Price Transparency 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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22853 — Insj Biomechanical Device

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

Typical negotiated price $2,181

Usually $435–$5,560 (25th–75th percentile) across 1,481 hospitals · 2,635 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 22853 — 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 figures are estimates 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
$435 $2,181 typical $5,560

The middle 50% of negotiated facility rates for this procedure, measured across 1,481 hospitals. Surgeon & 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. $2,181
Surgeon (professional fee) Estimate national typical Medicare PFS $229 × 1.22 commercial. $279
Likely subtotal $2,460
Surgical episode (typical) ~$2,460

Your recovery plan — adjust to what your surgeon told you

After surgery, 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) ~$6,245
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

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
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility HS Technology All Plans 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility United Healthcare Exchange Compass 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Womans Hospital Employees All Plans 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility United Healthcare HMO 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility USA Managed Care Organization All Plans 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility United Healthcare VA CCN 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Medical Cost Containment Professionals All Plans 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Aetna All Plans 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility United Healthcare Community Coffee Group 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Louisiana Healthcare Connection Medicaid 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Peoples Health Medicare Enrollees 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility United Healthcare Community Plan 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Gilsbar 360 All Plans 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Aetna Better Health 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Aetna Medicare Advantage 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Amerihealth Caritas Medicaid 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Three Rivers Provider Network All Plans 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Humana All Plans 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility First Health Aetna Medical Rental Network 2026-03-17 MRF ↗
RAPIDES REGIONAL MEDICAL CENTER Outpatient Humana MGMCD 2026-03-01 MRF ↗
RAPIDES REGIONAL MEDICAL CENTER Outpatient Aetna Better Health MCD 2026-03-01 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility PPOplus Llc Commercial 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Aetna Medicare Advantage 2026-03-05 MRF ↗
RAPIDES REGIONAL MEDICAL CENTER Outpatient Vantage Health Plan PPACAMetalTierPlan 2026-03-01 MRF ↗
RAPIDES REGIONAL MEDICAL CENTER Outpatient Amerigroup MCD 2026-03-01 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Aetna Commercial 2026-03-05 MRF ↗
RAPIDES REGIONAL MEDICAL CENTER Outpatient AmeriHealth Mercy LA LaCare MCD 2026-03-01 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility First Choice Commercial 2026-03-05 MRF ↗
RAPIDES REGIONAL MEDICAL CENTER Outpatient United CHIP 2026-03-01 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Wellcare Medicare Advantage 2026-03-05 MRF ↗
RAPIDES REGIONAL MEDICAL CENTER Outpatient Louisiana Healthcare Connections, Inc. MCD 2026-03-01 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Humana Commercial 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Aetna Medicare Advantage 2026-03-05 MRF ↗
RAPIDES REGIONAL MEDICAL CENTER Outpatient United MCD 2026-03-01 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Multiplan/PHCS Commercial 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Wellcare Medicare Advantage 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Vantage Health Plan Inc. Commercial 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Vantage Health Plan Inc. Commercial 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility First Choice Commercial 2026-03-05 MRF ↗
RAPIDES REGIONAL MEDICAL CENTER Outpatient Vantage Health Plan Commercial 2026-03-01 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Aetna Commercial 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Multiplan/PHCS Commercial 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility PPOplus Llc Commercial 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Humana Commercial 2026-03-05 MRF ↗
Willis-knighton Medical Center OutpatientFacility Bcbs All Commercial Plans $0.03 2026-04-01 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient United Healthcare Compass $1.00 $0.60 2026-05-22 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Carolina Complete Health Managed Medicaid $1.00 $0.60 2026-05-22 MRF ↗
TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient AultCare Commercial|All Plans 2026-02-28 MRF ↗
TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient AultCare Commercial|All Plans 2026-02-28 MRF ↗
TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient Humana Commercial|All Plans 2026-02-28 MRF ↗
TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient Humana Commercial|All Plans 2026-02-28 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Nc Commercial $1.00 $0.60 2026-05-22 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 2026-02-28 MRF ↗
ESSENTIA HEALTH OutpatientFacility MN BCBS Commercial BCBS MN $1.00 2026-01-01 MRF ↗
ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility BLUE PLUS PMAP PCC PRIME Medicaid $1.00 2026-01-01 MRF ↗
ESSENTIA HEALTH OutpatientFacility BCBS PLUS PMAP PCC PRIME Medicaid $1.00 2026-01-01 MRF ↗
ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility MN BCBS Commercial BCBS MN $1.00 2026-01-01 MRF ↗
ESSENTIA HEALTH DULUTH OutpatientFacility MN BCBS Commercial BCBS MN $1.00 2026-01-01 MRF ↗
MERCYONE NORTH IOWA MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $2.88 $81,726.33 2026-03-31 MRF ↗
TOPS SURGICAL SPECIALTY HOSPITAL BothFacility BLUE CROSS/BLUE SHIELD BCBS MYBLUE HEALTH $3.50 $4,519.00 $1,581.65 2026-04-15 MRF ↗
TOPS SURGICAL SPECIALTY HOSPITAL BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $3.50 $4,519.00 $1,581.65 2026-04-15 MRF ↗
TOPS SURGICAL SPECIALTY HOSPITAL BothFacility BLUE CROSS/BLUE SHIELD BCBS HMO $3.99 $4,519.00 $1,581.65 2026-04-15 MRF ↗
TOPS SURGICAL SPECIALTY HOSPITAL BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS BLUE SHIELD HMO BLUE $4.15 $4,519.00 $1,581.65 2026-04-15 MRF ↗
SUGAR LAND SURGICAL HOSPITAL LLP BothFacility BLUE CROSS/BLUE SHIELD BCBS BAV $4.41 $6,202.00 $3,721.20 2026-04-14 MRF ↗
MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD BothFacility BLUE CROSS/BLUE SHIELD BCBS BAV $4.41 $3,299.00 $1,154.65 2026-04-14 MRF ↗
TOPS SURGICAL SPECIALTY HOSPITAL BothFacility BLUE CROSS/BLUE SHIELD BCBS PPO $4.44 $4,519.00 $1,581.65 2026-04-15 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $4.50 $2,498.00 2024-12-31 MRF ↗
TOPS SURGICAL SPECIALTY HOSPITAL BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS BLUE SHIELD PPO/POS $4.62 $4,519.00 $1,581.65 2026-04-15 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP [20502] IEHP LASALLE MEDICAL ASSOCIATES [2050204] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient ASCEND HOSPICE [32000] ASCEND HOSPICE [3200001] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP [20502] IEHP INLAND VALLEY IPA [2050203] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADV MID-ATLANTIC STATES [3050607] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MEDICARE [10001] MEDICARE PART B [1000103] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP CAL MEDI-CONNECT MEDICARE ADVANTAGE [10512] IEHP LASALLE MED ASSOC MEDICARE ADV [1051204] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE GEORGIA [3050605] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MEDICARE [10001] MEDICARE PART A [1000101] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient CHAMPVA [80001] VHA OFFICE OF COMMUNITY CARE [8000101] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER OUT OF AREA MEDICARE ADVANTAGE [3050603] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE NORTHWEST [3050608] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE SOUTHERN CA [3050602] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient VETERANS ADMINISTRATION [80002] VETERANS ADMINISTRATION [8000201] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP [20502] INLAND EMPIRE HEALTH PLAN [2050201] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MEDICARE [10001] MEDICARE PART A & B [1000102] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MOLINA MCAL HMO [20503] MOLINA MCAL HMO [2050301] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE NORTHERN CA [3050601] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE COLORADO [3050604] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE HAWAII [3050606] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MEDICARE [10001] RAILROAD MEDICARE [1000104] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient GENERIC FIRST AID [30063] FIRST AID WORK COMP [3006301] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE WASHINGTON [3050609] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP CAL MEDI-CONNECT MEDICARE ADVANTAGE [10512] IEHP INLAND VALLEY IPA MEDICARE ADV [1051203] $4.87 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP [20502] IEHP INLAND VALLEY IPA [2050203] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient GENERIC FIRST AID [30063] FIRST AID WORK COMP [3006301] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE HAWAII [3050606] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE WASHINGTON [3050609] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP [20502] IEHP LASALLE MEDICAL ASSOCIATES [2050204] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE NORTHWEST [3050608] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE COLORADO [3050604] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE GEORGIA [3050605] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE NORTHERN CA [3050601] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient VETERANS ADMINISTRATION [80002] VETERANS ADMINISTRATION [8000201] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER OUT OF AREA MEDICARE ADVANTAGE [3050603] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE SOUTHERN CA [3050602] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MEDICARE [10001] RAILROAD MEDICARE [1000104] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient ASCEND HOSPICE [32000] ASCEND HOSPICE [3200001] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP [20502] INLAND EMPIRE HEALTH PLAN [2050201] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADV MID-ATLANTIC STATES [3050607] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MEDICARE [10001] MEDICARE PART B [1000103] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MOLINA MCAL HMO [20503] MOLINA MCAL HMO [2050301] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP CAL MEDI-CONNECT MEDICARE ADVANTAGE [10512] IEHP LASALLE MED ASSOC MEDICARE ADV [1051204] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP CAL MEDI-CONNECT MEDICARE ADVANTAGE [10512] IEHP INLAND VALLEY IPA MEDICARE ADV [1051203] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient CHAMPVA [80001] VHA OFFICE OF COMMUNITY CARE [8000101] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MEDICARE [10001] MEDICARE PART A [1000101] $6.55 $649.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MEDICARE [10001] MEDICARE PART A & B [1000102] $6.55 $649.00 2026-04-02 MRF ↗
MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL INDEMNITY HOUSTON $6.93 $3,299.00 $1,154.65 2026-04-14 MRF ↗
MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD BothFacility BLUE CROSS/BLUE SHIELD BCBS HMO $6.93 $3,299.00 $1,154.65 2026-04-14 MRF ↗
MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD BothFacility BLUE CROSS/BLUE SHIELD BCBS PPO $6.93 $3,299.00 $1,154.65 2026-04-14 MRF ↗
SUGAR LAND SURGICAL HOSPITAL LLP BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL INDEMNITY HOUSTON $6.93 $6,202.00 $3,721.20 2026-04-14 MRF ↗
SUGAR LAND SURGICAL HOSPITAL LLP BothFacility BLUE CROSS/BLUE SHIELD BCBS HMO $6.93 $6,202.00 $3,721.20 2026-04-14 MRF ↗
SUGAR LAND SURGICAL HOSPITAL LLP BothFacility BLUE CROSS/BLUE SHIELD BCBS PPO $6.93 $6,202.00 $3,721.20 2026-04-14 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $7.44 $29,082.79 $18,903.81 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $7.44 $29,082.79 $18,903.81 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $7.95 $29,082.79 $18,903.81 2024-12-30 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE EMPIRE MEDICAID $10.71 $18,179.28 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE EMPIRE MEDICAID $10.71 $18,179.28 2026-03-31 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $10.97 $30,280.04 $24,224.03 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $10.97 $30,280.04 $24,224.03 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $11.72 $30,280.04 $24,224.03 2024-12-30 MRF ↗
St Elizabeth Medical Center Outpatient UNITED HEALTHCARE ALTERNATE [100260] UHC EMPIRE ALTERNATE [10026001] $11.72 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UNITED HEALTHCARE ALTERNATE [100260] UHC EMPIRE ALTERNATE [10026001] $11.72 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STATE FARM AUTO INSURANCE NF [800026] NF STATE FARM AUTO INSURANCE [80002601] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MADISON ONEIDA HERK WC [700056] WC MADISON ONEIDA HERK [70005601] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ESIS WORK COMP [700010] WC ESIS [70001001] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CHARTIS WC [700029] WC CHARTIS [70002901] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PMA WORK COMP [700031] WC PMA [70003101] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS WORK COMP [700028] WC TRAVELERS [70002801] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient HARTFORD INS WC [700055] WC HARTFORD INS [70005501] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NCA WC [700057] WC NCA [70005701] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CORVEL CORP WC [700054] WC CORVEL CORP [70005401] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient SEDGWICK [700027] WC SEDGWICK [70002701] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NYSIF [700058] WC NY STATE INSURANCE FUND [70005801] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA FSLH EMPLOYEE [70005901] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NCA WC [700057] WC NCA [70005701] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MET LIFE AUTO INSURANCE [800009] NF MET LIFE AUTO INS [80000901] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NF MISC. [809999] NF MISC. [80999901] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MADISON ONEIDA HERK WC [700056] WC MADISON ONEIDA HERK [70005601] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GALLAGHER BASSETT WORK COMP [700013] WC GALLAGHER BASSETT [70001301] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL WORKER'S COMP [700062] WC UTICA NATIONAL INS [70006201] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient WC MISC. [709999] WC MISC. [70999901] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STRATEGIC COMP SERVICES [700061] WC STRATEGIC COMP SERVICES [70006101] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ALLSTATE AUTO INSURANCE [800001] NF ALLSTATE [80000101] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S MVHS EMPLOYEE [70005903] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA SEMC EMPLOYEE [70005902] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GEICO AUTO INSURANCE [800003] NF GEICO AUTO INSURANCE [80000301] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S SEMC EMPLOYEE [70005904] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL NO FAULT [800007] NF UTICA NATIONAL INS [80000701] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ERIE INS NF [800002] NF ERIE INS [80000201] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL NO FAULT [800007] NF UTICA NATIONAL INS [80000701] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL AUTO INSURANCE [800008] NF LIBERTY MUTUAL AUTO INS [80000801] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS NO FAULT [800006] NF TRAVELERS [80000601] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NYSIF [700058] WC NY STATE INSURANCE FUND [70005801] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL AUTO INSURANCE [800008] NF LIBERTY MUTUAL AUTO INS [80000801] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PROGRESSIVE AUTO INSURANCE [800005] NF PROGRESSIVE AUTO INSURANCE [80000501] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ALLSTATE AUTO INSURANCE [800001] NF ALLSTATE [80000101] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MET LIFE AUTO INSURANCE [800009] NF MET LIFE AUTO INS [80000901] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NY CTRL MUTUAL NF [800004] NF NY CTRL MUTUAL [80000401] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PROGRESSIVE AUTO INSURANCE [800005] NF PROGRESSIVE AUTO INSURANCE [80000501] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS NO FAULT [800006] NF TRAVELERS [80000601] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA FSLH EMPLOYEE [70005901] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NY CTRL MUTUAL NF [800004] NF NY CTRL MUTUAL [80000401] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL WORK COMP [700016] WC LIBERTY MUTUAL [70001601] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S MVHS EMPLOYEE [70005903] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STRATEGIC COMP SERVICES [700061] WC STRATEGIC COMP SERVICES [70006101] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA SEMC EMPLOYEE [70005902] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ESIS WORK COMP [700010] WC ESIS [70001001] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL WORKER'S COMP [700062] WC UTICA NATIONAL INS [70006201] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NF MISC. [809999] NF MISC. [80999901] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL WORK COMP [700016] WC LIBERTY MUTUAL [70001601] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PMA WORK COMP [700031] WC PMA [70003101] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient SEDGWICK [700027] WC SEDGWICK [70002701] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS WORK COMP [700028] WC TRAVELERS [70002801] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CHARTIS WC [700029] WC CHARTIS [70002901] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ERIE INS NF [800002] NF ERIE INS [80000201] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S SEMC EMPLOYEE [70005904] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CORVEL CORP WC [700054] WC CORVEL CORP [70005401] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GEICO AUTO INSURANCE [800003] NF GEICO AUTO INSURANCE [80000301] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GALLAGHER BASSETT WORK COMP [700013] WC GALLAGHER BASSETT [70001301] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient HARTFORD INS WC [700055] WC HARTFORD INS [70005501] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient WC MISC. [709999] WC MISC. [70999901] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STATE FARM AUTO INSURANCE NF [800026] NF STATE FARM AUTO INSURANCE [80002601] $13.06 $41,028.84 $24,617.30 2025-01-17 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility STEPHENSON CTY HEALTH STEPHENSON COUNTY HEALTH $13.39 $47,616.02 2026-03-31 MRF ↗
CHRIST HOSPITAL Outpatient UHC COMMUNITY MEDICAID [2175] HB XR UHC INDIANA PATHWAYS MEDICAID $17.52 $55,637.30 $33,923.74 2025-12-19 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient UNITED HEALTHCARE [16010] UNITED HEALTHCARE [1601005] $17.68 $886.00 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient UNITED HEALTHCARE [16010] UNITEDHEALTH INTEGRATED SERVICES [1601007] $17.68 $886.00 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient UNITED HEALTHCARE [16010] UMR LABOR CARE [1601010] $17.68 $886.00 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient UNITED HEALTHCARE [16010] UMR [1601009] $17.68 $886.00 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient UNITED HEALTHCARE [16010] UHC ALL SAVERS [1601011] $17.68 $886.00 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient UNITED HEALTHCARE [16010] UNITED HEALTHCARE INDEMNITY [1601006] $17.68 $886.00 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient UNITED HEALTHCARE [16010] SUREST UNITED HEALTHCARE [1601008] $17.68 2026-01-01 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SC WELLMARK PPO $18.63 $47,616.02 2026-03-31 MRF ↗

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