15110 — Epidrm Agrft T/a/l 1st 100
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Epidrm agrft t/a/l 1st 100 (OTHER 15110) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/15110?code_type=OTHER
MLA (9th ed.)
“Epidrm agrft t/a/l 1st 100 (OTHER 15110) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/15110?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Epidrm agrft t/a/l 1st 100 (OTHER 15110) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/15110?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $883–$3,261 (25th–75th percentile) across 205 hospitals · 608 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 15110 — 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 |
|---|---|---|---|---|---|---|---|
| LONG ISLAND COMMUNITY HOSPITAL Both | Magnacare | Preferred | — | — | — | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Magnacare | Jib | — | — | — | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Magnacare | Standard | — | — | — | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Choice Care | Medicare | — | — | — | 2026-05-06 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Gateway Ma | — | $53.82 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Amerihealth Ma | — | $53.82 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma | — | $55.72 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Ma | — | $56.99 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Highmark Medicare | — | $62.69 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Medicare | — | $63.32 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Medicare | — | $63.32 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Medicare | — | $63.32 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cbc Medicare | — | $63.32 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Amerihealth Mc Adv | — | $63.32 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Vibra Medicare | — | $64.59 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Humana Medicare | — | $64.59 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Gateway Medicare | — | $67.75 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Blue Cross Community Health Plan | Medicaid | $71.01 | $3,087.00 | $3,087.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Triwest | Healthcare Alliance | $71.01 | $3,087.00 | $3,087.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Dentaquest | — | $71.01 | $3,087.00 | $3,087.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Meridian Health Plan | — | $71.01 | $3,087.00 | $3,087.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Medicaid | $71.01 | $3,087.00 | $3,087.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Molina | — | $71.01 | $3,087.00 | $3,087.00 | 2026-05-23 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $72.30 | $1,915.25 | $1,340.68 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $72.30 | $1,915.25 | $1,340.68 | 2026-05-22 | MRF ↗ |
| Ballard Rehabilitation Hospital Both | Standard_Charge |Blue_Shield|65_Plus_Medicare_Advantage|Negotiated_Percentage | — | $77.80 | $7,332.00 | $7,332.00 | 2026-05-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-05-27 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $83.53 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $7,332.00 | $7,332.00 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Hmo|Medicare_Advantage|Negotiated_Percentage | — | $90.00 | $7,332.00 | $7,332.00 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Ppo|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $7,332.00 | $7,332.00 | 2026-05-17 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $123.53 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $124.05 | $1,925.00 | $1,347.50 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $124.05 | $1,925.00 | $1,347.50 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $124.05 | $1,925.00 | $1,347.50 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $124.05 | $1,925.00 | $1,347.50 | 2026-05-22 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $132.93 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | United Healthcare | Commercial | $133.71 | — | — | 2026-05-08 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $144.85 | — | — | 2026-05-09 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $145.37 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $150.65 | — | — | 2026-05-09 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $168.06 | $5,234.17 | $2,669.43 | 2025-01-10 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $168.68 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $168.68 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $4,099.00 | $2,049.50 | 2026-05-13 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $188.75 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $188.75 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $191.18 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $191.18 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $191.18 | — | — | 2026-05-06 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Highmark Choice Blue | — | $191.25 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cigna | — | $195.00 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $201.33 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $201.33 | — | — | 2026-05-14 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $202.19 | $5,234.17 | $1,884.30 | 2026-01-01 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $202.65 | — | — | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $4,099.00 | $2,049.50 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $4,809.00 | $2,404.50 | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $4,099.00 | $2,049.50 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $4,809.00 | $2,404.50 | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $206.47 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $206.47 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $206.47 | — | — | 2026-05-09 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $4,099.00 | $2,049.50 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $4,809.00 | $2,404.50 | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $4,099.00 | $2,049.50 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $4,809.00 | $2,404.50 | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $210.30 | — | — | 2026-05-09 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Comm | — | $215.12 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Comm | — | $217.75 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $237.80 | $5,234.17 | $1,884.30 | 2026-01-01 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $238.98 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $238.98 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $238.98 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $238.98 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $238.98 | — | — | 2026-05-14 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Highmark Comm | — | $239.06 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Comm | — | $243.75 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $248.53 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $248.53 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $248.53 | — | — | 2026-05-06 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Wellspan | — | $256.75 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Multiplan | — | $260.00 | $325.00 | $95.26 | 2026-05-31 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $267.65 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $267.65 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $267.65 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $267.65 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $267.65 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $267.65 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $267.65 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $267.65 | — | — | 2026-05-06 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $277.21 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Health Net] | $277.21 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $277.21 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Health Net] | $277.21 | — | — | 2026-05-14 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | Alabama Medicaid Agency | Medicaid | $286.51 | $3,565.00 | $2,495.50 | 2026-05-22 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | North Alabama Managed Care Inc | Commercial | — | $3,565.00 | $2,495.50 | 2026-05-22 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | Alabama Department Of Labor | Commercial | — | $3,565.00 | $2,495.50 | 2026-05-22 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $3,565.00 | $2,495.50 | 2026-05-22 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | Multiplan | Phcs/Auto Rates | — | $3,565.00 | $2,495.50 | 2026-05-22 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | Humana | Medicare Advantage Ppo | — | $3,565.00 | $2,495.50 | 2026-05-22 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $3,565.00 | $2,495.50 | 2026-05-22 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | North Alabama Managed Care Inc | Commercial | — | $3,565.00 | $2,495.50 | 2026-05-14 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | Alabama Department Of Labor | Commercial | — | $3,565.00 | $2,495.50 | 2026-05-14 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | Multiplan | Phcs/Auto Rates | — | $3,565.00 | $2,495.50 | 2026-05-14 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $3,565.00 | $2,495.50 | 2026-05-14 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $3,565.00 | $2,495.50 | 2026-05-14 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | Alabama Medicaid Agency | Medicaid | $286.51 | $3,565.00 | $2,495.50 | 2026-05-14 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | Humana | Medicare Advantage Ppo | — | $3,565.00 | $2,495.50 | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $292.51 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Molina] | $292.51 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $292.51 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Molina] | $292.51 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $298.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $298.26 | — | — | 2026-05-14 | MRF ↗ |
| SAN JUAN REGIONAL MEDICAL CENTER INC Both | Standard_Charge|Western_Sky_Medicaid|Negotiated_Charge | — | $299.19 | $3,575.00 | $1,787.50 | 2026-05-22 | MRF ↗ |
| SAN JUAN REGIONAL MEDICAL CENTER INC Both | Standard_Charge|Bc_Medicaid_Nm|Negotiated_Charge | — | $299.19 | $3,575.00 | $1,787.50 | 2026-05-22 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $341.24 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $341.24 | — | — | 2026-05-14 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Bcbs | Bcbs Blue Care | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Bcbs | Bcbs Freedom Network | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Multiplan | Multiplan | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Bcbs | Bcbs Freedom Network Select | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Aetna | Aetna Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Bcbs | Bcbs Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Home State | Home State Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Bcbs | Bcbs Preferred Care | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Self-Pay | Self Pay Choice | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Ambetter | Ambetter Exchange | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Bcbs | Bcbs Blue Select Exchange | $342.59 | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Humana | Humana Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Provider Partners | Provider Partners Medicare Advantage Hmo | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Tricare | Tricare | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | United Healthcare | United Healthcare Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $349.99 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $349.99 | — | — | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Humana | Humana | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage 100% | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Wellpath | Wellpath (State Prison) | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage 100% | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Geisinger Health | Geisinger | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Upmc | Upmc Medicare | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Aarp | Uhc | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Wellpath | Wellpath (Federal Prison) | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Phcs | Phcs | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Mvp | Medicare Advantage 100% | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Bcbs | Medicare Advantage 100% | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Tricare | Medicare Advantage 100% | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | United Healthcare | Uhc | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Upmc | Upmc | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Ambetter | Ambetter | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Keystone First | Keystone First | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Pa Health & Wellness | Pa Health & Wellness | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Cross | — | $909.00 | $727.20 | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $367.49 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Emblem Ghi | Commercial | $376.68 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $388.53 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Ambetter | Ambetter Exchange | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Ambetter | Ambetter Exchange | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | United Healthcare | United Healthcare Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Self-Pay | Self Pay Choice | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Self-Pay | Self Pay Choice | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Blue Care | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Preferred Care | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Freedom Network | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Provider Partners | Provider Partners Medicare Advantage Hmo | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | United Healthcare | United Healthcare Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Blue Select Plus | $407.13 | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Freedom Network Select | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Freedom Network Select | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Provider Partners | Provider Partners Medicare Advantage Hmo | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Freedom Network | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Preferred Care | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Blue Select Plus | $407.13 | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Blue Care | — | $1,528.80 | $840.84 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Blue Care | — | $1,528.80 | $840.84 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Self-Pay | Self Pay Choice | — | $1,528.80 | $840.84 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Freedom Network Select | — | $1,528.80 | $840.84 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Freedom Network | — | $1,528.80 | $840.84 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Blue Select Plus | $407.13 | $1,528.80 | $840.84 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Provider Partners | Provider Partners Medicare Advantage Hmo | — | $1,528.80 | $840.84 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Preferred Care | — | $1,528.80 | $840.84 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Self-Pay | Self Pay Choice | — | $1,528.80 | $840.84 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Ambetter | Ambetter Exchange | — | $1,528.80 | $840.84 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | United Healthcare | United Healthcare Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Preferred Care | — | $1,528.80 | $840.84 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Medicare Advantage | — | $1,528.80 | $840.84 | 2026-05-14 | 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.