15115 — Epdrm Agrft F/s/n/h/f/g/m 1
Cite this view
HANK Price Transparency. (n.d.). Epdrm agrft f/s/n/h/f/g/m 1 (OTHER 15115) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/15115?code_type=OTHER
“Epdrm agrft f/s/n/h/f/g/m 1 (OTHER 15115) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/15115?code_type=OTHER. Accessed .
“Epdrm agrft f/s/n/h/f/g/m 1 (OTHER 15115) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/15115?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $900–$3,262 (25th–75th percentile) across 213 hospitals · 570 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 15115 — 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 |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Ppo|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|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $7,332.00 | $7,332.00 | 2026-05-17 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $1,888.50 | $1,321.95 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $1,888.50 | $1,321.95 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $99.33 | $1,888.50 | $1,321.95 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $1,888.50 | $1,321.95 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $1,888.50 | $1,321.95 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $99.33 | $1,888.50 | $1,321.95 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $115.77 | $1,844.00 | $1,290.80 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $115.77 | $1,844.00 | $1,290.80 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $115.77 | $1,844.00 | $1,290.80 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $115.77 | $1,844.00 | $1,290.80 | 2026-05-22 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $136.10 | — | — | 2026-05-09 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Wi Ma Professional | Wi Ma Professional | $138.49 | $3,158.00 | $3,158.00 | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $141.54 | — | — | 2026-05-09 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $168.06 | $5,234.17 | $2,669.43 | 2025-01-10 | 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 ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $178.90 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $178.90 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $178.90 | — | — | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | United Healthcare | Commercial | $182.15 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $186.21 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $186.21 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $189.63 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $193.21 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $193.21 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $193.21 | — | — | 2026-05-06 | 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 ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $196.79 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $198.62 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $198.62 | — | — | 2026-05-23 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $202.19 | $5,234.17 | $1,884.30 | 2026-01-01 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Cigna | Cigna | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $4,099.00 | $2,049.50 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Caresource | Caresource | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $6,807.00 | $3,403.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Better Health Va Mgd Medicaid | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $4,743.00 | $2,371.50 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna Rental | First Health | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Maryland Physician Care | Maryland Physician Care | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Student Health | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Student Health | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Better Health Va Mgd Medicaid | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $4,743.00 | $2,371.50 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Better Health | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Caresource | Caresource | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $4,099.00 | $2,049.50 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna Rental | First Health | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Cigna | Cigna | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $6,807.00 | $3,403.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Aetna | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Molina Oh | Managed Medicaid | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Aetna | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Molina Oh | Managed Medicaid | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Maryland Physician Care | Maryland Physician Care | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Better Health | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $4,099.00 | $2,049.50 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $6,807.00 | $3,403.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $4,743.00 | $2,371.50 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Better Health Wv Mgd Medicaid | $209.72 | $6,145.00 | $3,072.50 | 2026-05-14 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $6,807.00 | $3,403.50 | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $4,099.00 | $2,049.50 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Better Health Wv Mgd Medicaid | $209.72 | $6,145.00 | $3,072.50 | 2026-05-23 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $4,743.00 | $2,371.50 | 2026-05-13 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $223.63 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $223.63 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $223.63 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $223.63 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $223.63 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $232.57 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $232.57 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $232.57 | — | — | 2026-05-06 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $237.80 | $5,234.17 | $1,884.30 | 2026-01-01 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $250.46 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $250.46 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $250.46 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $250.46 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $250.46 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $250.46 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $250.46 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $250.46 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Health Net] | $259.41 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $259.41 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Health Net] | $259.41 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $259.41 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Molina] | $273.72 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Molina] | $273.72 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $273.72 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $273.72 | — | — | 2026-05-09 | 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 | Alabama Department Of Labor | 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 | United Healthcare | Medicare Advantage | — | $3,565.00 | $2,495.50 | 2026-05-14 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $3,565.00 | $2,495.50 | 2026-05-22 | 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 | 2026-05-14 | 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 | Alabama Medicaid Agency | Medicaid | $286.51 | $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 | Multiplan | Phcs/Auto Rates | — | $3,565.00 | $2,495.50 | 2026-05-14 | MRF ↗ |
| HIGHLANDS MEDICAL CENTER Outpatient | North Alabama Managed Care Inc | Commercial | — | $3,565.00 | $2,495.50 | 2026-05-22 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $290.90 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $290.90 | — | — | 2026-05-24 | 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 ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $330.21 | — | — | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $332.75 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $332.75 | — | — | 2026-05-24 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Bcbs | Bcbs Freedom Network Select | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Bcbs | Bcbs Preferred Care | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Bcbs | Bcbs Freedom Network | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Multiplan | Multiplan | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Bcbs | Bcbs Blue Select Exchange | $342.59 | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Ambetter | Ambetter Exchange | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Bcbs | Bcbs Medicare Advantage | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Humana | Humana Medicare Advantage | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Aetna | Aetna Medicare Advantage | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Self-Pay | Self Pay Choice | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Home State | Home State Medicare Advantage | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | United Healthcare | United Healthcare Medicare Advantage | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Bcbs | Bcbs Blue Care | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Provider Partners | Provider Partners Medicare Advantage Hmo | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Tricare | Tricare | — | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $359.89 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $359.89 | — | — | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Tricare | Medicare Advantage 100% | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Pa Health & Wellness | Pa Health & Wellness | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Keystone First | Keystone First | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Phcs | Phcs | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Upmc | Upmc Medicare | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Upmc | Upmc | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Bcbs | Medicare Advantage 100% | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Aarp | Uhc | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Cross | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Wellpath | Wellpath (State Prison) | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Geisinger Health | Geisinger | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Ambetter | Ambetter | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage 100% | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | United Healthcare | Uhc | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Wellpath | Wellpath (Federal Prison) | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Humana | Humana | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage 100% | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Mvp | Medicare Advantage 100% | — | $936.00 | $748.80 | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Emblem Ghi | Commercial | $376.68 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $377.88 | — | — | 2026-05-08 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $400.75 | — | — | 2026-05-13 | MRF ↗ |
| TRUMAN MEDICAL CENTER HOSPITAL HILL Outpatient | Bcbs | Bcbs Blue Select Plus | $407.13 | $3,433.00 | $1,888.15 | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Preferred Care | — | $3,433.00 | $1,888.15 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Preferred Care | — | $3,433.00 | $1,888.15 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Blue Select Plus | $407.13 | $3,433.00 | $1,888.15 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Blue Care | — | $3,433.00 | $1,888.15 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Freedom Network | — | $3,433.00 | $1,888.15 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Freedom Network Select | — | $3,433.00 | $1,888.15 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Provider Partners | Provider Partners Medicare Advantage Hmo | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Medicare Advantage | — | $3,433.00 | $1,888.15 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Preferred Care | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Provider Partners | Provider Partners Medicare Advantage Hmo | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Freedom Network Select | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Freedom Network | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Blue Select Plus | $407.13 | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Blue Select Plus | $407.13 | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Preferred Care | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Freedom Network | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Blue Care | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Ambetter | Ambetter Exchange | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Freedom Network Select | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Ambetter | Ambetter Exchange | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Medicare Advantage | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Freedom Network Select | — | $3,433.00 | $1,888.15 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Medicare Advantage | — | $3,433.00 | $1,888.15 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER Outpatient | Bcbs | Bcbs Blue Care | — | $3,433.00 | $1,888.15 | 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.