17832 — Sodi Hypochl 0.125%480ml
Cite this view
HANK Price Transparency. (n.d.). SODI HYPOCHL 0.125%480ML (CDM 17832) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/17832?code_type=CDM
“SODI HYPOCHL 0.125%480ML (CDM 17832) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/17832?code_type=CDM. Accessed .
“SODI HYPOCHL 0.125%480ML (CDM 17832) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/17832?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $22–$220 (25th–75th percentile) across 7 hospitals · 55 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 17832 — 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 |
|---|---|---|---|---|---|---|---|
| Carepartners Rehabilitation Hosp Outpatient | Apex Health | MCR | $6.61 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Apex Health | MCR | $6.61 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | MCR | $8.26 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | MCR | $8.26 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | BlueValue | $13.44 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | BlueSelect | $13.44 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | HMO | $13.44 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | BlueValue | $13.44 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | PPO | $13.44 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | HMO | $13.44 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | BlueSelect | $13.44 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | PPO | $13.44 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Oscar | HIX | $17.84 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Oscar | HIX | $17.84 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | United | AllPayerAppendix | $18.30 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | United | AllPayerAppendix | $18.30 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | MGMCD | $19.38 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | MGMCD | $19.38 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | United | BHMGMCD | $19.67 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | United | BHMGMCD | $19.67 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | CARESOURCE | HIX | $19.82 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | CARESOURCE | HIX | $19.82 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | WellCare | MGMCD | $19.96 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | WellCare | MGMCD | $19.96 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | AmeriHealth | MGMCD | $20.15 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | AmeriHealth Caritas | HIX | $20.15 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | AmeriHealth Caritas | HIX | $20.15 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | AmeriHealth | MGMCD | $20.15 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | QHPIFP | $20.52 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | COMM | $20.52 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | Connect | $20.52 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | SimplyPay | $20.52 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | AWH | $20.52 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | NCStateEmployeeHealthPLSND | $20.52 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | NCPreferred | $20.52 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | AWH | $21.71 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | COMM | $21.71 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | QHPIFP | $21.71 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | NCStateEmployeeHealthPLSND | $21.71 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | NCPreferred | $21.71 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | SimplyPay | $21.71 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | Connect | $21.71 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | MedCost | SignatureNetwork | $23.62 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | MedCost | SignatureNetwork | $23.62 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna Medicare | MCR | $26.19 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Multiplan | COMM | $27.09 | $33.04 | $33.04 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Multiplan | COMM | $27.09 | $33.04 | $33.04 | 2026-09-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Aetna | MGMCR | $38.85 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $39.12 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $45.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Lifeworks | MCR | $49.21 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Verity | COMM | $52.39 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Verity | FirstChoice | $52.39 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Cigna | HMOPPO | $54.66 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | NBR | $55.20 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $57.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Humana | Commercial | $57.63 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna | PPO | $60.42 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna | HMO | $60.42 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $66.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | PPO Plus | PPO | $66.36 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | BCBS | MCRHMO | $69.85 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | BCBS | MCRPPO | $69.85 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | IFP | $72.26 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| ORTHOPAEDIC HOSPITAL OF WISCONSIN Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $73.00 | $73.00 | $38.69 | 2026-01-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $79.77 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Louisiana Workers Compensation Corporation | WCOMP | $85.57 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $90.65 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Gilsbar 360 | PPO | $92.55 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Aetna | Broad | $93.24 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Cigna | IFP | $93.30 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Aetna | MGMCR | $93.30 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Multiplan | PHCS | $94.65 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Multiplan | MPI | $101.46 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $105.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenbrier Sporting Club | COMM | $109.02 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Oscar | COMM | $111.96 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | SharedSavings | $114.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $116.55 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Lifeworks | MCR | $118.18 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $120.30 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Healthsouth Corporation | COMM | $122.24 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | First Health | PPO | $122.24 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Employers Health Network | PPO | $122.24 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | DMA Regional PPO | PPO | $122.24 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $128.46 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | HMO | $128.46 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Humana Military | CHAMPUS/TRICARE | $130.97 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $135.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | HMO | $135.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Plan Vista Solutions (NPPN) | COMM | $136.21 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $136.84 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Cigna | PPO | $136.84 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Cigna | HMO | $136.84 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Medical Development International | PPO | $139.70 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | PPO | $139.80 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | BestComp | COMM | $141.45 | $174.63 | $174.63 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $150.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Kaiser | COMM | $152.81 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $155.40 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | Broad | $168.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | WC | $170.94 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $170.94 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Value Options | COMM | $180.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $180.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Multiplan | MPI | $183.89 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Multiplan | PHCS | $183.89 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | CorVel | WorkersComp | $186.48 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Aetna | Broad | $205.26 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $207.20 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Nursing Center | COMM | $210.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Graham-White Manufacturing | COMM | $210.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Aetna | SharedSavings | $211.48 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | WC | $216.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $216.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CorVel | WorkersComp | $216.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $217.70 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Community Care Network | COMM | $225.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | GM Southwest | COMM | $225.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Retirement Community | COMM | $225.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Three Rivers Provider Network | COMM | $233.10 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | 4Most Health Nework | COMM | $233.10 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Three Rivers Provider Network | WorkersComp | $233.10 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CSX Hotels | Product | $240.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | John W Hancock | COMM | $240.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | POS | $240.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $240.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | PPO | $240.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $259.00 | $259.00 | $259.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Patients Choice | COMM | $264.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | PHCS | COMM | $270.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Star Transportation | COMM | $270.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | 4Most | COMM | $270.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Alleghany Highland Community | COMM | $270.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | American Postal Workers Union | COMM | $270.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | C&O Employees Hospital Assn | COMM | $270.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $300.00 | $300.00 | $300.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Value Options | COMM | $373.20 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Naphcare | GVT | $404.30 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Virginia Health Network | WC | $410.52 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $410.52 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | CorVel | WorkersComp | $447.84 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $497.60 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | 4Most Health Nework | COMM | $559.80 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $622.00 | $622.00 | $622.00 | 2024-10-01 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $5,807.00 | $11,850.00 | $11,850.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | WellMed | Medicare Advantage | $5,807.00 | $11,850.00 | $11,850.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $5,807.00 | $11,850.00 | $11,850.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Medicare Advantage | $5,865.00 | $11,850.00 | $11,850.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $6,873.00 | $11,850.00 | $11,850.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | FirstCare | Baylor Scott Health Plan | $7,703.00 | $11,850.00 | $11,850.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $7,703.00 | $11,850.00 | $11,850.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $7,703.00 | $11,850.00 | $11,850.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $10,073.00 | $11,850.00 | $11,850.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | FirstCare | Commercial | $10,665.00 | $11,850.00 | $11,850.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $10,665.00 | $11,850.00 | $11,850.00 | 2026-01-21 | MRF ↗ |