1413004 — Aicd Ohr Thn Sgl/du1
Cite this view
HANK Price Transparency. (n.d.). AICD OHR THN SGL/DU1 (OTHER 1413004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1413004?code_type=OTHER
“AICD OHR THN SGL/DU1 (OTHER 1413004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1413004?code_type=OTHER. Accessed .
“AICD OHR THN SGL/DU1 (OTHER 1413004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1413004?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,975–$38,842 (25th–75th percentile) across 33 hospitals · 193 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1413004 — 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 | $99,999.98 | $23,500.00 | 2026-05-07 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Cigna | Cigna All | $310.00 | $99,999.98 | $23,500.00 | 2026-05-23 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Cigna | Cigna All | $470.00 | $99,999.98 | $32,999.99 | 2026-05-24 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna All | $893.00 | $99,999.99 | $18,000.00 | 2026-05-08 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $1,734.53 | $14,454.44 | $1,734.53 | 2026-05-06 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $2,601.80 | $14,454.44 | $2,601.80 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $67,935.80 | $14,266.52 | 2026-05-09 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Node Simply Mcr Adv | Node Simply Mcr Adv | $3,000.00 | $38,775.81 | $8,142.92 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $67,935.80 | $14,266.52 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Simply Healthcare | Node Simply Mcr Adv | $3,000.00 | $67,935.80 | $12,228.44 | 2026-05-09 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Aetna | Aetna | $3,072.80 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna | Aetna All | $3,072.80 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Aetna | Aetna | $3,072.80 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Aetna | Aetna All | $3,072.80 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $3,072.80 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Aetna Performance | Aetna Performance | $3,072.80 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Aetna Qhp | Aetna Qhp | $3,072.80 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Aetna | Aetna Asbait | $3,072.80 | $30,728.00 | $11,062.08 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Aetna Performance | Aetna Performance | $3,072.80 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Aetna Qhp | Aetna Qhp | $3,072.80 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Aetna Qhp | Aetna Qhp | $3,072.80 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna Qhp | Aetna Qhp | $3,072.80 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Aetna Performance | Aetna Performance | $3,072.80 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna Performance | Aetna Performance | $3,072.80 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Corvel | Corvel Acc And Health | $3,188.30 | $31,883.00 | $9,564.90 | 2026-05-13 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Corvel | Corvel Acc And Health | $3,188.30 | $31,883.00 | $9,564.90 | 2026-05-24 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Ga Non Par Medicaid | Non Par Medicaid Ga | $3,283.83 | $56,445.00 | $15,240.15 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Peach State Hlth Plan Mcaid Ga | Peach State Hlth Plan Mcaid Ga | $3,349.51 | $56,445.00 | $15,240.15 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Amerigroup Medicaid | Amerigroup Medicaid | $3,381.72 | $56,445.00 | $15,240.15 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Uhc Medicaid | Uhc Medicaid | $3,448.03 | $56,445.00 | $15,240.15 | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Caresource Medicaid | Caresource Medicaid | $3,448.03 | $56,445.00 | $15,240.15 | 2026-05-06 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | First Health | First Health | $3,500.00 | $70,741.00 | $10,611.15 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | First Health | First Health | $3,500.00 | $70,741.00 | $10,611.15 | 2026-05-24 | MRF ↗ |
| MOBERLY REGIONAL MEDICAL CENTER Outpatient | Us Department Of Labor | Node Us Dept Of Labor | $3,550.87 | $35,508.72 | $9,587.35 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $3,600.00 | $99,999.99 | $18,000.00 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $3,600.00 | $99,999.99 | $18,000.00 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Medicaid | Node Tx Medicaid | $3,600.00 | $99,999.99 | $18,000.00 | 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 | 2026-05-24 | 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 ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $3,780.00 | $99,999.99 | $18,000.00 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Superior | Node Superior Star Plus Medicaid Tx | $3,780.00 | $99,999.99 | $18,000.00 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Plus Medicaid Tx | Node Wellpoint Star Plus Medicaid Tx | $3,780.00 | $99,999.99 | $18,000.00 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Superior Star Kids Medicaid Tx | Node Superior Star Kids Medicaid Tx | $3,780.00 | $99,999.99 | $18,000.00 | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $3,780.00 | $99,999.99 | $18,000.00 | 2026-05-08 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $3,807.55 | $44,377.00 | $11,981.79 | 2026-05-14 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $3,807.55 | $44,377.00 | $11,981.79 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $3,807.55 | $44,377.00 | $11,981.79 | 2026-05-24 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $3,877.58 | $38,775.81 | $8,142.92 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Oscar | Oscar | $3,877.58 | $38,775.81 | $8,142.92 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Uhc Nhp | Uhc Nhp | $3,877.58 | $38,775.81 | $8,142.92 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Uhc Apa | Uhc Apa | $3,877.58 | $38,775.81 | $8,142.92 | 2026-05-06 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $3,967.30 | $44,377.00 | $11,981.79 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $3,967.30 | $44,377.00 | $11,981.79 | 2026-05-14 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $3,967.30 | $44,377.00 | $11,981.79 | 2026-05-24 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Outpatient | Self Pay | Self Pay | $3,972.78 | $66,213.00 | $11,918.34 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $4,117.55 | $30,728.00 | $11,983.92 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $4,117.55 | $30,728.00 | $11,983.92 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $4,427.90 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Az Medicaid Non Par | Az Medicaid Non Par | $4,427.90 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Az Medicaid | Az Medicaid | $4,427.90 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $4,427.90 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $4,427.90 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $4,427.90 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $4,427.90 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $4,427.90 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $4,427.90 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $4,427.90 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Medicaid | Az Medicaid | $4,427.90 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid Non Par | Az Medicaid Non Par | $4,427.90 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $4,427.90 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $4,427.90 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $4,427.90 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $4,427.90 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Medicaid | Az Medicaid | $4,427.90 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $4,427.90 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid | Az Medicaid | $4,427.90 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $4,427.90 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $4,427.90 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $4,427.90 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $4,427.90 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Mercy Care | Mercy Care Medicaid Az | $4,427.90 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Us Department Of Labor | Node Us Dept Of Labor | $4,437.70 | $44,377.00 | $11,981.79 | 2026-05-14 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Node Gateway Mcr Adv | Node Gateway Mcr Adv | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Us Department Of Labor | Node Us Dept Of Labor | $4,437.70 | $44,377.00 | $11,981.79 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Upmchp | Upmchp Medicaid Pa | $4,437.70 | $44,377.00 | $11,981.79 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Node Gateway Mcr Adv | Node Gateway Mcr Adv | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Performance Health Tpa | Performance Health Tpa | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Us Department Of Labor | Node Us Dept Of Labor | $4,437.70 | $44,377.00 | $11,981.79 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Plan Stewards Health | Plan Stewards Health | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Geisinger | Geisinger Medicaid Pa | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Upmchp | Upmchp Medicaid Pa | $4,437.70 | $44,377.00 | $11,981.79 | 2026-05-14 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Uhc | Uhc Nbr | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Performance Health Tpa | Performance Health Tpa | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-14 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Performance Health Tpa | Performance Health Tpa | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Node Gateway Mcr Adv | Node Gateway Mcr Adv | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-14 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Geisinger | Geisinger Medicaid Pa | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-14 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Plan Stewards Health | Plan Stewards Health | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Uhc | Uhc Nbr | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-14 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Upmchp | Upmchp Medicaid Pa | $4,437.70 | $44,377.00 | $11,981.79 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Plan Stewards Health | Plan Stewards Health | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-14 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Geisinger | Geisinger Medicaid Pa | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Uhc | Uhc Nbr | $4,437.70 | $44,377.00 | $18,638.34 | 2026-05-24 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Outpatient | Self Pay | Self Pay | $4,476.15 | $63,945.00 | $15,346.80 | 2026-05-24 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Outpatient | Self Pay | Self Pay | $4,476.15 | $63,945.00 | $15,346.80 | 2026-05-13 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $4,609.20 | $30,728.00 | $11,062.08 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Magellan | Magellan Medicaid Az | $4,649.29 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Magellan Medicaid Az | Magellan Medicaid Az | $4,649.29 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Magellan Medicaid Az | Magellan Medicaid Az | $4,649.29 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Magellan | Magellan Medicaid Az | $4,649.29 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $4,701.38 | $30,728.00 | $12,905.76 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $4,737.85 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $4,737.85 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $4,737.85 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $4,737.85 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| FLOWERS HOSPITAL Outpatient | Self Pay | Self Pay | $4,782.45 | $31,883.00 | $4,782.45 | 2026-05-24 | MRF ↗ |
| FLOWERS HOSPITAL Outpatient | Self Pay | Self Pay | $4,782.45 | $31,883.00 | $4,782.45 | 2026-05-13 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Self Pay | Self Pay | $4,999.98 | $99,999.50 | $17,999.91 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Healthspring | Healthspring Commercial | $5,000.00 | $70,741.00 | $16,977.84 | 2026-05-24 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Healthspring | Healthspring Commercial | $5,000.00 | $70,741.00 | $16,977.84 | 2026-05-07 | MRF ↗ |
| DeTar Hospital North Outpatient | Medicaid | Node Tx Medicaid | $5,039.95 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $5,039.95 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $5,039.95 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $5,039.95 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $5,039.95 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Outpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $5,039.95 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Outpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $5,039.95 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Medicaid | Node Tx Medicaid | $5,039.95 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna | $5,059.05 | $14,454.44 | $1,734.53 | 2026-05-06 | MRF ↗ |
| DeTar Hospital North Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $5,291.95 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $5,291.95 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $5,291.95 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $5,291.95 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Outpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $5,291.95 | $99,999.00 | $20,999.79 | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $5,291.95 | $99,999.00 | $20,999.79 | 2026-05-08 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Outpatient | Department Of Health | Department Of Health | $5,399.38 | $56,445.00 | $15,240.15 | 2026-05-06 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Inpatient | Aetna | Aetna All | $5,400.00 | $99,999.99 | $21,000.00 | 2026-05-09 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Self Pay | Self Pay | $5,531.04 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Self Pay | Self Pay | $5,531.04 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Cigna | Cigna All | $5,579.52 | $31,883.00 | $9,564.90 | 2026-05-24 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Cigna | Cigna All | $5,579.52 | $31,883.00 | $9,564.90 | 2026-05-13 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | American Employee Alliance | American Employers Alliance | $5,781.78 | $14,454.44 | $2,601.80 | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Humana All | Humana All | $5,816.37 | $38,775.81 | $8,142.92 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Aetna | Aetna Asbait | $5,838.32 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $6,000.00 | $99,999.99 | $18,000.00 | 2026-05-08 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Citizens National | Node Citizens National Bank Of Henderson | $6,394.50 | $63,945.00 | $22,380.75 | 2026-05-24 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Citizens National | Node Citizens National Bank Of Henderson | $6,394.50 | $63,945.00 | $22,380.75 | 2026-05-13 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $6,621.30 | $66,213.00 | $11,918.34 | 2026-05-06 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Nhp | $6,793.58 | $67,935.80 | $12,228.44 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Nhp | $6,793.58 | $67,935.80 | $14,266.52 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Apa | $6,793.58 | $67,935.80 | $14,266.52 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Apa | $6,793.58 | $67,935.80 | $12,228.44 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $6,793.58 | $67,935.80 | $14,266.52 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Apa | $6,793.58 | $67,935.80 | $14,266.52 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | Node Us Dept Of Labor | Node Us Dept Of Labor | $6,793.58 | $67,935.80 | $14,266.52 | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Outpatient | United Healthcare | Uhc Nhp | $6,793.58 | $67,935.80 | $14,266.52 | 2026-05-09 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Aetna | Aetna All | $7,003.36 | $70,741.00 | $16,977.84 | 2026-05-24 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Aetna | Aetna All | $7,003.36 | $70,741.00 | $16,977.84 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Corvel | Corvel Acc And Health | $7,074.10 | $70,741.00 | $10,611.15 | 2026-05-07 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Corvel | Corvel Acc And Health | $7,074.10 | $70,741.00 | $10,611.15 | 2026-05-24 | MRF ↗ |
| MOBERLY REGIONAL MEDICAL CENTER Outpatient | United Behavioral Health Mcd | United Behavioral Health Mcd | $7,101.74 | $35,508.72 | $9,587.35 | 2026-05-08 | MRF ↗ |
| Adventhealth Port Charlotte Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $7,134.75 | $38,775.81 | $10,469.47 | 2026-05-06 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Inpatient | Self Pay | Self Pay | $7,283.43 | $66,213.00 | $17,877.51 | 2026-05-06 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Coventry Healthcare | Coventry Work Comp Al | $7,333.09 | $31,883.00 | $9,564.90 | 2026-05-13 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Coventry Healthcare | Coventry Work Comp Al | $7,333.09 | $31,883.00 | $9,564.90 | 2026-05-24 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Uhc Hix | Uhc Hix | $7,343.99 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Uhc Hix | Uhc Hix | $7,343.99 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Uhc Hix | Uhc Hix | $7,343.99 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Uhc Health Exchange | Uhc Hix | $7,343.99 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Uhc Apa | Uhc Apa | $7,359.93 | $79,999.20 | $28,799.71 | 2026-05-14 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Uhc Apa | Uhc Apa | $7,359.93 | $79,999.20 | $28,799.71 | 2026-05-24 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Self Pay | Self Pay | $7,374.72 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Self Pay | Self Pay | $7,374.72 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Cigna | Cigna Localplus | $7,436.18 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna | Cigna Localplus | $7,436.18 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna Localflex | Cigna Localflex | $7,436.18 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Cigna Local Plus | Cigna Local Plus | $7,436.18 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Local Plus | Cigna Local Plus | $7,436.18 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Uhc Apa | Uhc Apa | $7,439.93 | $79,999.20 | $33,599.66 | 2026-05-09 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $7,560.00 | $99,999.99 | $18,000.00 | 2026-05-08 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Aetna | Aetna Hpn | $7,632.84 | $44,377.00 | $11,981.79 | 2026-05-14 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Aetna | Aetna Hpn | $7,632.84 | $44,377.00 | $11,981.79 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Aetna | Aetna Hpn | $7,632.84 | $44,377.00 | $11,981.79 | 2026-05-24 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Hmo | Cigna Hmo | $7,743.46 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Cigna | Cigna Hmo | $7,743.46 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | $7,743.46 | $30,728.00 | $7,374.72 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Cigna Localflex | Cigna Localflex | $7,743.46 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Outpatient | Cigna Hmo | Cigna Hmo | $7,743.46 | $30,728.00 | $5,531.04 | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Localflex | Cigna Localflex | $7,743.46 | $30,728.00 | $5,531.04 | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Cigna Localflex | Cigna Localflex | $7,743.46 | $30,728.00 | $7,374.72 | 2026-05-27 | MRF ↗ |
| Adventhealth Port Charlotte Outpatient | Aetna | Aetna Asa | $7,755.16 | $38,775.81 | $8,142.92 | 2026-05-06 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Outpatient | Aetna | Node Aetna Mcr Adv | $7,865.24 | $63,945.00 | $15,346.80 | 2026-05-13 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Outpatient | Aetna | Node Aetna Mcr Adv | $7,865.24 | $63,945.00 | $15,346.80 | 2026-05-24 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Prime Health | Prime Health Work Comp Al | $7,970.75 | $31,883.00 | $9,564.90 | 2026-05-24 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Alamed Wc | Alamed Work Comp Al | $7,970.75 | $31,883.00 | $9,564.90 | 2026-05-24 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | S & S Healthcare | S And S Healthcare | $7,970.75 | $31,883.00 | $9,564.90 | 2026-05-13 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Alamed Wc | Alamed Work Comp Al | $7,970.75 | $31,883.00 | $9,564.90 | 2026-05-13 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Prime Health | Prime Health Work Comp Al | $7,970.75 | $31,883.00 | $9,564.90 | 2026-05-13 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | S & S Healthcare | S And S Healthcare | $7,970.75 | $31,883.00 | $9,564.90 | 2026-05-24 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Oscar | Oscar | $7,987.86 | $44,377.00 | $11,981.79 | 2026-05-24 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Oscar | Oscar | $7,987.86 | $44,377.00 | $11,981.79 | 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.