220535 — Risankizumab Rzaa IV Vl 60mg/ml 10ml 1mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RISANKIZUMAB RZAA IV VL 60MG/ML 10ML 1MG (CDM 220535) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/220535?code_type=CDM
MLA (9th ed.)
“RISANKIZUMAB RZAA IV VL 60MG/ML 10ML 1MG (CDM 220535) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/220535?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“RISANKIZUMAB RZAA IV VL 60MG/ML 10ML 1MG (CDM 220535) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/220535?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $252–$16,925 (25th–75th percentile) across 5 hospitals · 55 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 220535 — 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 |
|---|---|---|---|---|---|---|---|
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | El Paso First Health Plans | MGMCD | $40.26 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Superior Health Plan | MGMCD | $43.08 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Superior Health Plan | MGMCD | $43.14 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Oscar | POS | $73.95 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Oscar | EPO | $73.95 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Oscar | PPO | $73.95 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Oscar | EPO | $74.06 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Oscar | PPO | $74.06 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Oscar | POS | $74.06 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | IndividualFamilyPlanHIX | $77.54 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | IndividualFamilyPlanHIX | $77.65 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | IFP | $116.37 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | QHP | $120.68 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Bienvivir Senior Health | COMM | $122.06 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Bienvivir Senior Health | COMM | $122.23 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Imperial Insurance | MGMCR | $136.42 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Imperial Insurance | MGMCR | $136.61 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Healthcare Highways | NarrowNetwork | $137.86 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Healthcare Highways | NarrowNetwork | $138.05 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | QHPHIX | $140.51 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | OpenAccessPlus | $140.73 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | HMO | $140.73 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | OpenAccessPlus | $140.92 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | HMO | $140.92 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | BlueAdvantage | $145.04 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | BlueAdvantage | $145.24 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | PPO | $149.34 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | PPO | $149.55 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | United | OptionsPPO | $149.99 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Imperial Insurance Company | MCR | $163.78 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Superior | EPO | $172.40 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Superior | ValueHMO | $172.40 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Superior | HMO | $172.40 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Oscar | HIX | $179.30 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Molina Healthcare | HIX | $179.50 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Molina Healthcare | HIX | $179.75 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | United | OptionsPPO | $197.45 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | United | OptionsPPO | $197.72 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | NewBusiness | $205.16 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Healthcare Highways | NarrowNetwork | $211.19 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | BCBS | MyBlueHealth | $212.91 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | BCBS | BlueAdvantageHMO | $212.91 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Molina Healthcare | HIX | $215.50 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | QHP-Exchange | $218.99 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | QHP-Exchange | $219.29 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | Meritain | $220.67 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | COMM | $220.67 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Evry Health | COMM | $222.40 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | BlueEssentials | $223.30 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | BlueEssentialsAccess | $223.30 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | BlueEssentialsAccess | $223.61 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | BlueEssentials | $223.61 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | LocalPlus | $227.57 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | NewBusiness | $227.57 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | HealthSelectOpenAccess(EPOSOA) | $235.50 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | HealthSelectOpenAccess(EPOSOA) | $235.83 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | PPO | $246.99 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | PPO | $247.34 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Shared Health | MGMCR | $251.30 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Shared Health | MGMCR | $251.65 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | BCBS | BluePremier | $251.70 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | OpenAccessPlus | $254.29 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | NetworkBenefit | $254.29 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | HMO | $254.29 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | OON | $258.60 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Humana | COMM | $267.13 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | BCBS | BlueEssentialsAccess | $274.98 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | BCBS | BlueEssentials | $274.98 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Curative Administrators | COMM | $287.20 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Curative Administrators | COMM | $287.60 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | BCBS | EPOSOA | $288.77 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Healthcare Highways | CityofPlano | $291.36 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | BCBS | PPO | $301.70 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | AllOther | $321.53 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | United | GlobalBenefitPlan | $323.10 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | First Health | COMM | $323.10 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | HealthSmart Preferred Care | Accel | $323.10 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | First Health | COMM | $323.55 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | HealthSmart Preferred Care | Accel | $323.55 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | United | GlobalBenefitPlan | $323.55 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Emerging Therapy Solutions | MGMCR | $330.28 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Emerging Therapy Solutions | MGMCR | $330.74 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Prominence Health Plan | HIX | $344.80 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Curative Administrators | COMM | $344.80 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | COMM | $346.79 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | Meritain | $346.79 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | Meritain | $347.28 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | COMM | $347.28 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Ysleta Del Sur Pueblo | COMM | $359.00 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Sheriff's Dept El Paso County Detention | LOCALGOV | $359.00 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Ysleta Del Sur Pueblo | COMM | $359.50 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Sheriff's Dept El Paso County Detention | LOCALGOV | $359.50 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | SouthWest Medical Provider Network | COMM | $394.90 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | HealthSmart Preferred Care | COMM | $394.90 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | SouthWest Medical Provider Network | COMM | $395.45 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | HealthSmart Preferred Care | COMM | $395.45 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | OON | $407.82 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | OON | $408.39 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | ASA | $409.26 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | ASA | $409.83 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Advantage Care Network | PPO | $430.80 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | El Paso First Health Plan | COMM | $430.80 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Prime Health | WC | $430.80 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Prime Health | WC | $431.40 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Advantage Care Network | PPO | $431.40 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | El Paso First Health Plan | COMM | $431.40 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Texas Workforce Commission | WCOMP | $452.34 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Texas Workforce Commission | WCOMP | $452.97 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | ASA | $454.27 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | PHCS | PPO | $466.70 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Multiplan | COMMPPO | $466.70 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | PHCS | PPO | $467.35 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Multiplan | COMMPPO | $467.35 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Emerging Therapy Solutions | COMM | $495.42 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | SAMSA | COMM | $502.60 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Integrated Medical Systems | COMM | $502.60 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Integrated Medical Systems | COMM | $503.30 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | SAMSA | COMM | $503.30 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna Coventry First Health | NONEXCLUSIVE | $521.51 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna Coventry First Health | EXCLUSIVE | $521.51 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | DANMARK - International Contract | COMM | $538.50 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Galaxy Health Network | COMM | $538.50 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Galaxy Health Network | COMM | $539.25 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | DANMARK - International Contract | COMM | $539.25 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | MedCorp Southwest | COMM | $574.40 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Arcadian Health Plan | MCR | $574.40 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | MedCorp Southwest | LOCALGOV | $574.40 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Arcadian Health Plan | MCR | $575.20 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | MedCorp Southwest | COMM | $575.20 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | MedCorp Southwest | LOCALGOV | $575.20 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | USA Managed Care | PPO | $588.76 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | USA Managed Care | PPO | $589.58 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Multiplan PHCS | PrimaryNetwork | $603.40 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Affiliated Healthcare | COMM | $610.30 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Affiliated Healthcare | COMM | $611.15 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | National Provider Network | COMM | $646.20 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Molina Healthcare | HIX | $646.50 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | National Provider Network | COMM | $647.10 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | USA Managed Care | WC | $682.10 | $718.00 | $718.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | USA Managed Care | WC | $683.05 | $719.00 | $719.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Independent Medical Systems | COMM | $862.00 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | National Healthcare Solutions | COMM | $862.00 | $862.00 | $862.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | US HEALTH AND LIFE | 1991_BOMC, BOLE, BPHC US HEALTH AND LIFE 20200101 | $6,318.74 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | US HEALTH AND LIFE | 1991_BOMC, BOLE, BPHC US HEALTH AND LIFE 20200101 | $6,318.74 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | US HEALTH AND LIFE | 1991_BOMC, BOLE, BPHC US HEALTH AND LIFE 20200101 | $6,318.74 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | SMARTHEALTH | 3501_SMARTHEALTH 20230101 | $6,770.08 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | SMARTHEALTH | 3501_SMARTHEALTH 20230101 | $6,770.08 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | SMARTHEALTH | 3501_SMARTHEALTH 20230101 | $6,770.08 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PRIORITY HEALTH APPLE | 2606_BOMC, BPHC PRIORITY HEALTH APPLE 20200101 | $9,929.45 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH APPLE | 2606_BOMC, BPHC PRIORITY HEALTH APPLE 20200101 | $9,929.45 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH APPLE | 2606_BOMC, BPHC PRIORITY HEALTH APPLE 20200101 | $9,929.45 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY ADVANTAGE | 2002_COFINITY ADVANTAGE 20200101 | $11,057.80 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY ADVANTAGE | 2002_COFINITY ADVANTAGE 20200101 | $11,057.80 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY ADVANTAGE | 2002_COFINITY ADVANTAGE 20200101 | $11,057.80 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AUTO MVA | 3452_BOAH AUTO MVA MEDICARE OUTPATIENT 20230215 | $11,960.47 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN HUMANA MCR | 3130_BOAH MEDICARE HUMANA OUTPATIENT 20231001 | $11,960.47 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MEDICARE | 3127_BOAH MEDICARE OUTPATIENT 20231001 | $11,960.47 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MOLINA MEDICARE | 3123_BOAH MEDICARE MOLINA OUTPATIENT 20230215 | $11,960.47 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AUTO MVA | 3452_BOAH AUTO MVA MEDICARE OUTPATIENT 20230215 | $11,960.47 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN HUMANA MCR | 3130_BOAH MEDICARE HUMANA OUTPATIENT 20231001 | $11,960.47 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN MEDICARE | 3127_BOAH MEDICARE OUTPATIENT 20231001 | $11,960.47 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN MOLINA MEDICARE | 3123_BOAH MEDICARE MOLINA OUTPATIENT 20230215 | $11,960.47 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | AUTO MVA | 3452_BOAH AUTO MVA MEDICARE OUTPATIENT 20230215 | $11,960.47 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN HUMANA MCR | 3130_BOAH MEDICARE HUMANA OUTPATIENT 20231001 | $11,960.47 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MEDICARE | 3127_BOAH MEDICARE OUTPATIENT 20231001 | $11,960.47 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MOLINA MEDICARE | 3123_BOAH MEDICARE MOLINA OUTPATIENT 20230215 | $11,960.47 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH HMO/PPO | 2404_BOGI BOSU PRIORITY HEALTH 20200401 | $13,540.16 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA | 2827_BOGI BOSU CIGNA 20210912 | $13,540.16 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MAGELLAN | 2050_BOMC, BPHC MAGELLAN 20210201 | $13,540.16 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | CIGNA | 2827_BOGI BOSU CIGNA 20210912 | $13,540.16 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA | 2827_BOGI BOSU CIGNA 20210912 | $13,540.16 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | MAGELLAN | 2050_BOMC, BPHC MAGELLAN 20210201 | $13,540.16 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH HMO/PPO | 2404_BOGI BOSU PRIORITY HEALTH 20200401 | $13,540.16 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PRIORITY HEALTH HMO/PPO | 2404_BOGI BOSU PRIORITY HEALTH 20200401 | $13,540.16 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MAGELLAN | 2050_BOMC, BPHC MAGELLAN 20210201 | $13,540.16 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY | 1993_BOMC, BPHC COFINITY PPOM 20200101 | $15,571.18 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY | 1993_BOMC, BPHC COFINITY PPOM 20200101 | $15,571.18 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY | 1993_BOMC, BPHC COFINITY PPOM 20200101 | $15,571.18 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1995_BOMC, BPHC PHCS 20200101 | $16,925.20 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1995_BOMC, BPHC PHCS 20200101 | $16,925.20 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | $16,925.20 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | $16,925.20 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | $16,925.20 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PHCS | 1995_BOMC, BPHC PHCS 20200101 | $16,925.20 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN UHC | 3184_BOAH UNITED HEALTH CARE 20240701 | $17,376.54 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN UHC | 3184_BOAH UNITED HEALTH CARE 20240701 | $17,376.54 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN UHC | 3184_BOAH UNITED HEALTH CARE 20240701 | $17,376.54 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BC OF MICH TRAD | 3494_BOAH BLUE CROSS TRUST 20240701 | $17,602.21 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | $17,602.21 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | BCBS ALL OTHER | 3496_BOAH BLUE CROSS TRADITIONAL 20240701 | $17,602.21 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | BC OF MICH TRAD | 3494_BOAH BLUE CROSS TRUST 20240701 | $17,602.21 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | $17,602.21 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BCBS ALL OTHER | 3496_BOAH BLUE CROSS TRADITIONAL 20240701 | $17,602.21 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | $17,602.21 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BCBS ALL OTHER | 3496_BOAH BLUE CROSS TRADITIONAL 20240701 | $17,602.21 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BC OF MICH TRAD | 3494_BOAH BLUE CROSS TRUST 20240701 | $17,602.21 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN PRIORITY HEALTH HMO AND PPO | 3126_BOAH PRIORITY HEALTH HMO AND PPO 20100101 | $17,827.87 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN PRIORITY HEALTH HMO AND PPO | 3126_BOAH PRIORITY HEALTH HMO AND PPO 20100101 | $17,827.87 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN PRIORITY HEALTH HMO AND PPO | 3126_BOAH PRIORITY HEALTH HMO AND PPO 20100101 | $17,827.87 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | FIRST HEALTH | 1994_BOMC, BPHC, BOSU, BOGI FIRST HEALTH 20200101 | $18,053.54 | $22,566.93 | $11,057.80 | 2026-01-01 | MRF ↗ |
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