,500.00 | $23,400.00 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $15,033.23 | $97,500.00 | $17,550.00 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $15,033.23 | $97,500.00 | $23,400.00 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $15,033.23 | $97,500.00 | $17,550.00 | 2026-05-27 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Uhc Iex | Uhc Iex | $15,099.85 | $99,999.00 | $14,999.85 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Uhc Iex | Uhc Iex | $15,099.85 | $99,999.00 | $14,999.85 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | La Medicaid Non Par | La Medicaid Non Par | $15,249.85 | $99,999.00 | $20,999.79 | 2026-05-24 | MRF ↗ |
| MERIT HEALTH WESLEY Outpatient | La Medicaid Non Par | La Medicaid Non Par | $15,249.85 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Uhc La Medicaid Chip | Uhc La Medicaid Chip | $15,249.85 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Uhc La Medicaid | Uhc La Medicaid | $15,249.85 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | Humana Health Benefit Plan Of La Medicaid | Humana Health Benefit Plan Of La Medicaid | $15,249.85 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | La Medicaid Non Par | La Medicaid Non Par | $15,249.85 | $99,999.00 | $17,999.82 | 2026-05-13 | MRF ↗ |
| MERIT HEALTH RIVER REGION Outpatient | La Medicaid Non Par | La Medicaid Non Par | $15,249.85 | $99,999.00 | $17,999.82 | 2026-05-24 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.