15100 — Splt Agrft T/a/l 1st 100sqcm
Cite this view
HANK Price Transparency. (n.d.). Splt agrft t/a/l 1st 100sqcm (OTHER 15100) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/15100?code_type=OTHER
“Splt agrft t/a/l 1st 100sqcm (OTHER 15100) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/15100?code_type=OTHER. Accessed .
“Splt agrft t/a/l 1st 100sqcm (OTHER 15100) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/15100?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,079–$2,934 (25th–75th percentile) across 272 hospitals · 933 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 15100 — 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 |
|---|---|---|---|---|---|---|---|
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna Better Health Of La | Managed Medicaid | $2.00 | $2,755.27 | $2,755.27 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene La Healthcare Connections | Managed Medica | $2.00 | $2,755.27 | $2,755.27 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerihealth Caritas Of La | Managed Medicaid | $2.00 | $2,755.27 | $2,755.27 | 2026-05-24 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $25.50 | $51.00 | $35.70 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $25.69 | — | — | 2026-05-27 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Bcbs Other | Commercial | $34.68 | $51.00 | $35.70 | 2026-05-06 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Traditional | Commercial | $38.76 | $51.00 | $35.70 | 2026-05-06 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $51.12 | $68.16 | $34.08 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $51.12 | $68.16 | $34.08 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $54.53 | $68.16 | $34.08 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $54.53 | $68.16 | $34.08 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $57.94 | $68.16 | $34.08 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $57.94 | $68.16 | $34.08 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $57.94 | $68.16 | $34.08 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $57.94 | $68.16 | $34.08 | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $57.94 | $68.16 | $34.08 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $57.94 | $68.16 | $34.08 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $57.94 | $68.16 | $34.08 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $57.94 | $68.16 | $34.08 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $57.94 | $68.16 | $34.08 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $59.64 | $85.20 | $42.60 | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $63.90 | $85.20 | $42.60 | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $72.63 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $75.54 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $76.37 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $76.37 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $76.37 | — | — | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $76.68 | $85.20 | $42.60 | 2026-05-09 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-05-27 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $80.95 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $82.48 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $82.48 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $82.48 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $84.01 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $95.46 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $95.46 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $95.46 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $95.46 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $95.46 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $99.28 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $99.28 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $99.28 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $106.92 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $106.92 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $106.92 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $106.92 | — | — | 2026-05-06 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $106.92 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $106.92 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $106.92 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $106.92 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $110.74 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Health Net] | $110.74 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $110.74 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Health Net] | $110.74 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Molina] | $116.85 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $116.85 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $116.85 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Molina] | $116.85 | — | — | 2026-05-09 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $1,956.00 | $1,369.20 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $1,956.00 | $1,369.20 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $1,956.00 | $1,369.20 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $123.52 | $1,956.00 | $1,369.20 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $123.52 | $1,956.00 | $1,369.20 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $1,956.00 | $1,369.20 | 2026-05-13 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | United Healthcare | Commercial | $146.19 | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene | Az Complete Health | $160.93 | $11,193.93 | $11,193.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene | Care 1St Health Plan Az | $160.93 | $11,193.93 | $11,193.93 | 2026-05-23 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $168.09 | $5,235.18 | $2,669.94 | 2025-01-10 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Cigna | Cigna | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Multiplan | Multiplan | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | University Of Pennsylvania Health Plan | University Of Pennsylvania Health Plan | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $4,809.00 | $2,404.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye | Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource | Caresource | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource | Caresource | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Humana | Managed Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource | Caresource | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna Rental | First Health | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna Rental | First Health | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Pa | Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Maryland Physician Care | Maryland Physician Care | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Molina Oh | Managed Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Healthcare | United Healthcare | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Maryland Physician Care | Maryland Physician Care | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Pa | Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource | Caresource | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $4,809.00 | $2,404.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Healthcare | United Healthcare | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Cigna | Cigna | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Partners Pennsylvania Medicaid | Health Partners Pennsylvania Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna Rental | First Health | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $4,743.00 | $2,371.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Humana | Managed Medicaid | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Anthem Pathway | Anthem Pathway | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | University Of Pennsylvania Health Plan | University Of Pennsylvania Health Plan | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Multiplan | Multiplan | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna Rental | First Health | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Cigna | Cigna | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource Oh | Managed Medicaid | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Buckeye Oh | Managed Medicaid | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Humana | Managed Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Molina Oh | Managed Medicaid | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $4,743.00 | $2,371.50 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource | Caresource | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna Rental | First Health | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource Oh | Managed Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Peak Health | Peak Health | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Aetna | — | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Molina Oh | Managed Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Partners Pennsylvania Medicaid | Health Partners Pennsylvania Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Aetna | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Peak Health | Peak Health | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Aetna | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Student Health | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye | Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health | — | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource Oh | Managed Medicaid | — | $10,621.66 | $5,310.83 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Student Health | — | $10,621.66 | $5,310.83 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $4,809.00 | $2,404.50 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $4,743.00 | $2,371.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $14,626.67 | $7,313.34 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $14,626.67 | $7,313.34 | 2026-05-14 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $4,809.00 | $2,404.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $4,743.00 | $2,371.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $2,250.66 | $1,125.33 | 2026-05-13 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Rocky Mountain | Medicare | — | $3,573.00 | $1,786.50 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Rocky Mountain | Medicare Advantage | — | $3,573.00 | $1,786.50 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Commercial Plans | — | $3,573.00 | $1,786.50 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Medicaid Hmo | Generic | — | $3,573.00 | $1,786.50 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Rocky Mountain | Private/Self Insured | — | $3,573.00 | $1,786.50 | 2026-05-22 | 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.