1650442 — Bottle Drain Dbl Dual Lumen
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BOTTLE DRAIN DBL DUAL LUMEN (OTHER 1650442) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1650442?code_type=OTHER
MLA (9th ed.)
“BOTTLE DRAIN DBL DUAL LUMEN (OTHER 1650442) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1650442?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“BOTTLE DRAIN DBL DUAL LUMEN (OTHER 1650442) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1650442?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $92–$145 (25th–75th percentile) across 2 hospitals · 44 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1650442 — 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 |
|---|---|---|---|---|---|---|---|
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Of California | Anthem Blue Cross Work Comp | $32.07 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross | $32.07 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross | $34.35 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Of California | Anthem Blue Cross Work Comp | $34.35 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net | Health Net Medi-Cal | $36.80 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net | Health Net Medi-Cal | $36.80 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Netcare Life And Health Insurance | Netcare Commercial/Senior | $46.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Netcare Life And Health Insurance | Netcare Commercial/Senior | $46.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net Community Care Commercial | $55.02 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Sr | $55.20 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Commercial | $55.20 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Sr | $55.20 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Commercial | $55.20 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Memorial Healthcare Ipa | Memorial Healthcare Ipa Ancillary Rates | $55.20 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Memorial Healthcare Ipa | Memorial Healthcare Ipa Ancillary Rates | $55.20 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Advance Clinical Research Institute | Advance Clinical Research Institute | $55.20 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net Community Care Commercial | $56.30 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net | $60.17 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net | $61.46 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Medical Acquisition Company | Medical Acquisition Company | $73.60 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Medical Acquisition Company | Medical Acquisition Company | $73.60 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Affiliated Doctors Of Orange County | Affiliated Doctors Of Orange County Ancillary | $82.80 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Affiliated Doctors Of Orange County | Affiliated Doctors Of Orange County Ancillary | $82.80 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc West Ppo | Uhc Ppo-All Payor Appendix | $92.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Covered California | $92.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc Hmo/Network Benefits Preferred | Uhc Hmo/Network Benefits Preferred | $92.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc Hmo/Network Benefits Non Preferred | Uhc Hmo/Network Benefits Non Preferred | $92.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Arta Medicare Health Plan | Arta Medicare Health Plan | $92.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc Hmo/Network Benefits Preferred | Uhc Hmo/Network Benefits Preferred | $92.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc Hmo/Network Benefits Non Preferred | Uhc Hmo/Network Benefits Non Preferred | $92.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Arta Medicare Health Plan | Arta Medicare Health Plan | $92.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Covered California | $92.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc West Ppo | Uhc Ppo-All Payor Appendix | $92.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Cigna Healthcare Of California | Cigna Hmo/Ppo/Open Access/Network | $93.84 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Cigna Healthcare Of California | Cigna Hmo/Ppo/Open Access/Network | $93.84 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Gatekeeper | $95.68 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Non-Gatekeeper | $95.68 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Gatekeeper | $95.68 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Non-Gatekeeper | $95.68 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Huntington Memorial Hospital | Hcp/Huntington Memorial Hospital | $99.36 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Healthcare Partners Commercial | Healthcare Partners Commercial | $99.36 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Davita Heatlhcare Partners Plan Inc | Davita Health Plan Of California, Inc Commercial | $99.36 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Huntington Memorial Hospital | Hcp/Huntington Memorial Hospital | $99.36 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Davita Heatlhcare Partners Plan Inc | Davita Health Plan Of California, Inc Commercial | $99.36 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Healthcare Partners Commercial | Healthcare Partners Commercial | $99.36 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Covered Ca | $110.40 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Genesis Healthcare Ipa Ancillary | Genesis Healthcare Ipa Ancillary | $110.40 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Commercial | $110.40 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Covered Ca | $110.40 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Genesis Healthcare Ipa Ancillary | Genesis Healthcare Ipa Ancillary | $110.40 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Commercial | $110.40 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Of California | Blue Cross Non-Mcs | $110.68 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Of California | Blue Cross Non-Mcs | $110.68 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Scan Health Plan | Scan Healthplan Senior | $119.60 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Scan Health Plan | Scan Healthplan Senior | $119.60 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Care First | Blue Shield Promise Health Plan Senior | $128.80 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Care First | Blue Shield Promise Heath Plan Commercial | $128.80 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Allnet Preferred Provider | Allnet Preferred Provider | $128.80 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Orange County Preferred Provider Organization | Orange County Preferred Provider Organization Epo | $128.80 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Private Healthcare Systems | Private Healthcare Systems | $128.80 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Allnet Preferred Provider | Allnet Preferred Provider | $128.80 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Interplan | Interplan Ppo | $128.80 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Orange County Preferred Provider Organization | Orange County Preferred Provider Organization Epo | $128.80 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Care First | Blue Shield Promise Heath Plan Commercial | $128.80 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Care First | Blue Shield Promise Health Plan Senior | $128.80 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Private Healthcare Systems | Private Healthcare Systems | $128.80 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Interplan | Interplan Ppo | $128.80 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Affiliated Health Fund | Affiliated Health Fund | $128.80 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Hmo | $129.54 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Value Network | $131.01 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel Workers Comp | $138.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Orange County Preferred Provider Organization | Orange County Preferred Provider Organization | $138.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net Enhanced Ppo | $138.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Multiplan Inc | Multiplan | $138.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Capp Care | Beech St/Capp Care | $138.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel Ppo | $138.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Orange County Preferred Provider Organization | Orange County Preferred Provider Organization | $138.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel Ppo | $138.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Multiplan Inc | Multiplan | $138.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel Workers Comp | $138.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Capp Care | Beech St/Capp Care | $138.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Choicecare | Choicecare | $138.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net Enhanced Ppo | $141.31 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Ppo | $143.70 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Hmo | $143.70 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Value Network | $145.36 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | National Provider Network | National Provider Network | $147.20 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Three Rivers Providers Network | Three Rivers Providers Network | $147.20 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | National Provider Network | National Provider Network | $147.20 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Three Rivers Providers Network | Three Rivers Providers Network | $147.20 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Ppo | $147.75 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | First Health | First Health Ppo | $156.40 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | First Health | First Health Ppo | $156.40 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Health Payors Organization | Health Payors Organization | $165.60 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Health Payors Organization | Health Payors Organization | $165.60 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Tricare | Tricare | $184.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Onecare Connect | $184.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Non Contracted Commercial | Non Contracted Commercial | $184.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Sr | $184.00 | $184.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Onecare Connect | $184.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Sr | $184.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Non Contracted Commercial | Non Contracted Commercial | $184.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Tricare | Tricare | $184.00 | $184.00 | $184.00 | 2026-05-09 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Peia | Commercial | $5,484.78 | $9,794.25 | $4,897.13 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Aetna Medicaid | Medicaid | $5,484.78 | $9,794.25 | $4,897.13 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Healthplan Medicaid | Medicaid | $5,484.78 | $9,794.25 | $4,897.13 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Healthplan Peia | Commercial | $5,484.78 | $9,794.25 | $4,897.13 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Highmark Bcbs Wv Aca | Commercial | $6,529.83 | $9,794.25 | $4,897.13 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Highmark Bcbs Wv Ppo Pos | Commercial | $7,454.40 | $9,794.25 | $4,897.13 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Highmark Bcbs Wv Traditional | Commercial | $7,454.40 | $9,794.25 | $4,897.13 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Healthplan | Commercial | $8,325.11 | $9,794.25 | $4,897.13 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Humana Choicecare Network | Commercial | $8,814.83 | $9,794.25 | $4,897.13 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | United Healthcare | Commercial | $8,814.83 | $9,794.25 | $4,897.13 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Aetna | Commercial | $8,814.83 | $9,794.25 | $4,897.13 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Cigna | Commercial | $9,010.71 | $9,794.25 | $4,897.13 | 2026-05-08 | MRF ↗ |