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 $836–$2,462 (25th–75th percentile) across 314 hospitals · 955 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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $12.10 | — | — | 2026-05-27 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $25.00 | $4,992.00 | $2,496.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Wholecare Pa Medicare Advantage | All Pla | $25.00 | $4,303.00 | $2,151.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $25.00 | $4,303.00 | $2,151.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Wholecare Pa Medicare Advantage | All Pla | $25.00 | $4,992.00 | $2,496.00 | 2026-05-13 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $32.03 | — | — | 2026-05-08 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $36.58 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $38.05 | — | — | 2026-05-09 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $40.00 | — | — | 2026-05-13 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $43.57 | $114.35 | $114.35 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $43.83 | $114.35 | $114.35 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $44.34 | $114.35 | $114.35 | 2026-05-27 | MRF ↗ |
| 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 ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $52.14 | $114.35 | $114.35 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $53.97 | $114.35 | $114.35 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $61.29 | $114.35 | $114.35 | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $69.63 | — | — | 2026-05-08 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $79.53 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $82.71 | — | — | 2026-05-09 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $85.76 | $114.35 | $114.35 | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $88.20 | — | — | 2026-05-27 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $88.48 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $88.48 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Plus Dsnp All Plans | — | $88.48 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Humana Medicare Advantage All Plans | — | $88.48 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $88.48 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bcbs Blue Advantage All Plans | — | $88.48 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $91.13 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $97.20 | $114.35 | $114.35 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $97.20 | $114.35 | $114.35 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $97.20 | $114.35 | $114.35 | 2026-05-27 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $98.58 | $1,071.75 | $546.59 | 2025-01-10 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Champus | All Plans | $105.29 | $991.47 | $356.93 | 2026-01-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $106.11 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $106.11 | — | — | 2026-05-14 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | TRPN | All Plans | $107.18 | $1,071.75 | $546.59 | 2025-01-10 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Humana Medicare Advantage All Plans | — | $110.60 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $110.60 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bcbs Blue Advantage All Plans | — | $110.60 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $110.60 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $110.60 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $110.60 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $113.18 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $113.18 | — | — | 2026-05-23 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $113.92 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $114.35 | $114.35 | $114.35 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $114.35 | $114.35 | $114.35 | 2026-05-27 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Bcbs Wound Care | Anthem Bcbs Wound Care - Hpn | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Cigna | Cigna Employee | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Humana | Humana Medicare | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Optima Health Plan | Optima | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Aetna | Aetna Ppo | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | One Health Plan | One Health Plan | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Bcbs Wound Care | Anthem Bcbs Wound Care - Hmo | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Uhc | Uhc Managed Medicare | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Carefirst | Blue Cross Carefirst | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Bcbs Wound Care | Anthem Bcbs Wound Care - Hix | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Aetna | Aetna | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | First Health | First Health | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Cigna | Cigna Hmo | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Bcbs Of Va | Anthem Blue Cross Hmo | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Southern Health Services | Southern Health Services | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Cigna | Cigna Ppo | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Bcbs Wound Care | Anthem Bcbs Wound Care - Ppo | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Tricare | Tricare | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Managed Medicare 100% | Managed Medicare 100% | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Bcbs Of Va | Anthem Blue Cross Ppo | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Medcost | Medcost | — | $305.69 | $122.28 | 2026-05-09 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $117.36 | $991.47 | $356.93 | 2026-01-01 | MRF ↗ |
| OZARK HEALTH Both | Empower Arkansas Mcd Rep | Default | $118.09 | $4,801.00 | $2,496.52 | 2026-05-09 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | — | $2,513.00 | $2,136.05 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | — | $2,513.00 | $2,136.05 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Ambetter | Hmo | $130.00 | $2,513.00 | $2,136.05 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | — | $2,513.00 | $2,136.05 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | — | $2,513.00 | $2,136.05 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | — | $2,513.00 | $2,136.05 | 2026-05-08 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Ambetter Of Tn All Plans | — | $137.14 | $368.67 | $147.47 | 2026-05-06 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $139.00 | — | — | 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 ↗ |
| ST CLAIR HOSPITAL Both | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $139.00 | $5,096.00 | $1,264.32 | 2026-05-23 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Anthem Pathway Exchange | Anthem Pathway Exchange | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $139.00 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Aetna | Aetna | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $139.00 | $5,526.00 | $2,763.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $139.00 | $5,526.00 | $2,763.00 | 2026-05-23 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Cigna | Cigna | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $139.00 | $5,526.00 | $2,763.00 | 2026-05-14 | 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 ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicaid | Traditional Medicaid | $139.00 | — | — | 2026-05-09 | 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 ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Upmc For You Medicaid | Upmc For You Medicaid | $139.00 | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | The Health Plan | The Health Plan | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $139.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $139.00 | — | — | 2026-05-23 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Caresource | Caresource | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Geisinger Pa Medicaid | Geisinger Pa Medicaid | $139.00 | $5,011.00 | $2,505.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Upmc For You Medicaid | Upmc For You Medicaid | $139.00 | $5,011.00 | $2,505.50 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $139.00 | $5,526.00 | $2,763.00 | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $139.00 | — | — | 2026-05-23 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Molina Managed Medicaid | Molina Managed Medicaid | $139.00 | $5,055.00 | $2,527.50 | 2026-05-26 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Humana | Managed Medicaid | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Pennsylvania Health & Wellness | Medicaid | $139.00 | $5,055.00 | $2,527.50 | 2026-05-26 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Upmc For You Medicaid | Upmc For You Medicaid | $139.00 | $5,011.00 | $2,505.50 | 2026-05-14 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $139.00 | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Blue Cross Blue Shield Steel | Blue Cross Blue Shield Steel | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Pennsylvania Health And Wellness | Mgd Medicaid | $139.00 | $5,011.00 | $2,505.50 | 2026-05-14 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | United Healthcare | United Healthcare | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Geisinger Pa Medicaid | Geisinger Pa Medicaid | $139.00 | $5,011.00 | $2,505.50 | 2026-05-14 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Multiplan | Multiplan | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $139.00 | — | — | 2026-05-14 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Molina Oh | Managed Medicaid | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Amerihealth Caritas Pa | Medicaid | $139.00 | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $139.00 | — | — | 2026-05-14 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $139.00 | — | — | 2026-05-14 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Aetna Rental | Aetna Rental | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | 4Most Zelis Stratose | 4Most Zelis Stratose | — | $3,696.00 | $1,848.00 | 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 ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Ghp | Medicaid | $139.00 | — | — | 2026-05-08 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Caresource Oh | Managed Medicaid | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcd Advantage | $139.00 | — | — | 2026-05-09 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Pennsylvania Health & Wellness | Medicaid | $139.00 | $4,992.00 | $2,496.00 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $139.00 | $5,096.00 | $1,264.32 | 2026-05-14 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Upmc | Medicaid | $139.00 | — | — | 2026-05-08 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Pennsylvania Health & Wellness | Medicaid | $139.00 | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Amerihealth | Medicaid | $139.00 | — | — | 2026-05-08 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $139.00 | $4,992.00 | $2,496.00 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Pennsylvania Health And Wellness | Mgd Medicaid | $139.00 | $5,011.00 | $2,505.50 | 2026-05-24 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Anthem Oh Medicaid | Anthem Oh Medicaid | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Geisinger Pennsylvania | Mgd Medicaid | — | $3,696.00 | $1,848.00 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $139.00 | $4,948.00 | $1,195.44 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $139.00 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Champus | All Plans | $139.75 | $1,071.75 | $546.59 | 2025-01-10 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Alliant Health Plans | Default | $140.00 | $2,513.00 | $2,136.05 | 2026-05-08 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $143.37 | $4,465.30 | $2,277.30 | 2025-01-10 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $143.37 | $991.47 | $356.93 | 2026-01-01 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $145.95 | $4,948.00 | $1,195.44 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Community Plan Of Pa | $145.95 | $5,096.00 | $1,264.32 | 2026-05-14 | 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 | United Healthcare | United Healthcare Community Plan Of Pa | $145.95 | $5,096.00 | $1,264.32 | 2026-05-23 | 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 ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Rocky Mountain | Private/Self Insured | — | $1,784.00 | $892.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Rocky Mountain | Medicare Advantage | — | $1,784.00 | $892.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Medicaid Hmo | Generic | — | $1,784.00 | $892.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Rocky Mountain | Medicare | — | $1,784.00 | $892.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Workers Compensation | — | $1,784.00 | $892.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Commercial Plans | — | $1,784.00 | $892.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Cigna | All Plans | — | $1,784.00 | $892.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Medicaid | Co | $145.98 | $1,784.00 | $892.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Medicare | Traditional | — | $1,784.00 | $892.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | United Healthcare | All Plans | — | $5,065.00 | $2,532.50 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Aetna | Medicare | — | $1,784.00 | $892.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Aetna | Commercial | — | $1,784.00 | $892.00 | 2026-05-22 | MRF ↗ |
| TRINITY HOSPITAL Outpatient | Partnership Health Plan Of California Mcd Rep | Default | $146.69 | $677.00 | — | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Heritage | Medicaid | $146.69 | $5,215.00 | $2,086.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Iehp | Medicaid | $146.69 | $5,215.00 | $2,086.00 | 2026-05-13 | MRF ↗ |
| TRINITY HOSPITAL Outpatient | Partnership Health Plan Of California Mcd Rep | Default | $146.69 | $677.00 | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Geisinger | Geisinger Medicaid | $147.34 | $5,096.00 | $1,264.32 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Health Partners | Health Partners Medicaid | $147.34 | $5,096.00 | $1,264.32 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Geisinger | Geisinger Medicaid | $147.34 | $4,948.00 | $1,195.44 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Health Partners | Health Partners Medicaid | $147.34 | $5,096.00 | $1,264.32 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Geisinger | Geisinger Medicaid | $147.34 | $4,948.00 | $1,195.44 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Geisinger | Geisinger Medicaid | $147.34 | $5,096.00 | $1,264.32 | 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 ↗ |
| ST CLAIR HOSPITAL Both | Health Partners | Health Partners Medicaid | $148.73 | $4,948.00 | $1,195.44 | 2026-05-23 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Kaiser | Medicaid | $149.62 | $5,215.00 | $2,086.00 | 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 ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcd Advantage | $152.90 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $152.90 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Jefferson Health Plan | 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 | Jefferson Health | Mcd Advantage | $152.90 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $152.90 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $152.90 | — | — | 2026-05-23 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Molina | Medicaid | $158.43 | $5,215.00 | $2,086.00 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Aetna | Aetna Better Health | $159.85 | $4,948.00 | $1,195.44 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $159.85 | $5,096.00 | $1,264.32 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $159.85 | $5,096.00 | $1,264.32 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $159.85 | $5,096.00 | $1,264.32 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Aetna | Aetna Better Health | $159.85 | $5,096.00 | $1,264.32 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $159.85 | $5,096.00 | $1,264.32 | 2026-05-23 | 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 | $5,096.00 | $1,264.32 | 2026-05-14 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | First Health | All Plans | $160.76 | $1,071.75 | $546.59 | 2025-01-10 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | $165.00 | $6,808.00 | $6,808.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | $165.00 | $6,808.00 | $6,808.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | $165.00 | $6,808.00 | $6,808.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | $165.00 | $6,808.00 | $6,808.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | $165.00 | $6,808.00 | $6,808.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | $165.00 | $6,808.00 | $6,808.00 | 2026-05-18 | MRF ↗ |
| FRANKLIN COUNTY MEMORIAL HOSPITAL Outpatient | Va Community Care Network Vaccn Region 1-3 Triwest | Federal | $165.00 | $300.00 | $300.00 | 2026-05-06 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $166.68 | — | — | 2026-05-24 | 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.