1904 — New Technology - Level 50 ($115,001-$130,000)
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). New Technology - Level 50 ($115,001-$130,000) (HCPCS 1904) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1904?code_type=HCPCS
MLA (9th ed.)
“New Technology - Level 50 ($115,001-$130,000) (HCPCS 1904) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1904?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“New Technology - Level 50 ($115,001-$130,000) (HCPCS 1904) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1904?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $27,874–$126,176 (25th–75th percentile) across 23 hospitals · 38 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 1904 — 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 |
|---|---|---|---|---|---|---|---|
| KUAKINI MEDICAL CENTER OutpatientFacility | KAISER | QUEST INT | $22.80 | — | — | 2026-01-25 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | UHC | QUEST INT | $22.80 | — | — | 2026-01-25 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Peak Health | Commercial | $414.12 | $552.16 | $552.16 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Commercial | $469.34 | $552.16 | $552.16 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Aetna | Commercial | $496.94 | $552.16 | $552.16 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Cigna | Commercial | $502.47 | $552.16 | $552.16 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | United Healthcare | Commercial | $522.34 | $552.16 | $552.16 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Zelis Network | Commercial | $524.55 | $552.16 | $552.16 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Phcs Multiplan | Commercial | $524.55 | $552.16 | $552.16 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Healthsmart | Commercial | $524.55 | $552.16 | $552.16 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Firsthealth | Commercial | $524.55 | $552.16 | $552.16 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Caresource | Wv Marketplace | $524.55 | $552.16 | $552.16 | 2026-05-06 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $2,943.00 | $1,471.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $2,943.00 | $1,471.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $2,943.00 | $1,471.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $2,943.00 | $1,471.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $2,943.00 | $1,471.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $2,943.00 | $1,471.50 | 2026-05-13 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $8,708.26 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $8,708.26 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $8,708.26 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $8,708.26 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $8,708.26 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $8,708.26 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $8,856.78 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Bh | $8,856.78 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Cook Childrens | Medicaid | $8,856.78 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $8,856.78 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Bh | $8,856.78 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Cook Childrens | Medicaid | $8,856.78 | — | — | 2026-05-24 | MRF ↗ |
| AVERA ST LUKES Inpatient | Wellmark Insurance | Hmo | — | — | — | 2026-05-09 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Molina | Medicaid | $9,404.92 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Molina | Medicaid | $9,404.92 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Molina | Medicaid | $9,565.32 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Molina | Medicaid | $9,565.32 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Aetna | Medicaid | $9,742.46 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Aetna | Medicaid | $9,742.46 | — | — | 2026-05-08 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $10,214.69 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $10,214.69 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Min | $10,875.46 | — | — | 2026-05-09 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Medicaid | $11,930.32 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Medicaid | $11,930.32 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Medicaid | $12,133.79 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Medicaid | $12,133.79 | — | — | 2026-05-08 | MRF ↗ |
| SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS Inpatient | Peachstate Health Plan | Managed Medicaid | $13,758.74 | $19,361.35 | — | 2026-05-06 | MRF ↗ |
| SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS Inpatient | Amerigroup Community Care | Managed Medicaid | $13,758.74 | $19,361.35 | — | 2026-05-06 | MRF ↗ |
| SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS Inpatient | Caresource Georgia Families | Managed Medicaid | $13,758.74 | $19,361.35 | — | 2026-05-06 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Min | $27,873.93 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Min | $27,873.93 | — | — | 2026-05-22 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Awa | $34,686.75 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Awa | $34,686.75 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Awa | $37,427.86 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Awa | $37,427.86 | — | — | 2026-05-22 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Awa | $40,067.30 | — | — | 2026-05-09 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $46,352.86 | — | — | 2026-05-22 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $46,352.86 | — | — | 2026-05-14 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Ppo | $46,590.86 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Hmo | $46,590.86 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Ppo | $46,590.86 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Hmo | $46,590.86 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Ppo | $48,771.65 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Ppo | $48,771.65 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Hmo | $48,771.65 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Hmo | $48,771.65 | — | — | 2026-05-13 | MRF ↗ |
| AVERA QUEEN OF PEACE Inpatient | Wellmark Insurance | Ppo | $56,611.98 | — | — | 2026-05-09 | MRF ↗ |
| AVERA ST LUKES Inpatient | Wellmark Insurance | Ppo | $58,665.47 | — | — | 2026-05-09 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $115,762.97 | — | — | 2026-05-24 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $115,762.97 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $115,762.97 | — | — | 2026-05-08 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $115,762.97 | — | — | 2026-05-06 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Aetna | Medicare | $122,500.50 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Prominence | Medicare | $122,500.50 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Prominence | Managed Care | $122,500.50 | — | — | 2026-05-06 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Caremore Health | Medicare | $122,500.50 | — | — | 2026-05-13 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Iehp | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Epic Health Plan | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Prominence | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Prominence | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Humana | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Humana | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Cigna | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Cigna | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Select Health | Medicare | $122,500.50 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Humana | Senioradvantage Medicare | $122,500.50 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Superior | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Humana | Senioradvantage Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Select Health | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | United Healthcare | Medicare | $122,500.50 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Molina | Medicare | $122,500.50 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Anthem Blue Cross Blue Shield | Medicare | $122,500.50 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Aetna | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Caremore Health | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Superior | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Blue Shield | Promise Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Primecare | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Palomar | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Epic Health Plan | Medicare | $122,500.50 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicaid | $122,500.50 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicare | $122,500.50 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Epic Health Plan | Medicare | $122,500.50 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicaid | $122,500.50 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicare | $122,500.50 | — | — | 2026-05-23 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Humana | Medicare | $122,500.50 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Caremore Health | Medicare | $122,500.50 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Aetna | Medicare | $122,500.50 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Select Health | Medicare | $122,500.50 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Humana | Senioradvantage Medicare | $122,500.50 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $122,500.50 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicare | $122,500.50 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $122,500.50 | — | — | 2026-05-06 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Anthem Blue Cross Blue Shield | Medicare | $122,500.50 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Molina | Medicare | $122,500.50 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | United Healthcare | Medicare | $122,500.50 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Humana | Senioradvantage Medicare | $122,500.50 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Select Health | Medicare | $122,500.50 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Aetna | Medicare | $122,500.50 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Caremore Health | Medicare | $122,500.50 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Alignment Health | Medicare | $124,950.51 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Humana | Gold Medicare | $124,950.51 | — | — | 2026-05-24 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Blue Cross Blue Shield Of Tx | Medicare | $124,950.51 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Kaiser | Medicaid | $124,950.51 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $124,950.51 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $124,950.51 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Heritage | Medicare | $124,950.51 | — | — | 2026-05-14 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Blue Cross Blue Shield Of Tx | Medicare | $124,950.51 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $124,950.51 | — | — | 2026-05-08 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Humana | Gold Medicare | $124,950.51 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $124,950.51 | — | — | 2026-05-06 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Alignment Health | Medicare | $124,950.51 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Humana | Gold Medicare | $124,950.51 | — | — | 2026-05-13 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Kaiser | Medicare | $124,950.51 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $124,950.51 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Kaiser | Medicaid | $124,950.51 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Heritage | Medicare | $124,950.51 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $124,950.51 | — | — | 2026-05-23 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Aetna | Medicare | $124,950.51 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Molina | Medicare | $124,950.51 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Humana | Gold Medicare | $124,950.51 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Wellmed | Medicare | $124,999.51 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Wellmed | Medicare | $124,999.51 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Blue Shield | Medicaid | $125,563.01 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Blue Shield | Medicaid | $125,563.01 | — | — | 2026-05-23 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Unitedhealthcare | Medicare | $126,175.51 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $126,175.51 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Easy Choice | Medicare | $126,175.51 | — | — | 2026-05-23 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Aetna | Medicare | $126,175.51 | — | — | 2026-05-06 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Easy Choice | Medicare | $126,175.51 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Aetna | Medicare | $126,175.51 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | United Healthcare | Medicare | $126,175.51 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Aetna | Medicare | $126,175.51 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $126,175.51 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $126,175.51 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $126,175.51 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Easy Choice | Medicare | $126,175.51 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Medicare | $126,788.02 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $126,788.02 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Medicare | $126,788.02 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $126,788.02 | — | — | 2026-05-23 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Brand New Day | Medicare | $126,788.02 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | United Healthcare | Medicare | $126,788.02 | — | — | 2026-05-08 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Medicare | $127,400.52 | — | — | 2026-05-06 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Medicare | $127,400.52 | — | — | 2026-05-08 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Silver Summit | Medicare | $127,400.52 | — | — | 2026-05-24 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Silver Summit | Medicare | $127,400.52 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Amerigroup | Medicare | $128,625.52 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Superior | Medicare | $128,625.52 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | United Healthcare | Medicare | $128,625.52 | — | — | 2026-05-06 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Medicare | $128,625.52 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Medicare | $128,625.52 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Iehp | Medicaid | $131,075.54 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Iehp | Medicaid | $131,075.54 | — | — | 2026-05-14 | MRF ↗ |
| Memorial Hospital at Stone County OutpatientFacility | BLUE CROSS | FEDERAL | $147,421.08 | — | — | 2026-02-18 | MRF ↗ |
| Memorial Hospital at Stone County OutpatientFacility | BLUE CROSS | ALL PRODUCTS | $147,421.08 | — | — | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL AT GULFPORT OutpatientFacility | BLUE CROSS | ALL PRODUCTS | $147,421.08 | — | — | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL AT GULFPORT OutpatientFacility | BLUE CROSS | FEDERAL | $147,421.08 | — | — | 2026-02-18 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Qhp | $165,375.67 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Qhp | $165,375.67 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicaid | $169,050.69 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicaid | $169,050.69 | — | — | 2026-05-23 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Caprock Health Plan | Managed Care | $183,750.75 | — | — | 2026-05-06 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Aetna | Qhp | $214,375.88 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Aetna | Qhp | $214,375.88 | — | — | 2026-05-08 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Aetna | Qhp | $214,375.88 | — | — | 2026-05-06 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Aetna | Qhp | $214,375.88 | — | — | 2026-05-24 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Managed Care | $229,075.94 | — | — | 2026-05-08 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Managed Care | $229,075.94 | — | — | 2026-05-06 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Silver Summit | Managed Care | $229,075.94 | — | — | 2026-05-24 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Silver Summit | Managed Care | $229,075.94 | — | — | 2026-05-13 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Select Health | Managed Care | $235,200.96 | — | — | 2026-05-06 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Select Health | Managed Care | $235,200.96 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Select Health | Managed Care | $235,200.96 | — | — | 2026-05-13 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Select Health | Managed Care | $235,200.96 | — | — | 2026-05-24 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Insurance Management Services | Managed Care | $245,001.00 | — | — | 2026-05-06 | MRF ↗ |