Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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19328 — Rmvl Intact Breast Implant

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $4,000

Usually $2,017–$6,214 (25th–75th percentile) across 2,060 hospitals · 4,012 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 19328 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What the whole episode might cost

Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$2,017 $4,000 typical $6,214

The middle 50% of negotiated facility rates for this procedure, measured across 2,060 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $4,000
Surgeon (professional fee) Estimate national typical Medicare $513 × 1.22 commercial. $626
Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. $708
Likely subtotal $5,335
Surgical episode (typical) ~$5,335

Not included in this estimate:

  • Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
  • Complications, revisions, or readmissions
  • Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)

The biggest swing: which insurer's rate applies — negotiated prices here run $2,017–$6,214.

Your recovery plan — adjust to what your doctor told you

After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$9,119
How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Surgeon (professional fee) (estimate)
rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Anesthesia (estimate)
base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

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
HURON VALLEY-SINAI HOSPITAL OutpatientFacility HEALTHSMART HEALTHSMART WORKERS COMP $0.17 2026-05-20 MRF ↗
Wahiawa General Hospital Outpatient Ohana Care Medicaid $0.18 $1.00 $0.70 2026-07-15 MRF ↗
Wahiawa General Hospital Outpatient Hmsa Medicaid $0.19 $1.00 $0.70 2026-07-15 MRF ↗
Harper University Hospital BothFacility HEALTHSMART HEALTHSMART WORKERS COMP $0.22 $12,563.00 $9,422.25 2026-05-20 MRF ↗
The Queen's Medical Center Outpatient Ohana Care Medicaid $0.28 $1.00 $0.70 2026-07-15 MRF ↗
THE QUEENS MEDICAL CENTER Outpatient Ohana Care Medicaid $0.28 $1.00 $0.70 2026-07-15 MRF ↗
THE QUEENS MEDICAL CENTER Outpatient Hmsa Medicaid $0.28 $1.00 $0.70 2026-07-15 MRF ↗
The Queen's Medical Center Outpatient Hmsa Medicaid $0.28 $1.00 $0.70 2026-07-15 MRF ↗
Highsmith Rainey Memorial Hospital Outpatient United Healthcare Compass $1.00 $0.60 2026-07-15 MRF ↗
The Queen's Medical Center Outpatient Multiplan Commercial $0.70 $1.00 $0.70 2026-07-15 MRF ↗
THE QUEENS MEDICAL CENTER Outpatient Multiplan Commercial $0.70 $1.00 $0.70 2026-07-15 MRF ↗
The Queen's Medical Center Outpatient First Health Commercial $0.80 $1.00 $0.70 2026-07-15 MRF ↗
Wahiawa General Hospital Outpatient First Health Commercial $0.80 $1.00 $0.70 2026-07-15 MRF ↗
THE QUEENS MEDICAL CENTER Outpatient First Health Commercial $0.80 $1.00 $0.70 2026-07-15 MRF ↗
THE QUEENS MEDICAL CENTER Outpatient Humana Commercial $0.90 $1.00 $0.70 2026-07-15 MRF ↗
The Queen's Medical Center Outpatient Humana Commercial $0.90 $1.00 $0.70 2026-07-15 MRF ↗
Wahiawa General Hospital Outpatient Humana Commercial $0.90 $1.00 $0.70 2026-07-15 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $1.00 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW BUSINESS $1.00 $12,563.00 $9,422.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 2026-05-20 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE COMMERCIAL $1.00 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 $12,563.00 $9,422.25 2026-05-20 MRF ↗
CITIZENS BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanPPO $1.00 2024-12-11 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 $12,563.00 $9,422.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW BUSINESS $1.00 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 2026-05-20 MRF ↗
SHELBY BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanPPO $1.00 2024-12-11 MRF ↗
PRINCETON BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanPPO $1.00 2024-12-11 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 $12,563.00 $9,422.25 2026-05-20 MRF ↗
METROWEST MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $1.00 2026-06-05 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $1.00 2026-05-20 MRF ↗
SHELBY BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanHMO $1.00 2024-12-11 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 $12,563.00 $9,422.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE COMMERCIAL $1.00 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 2026-05-20 MRF ↗
PRINCETON BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanHMO $1.00 2024-12-11 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 $12,563.00 $9,422.25 2026-05-20 MRF ↗
CITIZENS BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanHMO $1.00 2024-12-11 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 2026-05-20 MRF ↗
METROWEST MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 2026-06-05 MRF ↗
Harper University Hospital BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $12,563.00 $9,422.25 2026-05-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $3.43 $928.00 $881.60 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $3.43 $928.00 $881.60 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $3.43 $928.00 $881.60 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $3.53 $928.00 $881.60 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $3.62 $928.00 $881.60 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $3.71 $928.00 $881.60 2026-02-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient UNITED HEALTH [40002] CHA HB MEDICAID-STANDARD $4.44 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS HEALTH [70001] CHA HB MEDICAID-STANDARD $4.44 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER TUFTS HEALTH PUBLIC PLAN [75002] CHA HB MEDICAID-STANDARD $4.44 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient FALLON [50006] CHA HB MEDICAID-STANDARD $4.44 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OOS MEDICAID [70002] CHA HB MEDICAID-STANDARD $4.44 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS GENERAL BRIGHAM [50021] CHA HB MEDICAID-STANDARD $4.44 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BOSTON MEDICAL CENTER - WELLSENSE [50003] CHA HB MEDICAID-STANDARD $4.44 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TUFTS TOGETHER W CHA [75001] CHA HB MEDICAID-STANDARD $4.44 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient AARP [40001] CHA HB MEDICARE MANAGED CARE - UHC $4.54 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient UNITED HEALTH [40002] CHA HB MEDICARE MANAGED CARE - UHC $4.54 $7,994.22 $7,994.22 2026-03-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $4.55 $928.00 $881.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $4.55 $928.00 $881.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $4.64 $928.00 $881.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $4.83 $928.00 $881.60 2026-02-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $4.88 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $4.88 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $4.88 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $4.88 $12,563.00 $9,422.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $4.88 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $4.88 $12,563.00 $9,422.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $4.88 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $4.88 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $4.88 $12,563.00 $9,422.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $4.88 2026-05-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $5.01 $928.00 $881.60 2026-02-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HEALTH SAFETY NET [80001] CHA HB HEALTH SAFETY NET $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient AETNA [50001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient SENIOR WHOLE HEALTH [65003] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER COMMERCIAL PAYOR [50015] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HUMANA [50008] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient ELDER SERVICE PLAN [65002] CHA HB ELDER SERVICE PLAN $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TRICARE [85002] CHA HB TRICARE $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient CHAMPVA [85001] CHA HB TRICARE $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient CIGNA [50005] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HEALTH SAFETY NET [80001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient RR MEDICARE [60002] CHA HB MEDICARE $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS GENERAL BRIGHAM [50021] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BCBS - MA [10001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER TUFTS HEALTH PUBLIC PLAN [75002] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient COMMONWEALTH CARE ALLIANCE [65001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MEDICARE [60001] CHA HB MEDICARE $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient FALLON [50006] CHA HB FALLON CAREPLUS $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER GOV'T PAYOR [85003] CHA HB TRICARE $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BCBS - OUT OF STATE [10002] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HPHC [20001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TUFTS HEALTH PLAN [30001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BOSTON MEDICAL CENTER - WELLSENSE [50003] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient FALLON [50006] CHA HB FALLON $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TUFTS HEALTH PLAN [30001] CHA HB Tufts Health Plan Medicare Preferred $5.04 $7,994.22 $7,994.22 2026-03-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $5.63 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $5.63 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $5.63 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $5.63 $12,563.00 $9,422.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $5.63 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $5.63 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $5.63 $12,563.00 $9,422.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $5.63 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $5.63 $12,563.00 $9,422.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $5.63 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $6.20 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $6.20 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $6.20 $12,563.00 $9,422.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $6.20 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $6.20 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $6.20 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $6.20 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $6.20 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $6.20 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $6.20 $12,563.00 $9,422.25 2026-05-20 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient GRANTS [20507] All TB GETCHELL [226] Plans $6.52 $32,158.20 $32,158.20 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient GRANTS [20507] All TB GETCHELL [226] Plans $6.52 $33,602.00 $33,602.00 2025-12-08 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $6.58 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $6.58 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $6.58 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $6.58 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $6.58 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $6.58 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $6.58 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $6.58 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $6.58 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $6.58 $12,563.00 $9,422.25 2026-05-20 MRF ↗
WYNN HOSPITAL Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS HMO MEDICAID APG [35008201] $6.95 $12,746.19 $7,647.71 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS CHILD HEALTH PLUS [35008101] $6.95 $12,746.19 $7,647.71 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient BLUE CROSS NY EXCELLUS [200041] EXCELLUS HEALTHY NY EPO [20004107] $6.95 $12,746.19 $7,647.71 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS CHILD HEALTH PLUS APG [35008203] $6.95 $12,746.19 $7,647.71 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS ESSENTIAL PLAN [35008102] $6.95 $12,746.19 $7,647.71 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS ESSENTIAL PLAN APG [35008202] $6.95 $12,746.19 $7,647.71 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS HMO MEDICAID [35008103] $6.95 $12,746.19 $7,647.71 2025-01-17 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $7.14 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $7.14 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $7.14 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $7.14 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $7.14 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $7.14 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $7.14 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $7.14 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $7.14 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $7.14 $12,563.00 $9,422.25 2026-05-20 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO MH [221] Plans $7.59 $33,602.00 $33,602.03 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON ACO MH [80] Plans $7.59 $33,602.00 $33,602.03 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON MCO MH [225] Plans $7.59 $33,602.00 $33,602.03 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO MH [221] Plans $7.59 $32,158.20 $32,158.20 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient MASSHEALTH [20302] All MASSHEALTH MH [90] Plans $7.59 $33,602.00 $33,602.03 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER MH [123] Plans $7.59 $32,158.20 $32,158.20 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER MH [123] Plans $7.59 $33,602.00 $33,602.03 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON MCO MH [225] Plans $7.59 $32,158.20 $32,158.20 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) MH [8] Plans $7.59 $32,158.20 $32,158.20 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient INSTITUTION [10406] All WORCESTER RECOVERY MH [234] Plans $7.59 $33,602.00 $33,602.03 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient MASSHEALTH [20302] All MASSHEALTH MH [90] Plans $7.59 $32,158.20 $32,158.20 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO MH [202] Plans $7.59 $33,602.00 $33,602.03 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient INSTITUTION [10406] All WORCESTER RECOVERY MH [234] Plans $7.59 $32,158.20 $32,158.20 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO MH [202] Plans $7.59 $32,158.20 $32,158.20 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) MH [8] Plans $7.59 $33,602.00 $33,602.03 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON ACO MH [80] Plans $7.59 $32,158.20 $32,158.20 2025-12-08 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER TUFTS HEALTH PUBLIC PLAN [75002] CHA HB TUFTS HEALTH PUBLIC PLANS QHP NON-SUBSIDIZED $8.13 $7,994.22 $7,994.22 2026-03-20 MRF ↗
St Luke's Hospital Of Kansas City Outpatient MEDICAID MANAGED CARE (KS) [2252] UHC COMMUNITY PLAN OF KS [22508] $8.46 $25,838.15 $15,502.89 2025-12-31 MRF ↗
St Luke's Hospital Of Kansas City Outpatient MEDICAID MANAGED CARE (KS) [2252] HEALTHY BLUE KANSAS [22577] $8.80 $25,838.15 $15,502.89 2025-12-31 MRF ↗
St Luke's Hospital Of Kansas City Outpatient MEDICAID MANAGED CARE (KS) [2252] ZZZAETNA BETTER HEALTH OF KANSAS [22571] $8.80 $25,838.15 $15,502.89 2025-12-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $9.19 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $9.19 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $9.19 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $9.19 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $9.19 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $9.19 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $9.19 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $9.19 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $9.19 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $9.19 $12,563.00 $9,422.25 2026-05-20 MRF ↗
St Luke's Hospital Of Kansas City Outpatient MEDICAID MANAGED CARE (KS) [2252] SUNFLOWER STATE HEALTH [22505] $9.31 $25,838.15 $15,502.89 2025-12-31 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) MH [256] Plans $9.49 $33,602.00 $33,602.03 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) MH [256] Plans $9.49 $32,158.20 $32,158.20 2025-12-08 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $9.77 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $9.77 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $9.77 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $9.77 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $9.77 $12,563.00 $9,422.25 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $9.77 $12,563.00 $9,422.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $9.77 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $9.77 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $9.77 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $9.77 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $10.33 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $10.33 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $10.33 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $10.33 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $10.33 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $10.33 $12,563.00 $9,422.25 2026-05-20 MRF ↗

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