172799 — Surgicel Hemostat 10ml
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SURGICEL HEMOSTAT 10ML (CDM 172799) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/172799?code_type=CDM
MLA (9th ed.)
“SURGICEL HEMOSTAT 10ML (CDM 172799) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/172799?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SURGICEL HEMOSTAT 10ML (CDM 172799) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/172799?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,674–$5,717 (25th–75th percentile) across 5 hospitals · 43 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 172799 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION GENESYS HOSPITAL Outpatient | MCLAREN HMO MEDICARE | 565_MACLAREN HELATH PLAN 20210601 | $299.40 | $998.00 | $419.16 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | MCLAREN HMO MEDICARE | 565_MACLAREN HELATH PLAN 20210601 | $299.40 | $998.00 | $419.16 | 2026-01-01 | MRF ↗ |
| ASCENSION GENESYS HOSPITAL Outpatient | SMART HEALTH | 597_SMARTHEALTH 20210201 | $339.32 | $998.00 | $419.16 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | SMART HEALTH | 597_SMARTHEALTH 20210201 | $339.32 | $998.00 | $419.16 | 2026-01-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | El Paso First Health Plans | MGMCD | $464.02 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | El Paso First Health Plans | MGMCD | $464.02 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Superior Health Plan | MGMCD | $497.16 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Superior Health Plan | MGMCD | $497.16 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Oscar | EPO | $853.46 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Oscar | POS | $853.46 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Oscar | EPO | $853.46 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Oscar | PPO | $853.46 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Oscar | PPO | $853.46 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Oscar | POS | $853.46 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | IndividualFamilyPlanHIX | $894.89 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | IndividualFamilyPlanHIX | $894.89 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BCCCP | 556_BCCCP 20210201 | $998.00 | $998.00 | $419.16 | 2026-01-01 | MRF ↗ |
| ASCENSION GENESYS HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $998.00 | $998.00 | $419.16 | 2026-01-01 | MRF ↗ |
| ASCENSION GENESYS HOSPITAL Outpatient | BCCCP | 556_BCCCP 20210201 | $998.00 | $998.00 | $419.16 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $998.00 | $998.00 | $419.16 | 2026-01-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Bienvivir Senior Health | COMM | $1,408.62 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Bienvivir Senior Health | COMM | $1,408.62 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Imperial Insurance | MGMCR | $1,574.34 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Imperial Insurance | MGMCR | $1,574.34 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Healthcare Highways | NarrowNetwork | $1,590.91 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Healthcare Highways | NarrowNetwork | $1,590.91 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | OpenAccessPlus | $1,624.06 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | OpenAccessPlus | $1,624.06 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | HMO | $1,624.06 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | HMO | $1,624.06 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | BlueAdvantage | $1,673.77 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | BlueAdvantage | $1,673.77 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | PPO | $1,723.49 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | PPO | $1,723.49 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Molina Healthcare | HIX | $2,071.50 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Molina Healthcare | HIX | $2,071.50 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | United | OptionsPPO | $2,278.65 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | United | OptionsPPO | $2,278.65 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | QHP-Exchange | $2,527.23 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | QHP-Exchange | $2,527.23 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | BlueEssentials | $2,576.95 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | BlueEssentialsAccess | $2,576.95 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | BlueEssentials | $2,576.95 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | BlueEssentialsAccess | $2,576.95 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Tricare | Commercial | $2,627.00 | $9,877.00 | $9,877.00 | 2025-11-07 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | HealthSelectOpenAccess(EPOSOA) | $2,717.81 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | HealthSelectOpenAccess(EPOSOA) | $2,717.81 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | PPO | $2,850.38 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | PPO | $2,850.38 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Shared Health | MGMCR | $2,900.10 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Shared Health | MGMCR | $2,900.10 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Curative Administrators | COMM | $3,314.40 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Curative Administrators | COMM | $3,314.40 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | HealthSmart Preferred Care | Accel | $3,728.70 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | HealthSmart Preferred Care | Accel | $3,728.70 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | United | GlobalBenefitPlan | $3,728.70 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | First Health | COMM | $3,728.70 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | First Health | COMM | $3,728.70 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | United | GlobalBenefitPlan | $3,728.70 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Emerging Therapy Solutions | MGMCR | $3,811.56 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Emerging Therapy Solutions | MGMCR | $3,811.56 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | COMM | $4,002.14 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | Meritain | $4,002.14 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | COMM | $4,002.14 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | Meritain | $4,002.14 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Sheriff's Dept El Paso County Detention | LOCALGOV | $4,143.00 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Ysleta Del Sur Pueblo | COMM | $4,143.00 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Sheriff's Dept El Paso County Detention | LOCALGOV | $4,143.00 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Ysleta Del Sur Pueblo | COMM | $4,143.00 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | SouthWest Medical Provider Network | COMM | $4,557.30 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | SouthWest Medical Provider Network | COMM | $4,557.30 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | HealthSmart Preferred Care | COMM | $4,557.30 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | HealthSmart Preferred Care | COMM | $4,557.30 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | OON | $4,706.45 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | OON | $4,706.45 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | ASA | $4,723.02 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | ASA | $4,723.02 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Advantage Care Network | PPO | $4,971.60 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Prime Health | WC | $4,971.60 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Prime Health | WC | $4,971.60 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Advantage Care Network | PPO | $4,971.60 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | El Paso First Health Plan | COMM | $4,971.60 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | El Paso First Health Plan | COMM | $4,971.60 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Texas Workforce Commission | WCOMP | $5,220.18 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Texas Workforce Commission | WCOMP | $5,220.18 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Multiplan | COMMPPO | $5,385.90 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Multiplan | COMMPPO | $5,385.90 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | PHCS | PPO | $5,385.90 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | PHCS | PPO | $5,385.90 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Emerging Therapy Solutions | COMM | $5,717.34 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Emerging Therapy Solutions | COMM | $5,717.34 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | SAMSA | COMM | $5,800.20 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | SAMSA | COMM | $5,800.20 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Integrated Medical Systems | COMM | $5,800.20 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Integrated Medical Systems | COMM | $5,800.20 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | DANMARK - International Contract | COMM | $6,214.50 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Galaxy Health Network | COMM | $6,214.50 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Galaxy Health Network | COMM | $6,214.50 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | DANMARK - International Contract | COMM | $6,214.50 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Arcadian Health Plan | MCR | $6,628.80 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | MedCorp Southwest | LOCALGOV | $6,628.80 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | MedCorp Southwest | COMM | $6,628.80 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Arcadian Health Plan | MCR | $6,628.80 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | MedCorp Southwest | COMM | $6,628.80 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | MedCorp Southwest | LOCALGOV | $6,628.80 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | USA Managed Care | PPO | $6,794.52 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | USA Managed Care | PPO | $6,794.52 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Affiliated Healthcare | COMM | $7,043.10 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Affiliated Healthcare | COMM | $7,043.10 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | National Provider Network | COMM | $7,457.40 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | National Provider Network | COMM | $7,457.40 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | USA Managed Care | WC | $7,871.70 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | USA Managed Care | WC | $7,871.70 | $8,286.00 | $8,286.00 | 2026-03-01 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Midlands Choice | Commercial | $9,284.00 | $9,877.00 | $9,877.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Ambetter | Commercial | $9,284.00 | $9,877.00 | $9,877.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Cigna | Commercial | $9,284.00 | $9,877.00 | $9,877.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Blue Cross Blue Shield | Commercial | $9,383.00 | $9,877.00 | $9,877.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Medica | Commercial | $9,383.00 | $9,877.00 | $9,877.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Coventry | Commercial | $9,482.00 | $9,877.00 | $9,877.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Aetna | Commercial | $9,482.00 | $9,877.00 | $9,877.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Meritain | Commercial | $9,482.00 | $9,877.00 | $9,877.00 | 2025-11-07 | MRF ↗ |