23655 — Cltx Sho Dslc W/mnpj W/anes
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Cltx sho dslc w/mnpj w/anes (OTHER 23655) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/23655?code_type=OTHER
MLA (9th ed.)
“Cltx sho dslc w/mnpj w/anes (OTHER 23655) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/23655?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Cltx sho dslc w/mnpj w/anes (OTHER 23655) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/23655?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $854–$1,833 (25th–75th percentile) across 83 hospitals · 278 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 23655 — 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 |
|---|---|---|---|---|---|---|---|
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $45.11 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $45.11 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $45.55 | — | — | 2026-05-23 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $88.48 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $88.48 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bcbs Blue Advantage All Plans | — | $88.48 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Humana Medicare Advantage All Plans | — | $88.48 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Plus Dsnp All Plans | — | $88.48 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $88.48 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| Baylor St Lukes Medical Center | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $88.75 | $4,254.00 | $1,488.90 | 2026-07-31 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $91.13 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $93.79 | $4,254.00 | $1,488.90 | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $93.79 | $4,254.00 | $1,488.90 | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $93.79 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $93.79 | $4,254.00 | $1,488.90 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $93.79 | $4,254.00 | $1,488.90 | 2026-07-31 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Humana Medicare Advantage All Plans | — | $110.60 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $110.60 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bcbs Blue Advantage All Plans | — | $110.60 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $110.60 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $110.60 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $110.60 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $113.92 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Ambetter Of Tn All Plans | — | $137.14 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $139.00 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $139.00 | — | — | 2026-05-23 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $139.00 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $139.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $139.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $139.00 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $139.00 | $4,948.00 | $1,195.44 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $139.00 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $139.00 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $139.00 | $4,948.00 | $1,195.44 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $139.00 | $4,948.00 | $1,195.44 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $139.00 | $4,948.00 | $1,195.44 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $139.00 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $139.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $139.00 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $145.95 | $4,948.00 | $1,195.44 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $145.95 | $4,948.00 | $1,195.44 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $145.95 | $4,948.00 | $1,195.44 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $145.95 | $4,948.00 | $1,195.44 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Geisinger | Geisinger Medicaid | $147.34 | $4,948.00 | $1,195.44 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Geisinger | Geisinger Medicaid | $147.34 | $4,948.00 | $1,195.44 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Health Partners | Health Partners Medicaid | $148.73 | $4,948.00 | $1,195.44 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Health Partners | Health Partners Medicaid | $148.73 | $4,948.00 | $1,195.44 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $150.12 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $150.12 | — | — | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Jefferson Health Plan | Mcd Advantage | $152.90 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $152.90 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $152.90 | — | — | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcd Advantage | $152.90 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Jefferson Health Plan | Mcd Advantage | $152.90 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $152.90 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcd Advantage | $152.90 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $152.90 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Aetna | Aetna Better Health | $159.85 | $4,948.00 | $1,195.44 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Aetna | Aetna Better Health | $159.85 | $4,948.00 | $1,195.44 | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $166.68 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $166.68 | — | — | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Geisinger | Mcd Advantage | $168.19 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Geisinger | Mcd Advantage | $168.19 | — | — | 2026-05-13 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Ambetter Of Tn All Plans | — | $171.43 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $3,805.00 | $1,902.50 | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $173.75 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $173.75 | — | — | 2026-05-23 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Hmo | $183.35 | $1,896.00 | $1,327.20 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Ppo | $183.35 | $1,896.00 | $1,327.20 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Ppo | $183.35 | $1,896.00 | $1,327.20 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Hmo | $183.35 | $1,896.00 | $1,327.20 | 2026-05-22 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $4,860.00 | $2,430.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $4,860.00 | $2,430.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $4,860.00 | $2,430.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $209.72 | $4,860.00 | $2,430.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Group Health Cooperative Of Eau Claire Medicaid Hmo-Badgercare Plus/Ssi | — | $212.46 | $1,750.00 | $1,137.50 | 2026-07-31 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Healthnet | Tricare | $227.95 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $231.55 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $231.55 | — | — | 2026-05-23 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna Lifesource | Transplant | — | $2,437.00 | $1,827.75 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Aetna | Commercial | — | $2,437.00 | $1,827.75 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Humana | Commercial | — | $2,437.00 | $1,827.75 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Multiplan | Commercial | — | $2,437.00 | $1,827.75 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Medicaid Rate | — | $250.00 | $2,437.00 | $1,827.75 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Healthscope Benefits | Commercial | — | $2,437.00 | $1,827.75 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Municipal Health | Benefit Fund | — | $2,437.00 | $1,827.75 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna Lifesource | Transplant | — | $2,437.00 | $1,827.75 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna Lifesource | Medicare Advantage | — | $2,437.00 | $1,827.75 | 2026-05-13 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Uhc | All Commercial Plans | — | $1,076.00 | — | 2026-07-15 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Humana | Commercial | — | $2,437.00 | $1,827.75 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Healthscope Benefits | Commercial | — | $2,437.00 | $1,827.75 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Medicaid Rate | — | $250.00 | $2,437.00 | $1,827.75 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Multiplan | Commercial | — | $2,437.00 | $1,827.75 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Municipal Health | Benefit Fund | — | $2,437.00 | $1,827.75 | 2026-05-24 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Arkansas Medicaid | — | $250.00 | $1,076.00 | — | 2026-07-15 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna Lifesource | Medicare Advantage | — | $2,437.00 | $1,827.75 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Aetna | Commercial | — | $2,437.00 | $1,827.75 | 2026-05-24 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | All Commercial Plans | — | $1,076.00 | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $253.21 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $253.21 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $254.05 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $254.05 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $254.05 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $254.05 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $254.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $254.53 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $254.53 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $254.53 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $255.61 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $255.61 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $256.75 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $256.75 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $264.76 | $821.00 | $410.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $264.76 | $821.00 | $410.50 | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $270.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $270.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $270.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $270.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $270.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $270.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $270.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $270.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $270.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $270.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $270.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $270.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $270.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $270.27 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $270.30 | $845.00 | $422.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $274.38 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $274.38 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $275.67 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $275.67 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $275.67 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $275.67 | — | — | 2026-05-14 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Humana Choicecare All Plans | — | $276.50 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Humana Choicecare All Plans | — | $276.50 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Humana Choicecare All Plans | — | $276.50 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Humana Choicecare All Plans | — | $276.50 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Humana Choicecare All Plans | — | $276.50 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Humana Choicecare All Plans | — | $276.50 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Aetna All Plans | — | $276.50 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Aetna All Plans | — | $276.50 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Aetna All Plans | — | $276.50 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $277.81 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $277.81 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $277.81 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $277.81 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $277.81 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $277.81 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $277.81 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $277.81 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $277.81 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $277.81 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $277.81 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $277.81 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $277.81 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $277.81 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $277.81 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $277.81 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $277.81 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $277.81 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $277.81 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $277.81 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $277.81 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $277.81 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $278.37 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $278.37 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $278.37 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $278.37 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $278.37 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $278.37 | — | — | 2026-05-14 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|Amerigroup|All Plans | — | $279.92 | — | — | 2026-07-31 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $286.30 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $291.89 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $291.89 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $293.43 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $293.43 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $294.59 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $294.59 | — | — | 2026-05-14 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Aetna All Plans | — | $294.93 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Aetna All Plans | — | $294.93 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Aetna All Plans | — | $294.93 | $368.67 | $147.47 | 2026-07-05 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $309.04 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For Kids Medicaid | $309.04 | $4,685.00 | $1,131.90 | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $309.04 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $309.04 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $309.04 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For Kids Medicaid | $309.04 | $4,685.00 | $1,131.90 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $315.99 | $2,437.00 | $1,827.75 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $315.99 | $2,437.00 | $1,827.75 | 2026-05-24 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $319.00 | $879.75 | $879.75 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $319.00 | $879.75 | $879.75 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $325.51 | $879.75 | $879.75 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $325.51 | $879.75 | $879.75 | 2026-05-22 | 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.