2500118 — Bandage Elas 2"" W/clips
Cite this view
HANK Price Transparency. (n.d.). BANDAGE ELAS 2"" W/CLIPS (OTHER 2500118) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2500118?code_type=OTHER
“BANDAGE ELAS 2"" W/CLIPS (OTHER 2500118) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2500118?code_type=OTHER. Accessed .
“BANDAGE ELAS 2"" W/CLIPS (OTHER 2500118) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2500118?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6–$796 (25th–75th percentile) across 5 hospitals · 35 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 2500118 — 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 |
|---|---|---|---|---|---|---|---|
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Health Net | Health Net Medi-Cal | $0.61 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Molina Medi-Cal | Molina Medi-Cal | $0.61 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Medi-Cal | Medi-Cal | $0.61 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Medi-Cal | $0.61 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Medi-Cal | $0.61 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Medi-Cal | $0.61 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Molina Medi-Cal | Molina Medi-Cal | $0.61 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Health Net | Health Net Medi-Cal | $0.61 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Health Net | Health Net Medi-Cal | $0.61 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Medi-Cal | $0.61 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Medi-Cal | $0.61 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Medi-Cal | Medi-Cal | $0.61 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Medi-Cal | Medi-Cal | $0.61 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Medi-Cal | $0.61 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Regal | Regal Medi-Cal | $0.73 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Regal | Regal Medi-Cal | $0.73 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Regal | Regal Medi-Cal | $0.89 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross Exchange | Blue Cross Exchange | $2.02 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross Exchange | Blue Cross Exchange | $2.02 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| Rml Health Providers Limited Partnership Inpatient | [Hfn] | [Epo] | $3.00 | $4.00 | $4.00 | 2026-05-13 | MRF ↗ |
| Rml Health Providers Limited Partnership Inpatient | [Hfn] | [Ppo] | $3.00 | $4.00 | $4.00 | 2026-05-13 | MRF ↗ |
| Rml Health Providers Limited Partnership Inpatient | [Multiplan] | [Ppo] | $3.00 | $4.00 | $4.00 | 2026-05-13 | MRF ↗ |
| Rml Health Providers Limited Partnership Inpatient | [Corvel] | [Ppo] | $3.00 | $4.00 | $4.00 | 2026-05-13 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Health Net | Health Net Covered Ca | $3.64 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Health Net | Health Net Covered Ca | $3.64 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Ahmc | Ahmc | $4.61 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Ahmc | Ahmc | $4.61 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Ahmc | Ahmc | $4.61 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Health Net | Health Net Senior | $4.93 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Optum | Optum Commercial | $5.53 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Optum | Optum Commercial | $5.53 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Optum | Optum Senior | $5.53 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Optum | Optum Commercial | $5.53 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Optum | Optum Senior | $5.53 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Optum | Optum Senior | $5.53 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Aetna | Aetna Commercial | $6.14 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Aetna | Aetna Commercial | $6.14 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Aetna | Aetna Commercial | $6.14 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | United Health Care | United Health Care | $6.65 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | United Health Care | United Health Care | $6.65 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | United Health Care | United Health Care | $6.65 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Regal | Regal Covered Ca | $6.91 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Regal | Regal Covered Ca | $6.91 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Regal | Regal Covered Ca | $6.91 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Regal | Regal Comm And Sr | $7.68 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Regal | Regal Comm And Sr | $7.68 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Regal | Regal Comm And Sr | $7.68 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross Hmo | Blue Cross Hmo | $7.95 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross Hmo | Blue Cross Hmo | $7.95 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Health Net | Health Net Commercial | $8.40 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Health Net | Health Net Covered Ca | $8.40 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Health Net | Health Net Commercial | $8.79 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Health Net | Health Net Commercial | $8.79 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross Ppo | Blue Cross Ppo | $8.94 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross Ppo | Blue Cross Ppo | $8.94 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Uhc Hmo | Uhc Hmo | $9.17 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Uhc Hmo | Uhc Hmo | $9.17 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Uhc Ppo | Uhc Ppo | $9.17 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Uhc Ppo | Uhc Ppo | $9.17 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Cigna | Cigna | $10.44 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Cigna | Cigna | $10.44 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Cigna | Cigna | $10.44 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Covered Ca | $12.15 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield Ppo | Blue Shield Ppo | $12.15 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield Ppo | Blue Shield Ppo | $12.15 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Covered Ca | $12.15 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Commercial | $12.89 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Commercial | $12.89 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $15.36 | $15.36 | $15.36 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $15.36 | $15.36 | $15.36 | 2026-05-18 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $15.36 | $15.36 | $7.68 | 2026-05-09 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Nebraska Medicaid | Managed Care Plans | $136.62 | $253.00 | $253.00 | 2026-05-08 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Great Plains | Medicare Advantage | $141.68 | $253.00 | $253.00 | 2026-05-08 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Uhc | Medicare Advantage | $141.68 | $253.00 | $253.00 | 2026-05-08 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Humana | Medicare Advantage | $141.68 | $253.00 | $253.00 | 2026-05-08 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Bcbs | Medicare Advantage | $141.68 | $253.00 | $253.00 | 2026-05-08 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Wps | Medicare | $141.68 | $253.00 | $253.00 | 2026-05-08 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Totalcare | Medicare Advantage | $144.51 | $253.00 | $253.00 | 2026-05-08 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Aetna | Medicare Advantage | $144.51 | $253.00 | $253.00 | 2026-05-08 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Wellcare Medicaid | Medicaid | $208.63 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Pshp Medicaid | Medicaid | $208.63 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $216.81 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Amerigroup Peachcare | Medicaid | $216.81 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Caresource Medicaid | Medicaid | $218.89 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Uhc | Ppo | $232.76 | $253.00 | $253.00 | 2026-05-08 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Medica | Ppo | $235.29 | $253.00 | $253.00 | 2026-05-08 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Aetna | Ppo | $237.82 | $253.00 | $253.00 | 2026-05-08 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Bcbs | Ppo | $240.35 | $253.00 | $253.00 | 2026-05-08 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Midland Choice | Commercial Plans | $242.88 | $253.00 | $253.00 | 2026-05-08 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $500.00 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Uhc Commercial | Commercial | $796.00 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Aetna Medicare Advantage | Medicare | $809.04 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Humana Medicare Ppo | Medicare | $809.04 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Uhc Medicare Advantage | Medicare | $809.04 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Wellcare Medicare Advantage | Medicare | $809.04 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Medicare | Medicare | $809.04 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Humana Commerical Epo | Commerical | $817.96 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Aetna Commercial | Commercial | $817.96 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Humana Commerical Ppo | Commercial | $817.96 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Humana Commerical Pos | Commercial | $817.96 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Humana Commerical Hmo | Commerical | $817.96 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Caresource Medicare Advantage | Medicare | $825.21 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Aetna Medical Rental First Health | Commercial | $872.49 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Cigna Commercial | Commercial | $981.55 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Ambetter Of Peachstate | Medicare | $1,051.74 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Tricare | Tricare | $1,211.68 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | United Healthcare | Mediare Advantage | $1,293.96 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Firstcare | Medicare | $1,293.96 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicare Advantage | $1,293.96 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $1,293.96 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Anthem | Commercial | $1,459.90 | $1,090.61 | $654.37 | 2026-05-06 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Firstcare | Ppo | $1,956.00 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Firstcare | Commercial | $1,956.00 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Amerigroup | Chip | $2,019.84 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $2,019.84 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Firstcare | Medicaid | $2,019.84 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Firstcare | Chip | $2,019.84 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield | Commercial | $2,086.40 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Cigna Healthcare | Commercial | $2,086.40 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Teamchoice | Ppo | $2,086.40 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Outpatient | Aetna Health Inc. | Commercial | $2,216.80 | $3,156.00 | $3,156.00 | 2026-05-17 | MRF ↗ |