23650 — Cltx Sho Dslc W/mnpj Wo Anes
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Cltx sho dslc w/mnpj wo anes (OTHER 23650) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/23650?code_type=OTHER
MLA (9th ed.)
“Cltx sho dslc w/mnpj wo anes (OTHER 23650) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/23650?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Cltx sho dslc w/mnpj wo anes (OTHER 23650) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/23650?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $230–$658 (25th–75th percentile) across 95 hospitals · 363 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 23650 — 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 |
|---|---|---|---|---|---|---|---|
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Cigna | Cigna | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Cigna | Cigna | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $1,430.00 | $715.00 | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $33.84 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $33.84 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $34.16 | — | — | 2026-05-23 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $1,019.00 | $305.70 | 2026-05-08 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Health Partners Pho | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Usa Managed Care | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Summitt | Medicaid | $44.24 | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | White River Health System | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Sharp | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Mercy Managed Care | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Phcs | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Ambetter, Qualchoice And Novasys Health | All Plan | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Empower | Medicaid | $44.24 | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Ppo Plus (Stratose) | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | United Healthcare | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | American Ppo Inc. | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Vantage Health | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Arkansas Total Care | Medicaid | $44.24 | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Healthscope Benefits | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Municipal Health Benefit Fund | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Multiplan | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Zelis | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | First Community Bank Corp Benefit | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Care Source | Medicaid | $44.24 | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna Accn Network | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Vantos Health System | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | First Health | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | American Lifecare | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Three Rivers Provider Network | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Aetna | All Plans | — | $44.24 | $39.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $67.38 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $67.38 | — | — | 2026-05-24 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Amerigroup Tx | Medicaid | $85.32 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Medicaid | Medicaid | $85.32 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Superior Tx | Medicaid | $85.32 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | El Paso Health | Medicaid | $87.03 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $87.17 | $2,234.00 | $893.60 | 2026-05-08 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bcbs Blue Advantage All Plans | — | $88.60 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $88.60 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $88.60 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $88.60 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Plus Dsnp All Plans | — | $88.60 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Humana Medicare Advantage All Plans | — | $88.60 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $88.83 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $88.83 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $88.83 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bcbs Blue Advantage All Plans | — | $88.83 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Humana Medicare Advantage All Plans | — | $88.83 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Plus Dsnp All Plans | — | $88.83 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $91.26 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $91.49 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Superior | Medicaid | $91.70 | $2,234.00 | $893.60 | 2026-05-08 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Molina Tx | Medicaid | $93.85 | — | — | 2026-05-09 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Aetna| Negotiated_Percentage | — | $95.00 | $1,019.00 | $305.70 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | First Care Star | Medicaid | $98.73 | $2,234.00 | $893.60 | 2026-05-08 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $99.00 | $812.00 | $196.18 | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $99.00 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $99.00 | $812.00 | $196.18 | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $99.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $99.00 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $99.00 | $812.00 | $196.18 | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $99.00 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $99.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $99.00 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $99.00 | $812.00 | $196.18 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $750.00 | $375.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Amerihealth Caritas Pa Medicaid | Amerihealth Caritas Pa Medicaid | — | $750.00 | $375.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $99.00 | $750.00 | $375.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Multiplan | Multiplan | — | $750.00 | $375.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $99.00 | — | — | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $99.00 | $750.00 | $375.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Caresource | Caresource | — | $750.00 | $375.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna Rental | First Health | — | $750.00 | $375.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $750.00 | $375.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $750.00 | $375.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health | — | $750.00 | $375.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $99.00 | $750.00 | $375.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $99.00 | — | — | 2026-05-23 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Cigna | Cigna | — | $750.00 | $375.00 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $103.95 | $812.00 | $196.18 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $103.95 | $812.00 | $196.18 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $103.95 | $812.00 | $196.18 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $103.95 | $812.00 | $196.18 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Geisinger | Geisinger Medicaid | $104.94 | $812.00 | $196.18 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Geisinger | Geisinger Medicaid | $104.94 | $812.00 | $196.18 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Health Partners | Health Partners Medicaid | $105.93 | $812.00 | $196.18 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Health Partners | Health Partners Medicaid | $105.93 | $812.00 | $196.18 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $106.92 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $106.92 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $108.90 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $108.90 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Jefferson Health Plan | Mcd Advantage | $108.90 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $108.90 | — | — | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcd Advantage | $108.90 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $108.90 | — | — | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcd Advantage | $108.90 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Jefferson Health Plan | Mcd Advantage | $108.90 | — | — | 2026-05-23 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Tenncare All Plans | — | $109.94 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $110.75 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $110.75 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $110.75 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Humana Medicare Advantage All Plans | — | $110.75 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bcbs Blue Advantage All Plans | — | $110.75 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $110.75 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $111.03 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $111.03 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $111.03 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bcbs Blue Advantage All Plans | — | $111.03 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $111.03 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Humana Medicare Advantage All Plans | — | $111.03 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $113.39 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $113.39 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Aetna | Aetna Better Health | $113.85 | $812.00 | $196.18 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Aetna | Aetna Better Health | $113.85 | $812.00 | $196.18 | 2026-05-13 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Uhc Studen Resources | — | $114.00 | $402.00 | $252.65 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | United Healthcare West | — | $114.00 | $402.00 | $252.65 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | United Healthcare Medical | — | $114.00 | $402.00 | $252.65 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Geha | — | $114.00 | $402.00 | $252.65 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | United Healthcare | — | $114.00 | $402.00 | $252.65 | 2026-07-30 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $114.07 | $369.17 | $147.67 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $114.37 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $118.64 | — | — | 2026-05-23 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $118.64 | — | — | 2026-05-13 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $118.64 | — | — | 2026-05-08 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Tenncare All Plans | — | $118.86 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bluecare Tenncare All Plans | — | $119.74 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Geisinger | Mcd Advantage | $119.79 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Geisinger | Mcd Advantage | $119.79 | — | — | 2026-05-13 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bluecare Tenncare All Plans | — | $120.22 | $370.12 | $148.05 | 2026-07-05 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Priority Health Medicaid Op | — | $120.62 | $612.00 | $153.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Mclaren Medicaid Op | — | $120.62 | $612.00 | $153.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Blue Cross Complete Medicaid Op | — | $120.62 | $612.00 | $153.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Meridian Medicaid Op | — | $120.62 | $612.00 | $153.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Medicaid Op | — | $120.62 | $612.00 | $153.00 | 2026-07-31 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $122.56 | $589.00 | $589.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $122.56 | $589.00 | $589.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $122.56 | $589.00 | $589.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $122.56 | $589.00 | $589.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $122.56 | $589.00 | $589.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicaid | $122.56 | $589.00 | $589.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $122.56 | $589.00 | $589.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $122.56 | $589.00 | $589.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $122.56 | $589.00 | $589.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicaid | $122.56 | $589.00 | $589.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $122.56 | $589.00 | $589.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $122.56 | $589.00 | $589.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $122.56 | $589.00 | $589.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $122.56 | $589.00 | $589.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $122.56 | $589.00 | $589.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $122.56 | $589.00 | $589.00 | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $123.75 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $123.75 | — | — | 2026-05-13 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Anthem Blue Access | Commercial | — | $426.99 | $298.89 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Aetna Us Healthcare El Paso | Commercial | — | $426.99 | $298.89 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Wellcare Health Plan | Commercial Exchange | — | $426.99 | $298.89 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Passport Health Plan By Molina | Medicaid | — | $426.99 | $298.89 | 2026-05-08 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.