25505 — Cltx Rdl Shft Fx W/mnpj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Cltx rdl shft fx w/mnpj (OTHER 25505) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25505?code_type=OTHER
MLA (9th ed.)
“Cltx rdl shft fx w/mnpj (OTHER 25505) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25505?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Cltx rdl shft fx w/mnpj (OTHER 25505) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25505?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $681–$2,041 (25th–75th percentile) across 307 hospitals · 985 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 25505 — 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 |
|---|---|---|---|---|---|---|---|
| OPTIM MEDICAL CENTER - TATTNALL Outpatient | Centene Peach State | Managed Medicaid | — | $17,443.20 | $17,443.20 | 2026-05-08 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Wholecare Pa Medicare Advantage | All Pla | $25.00 | $4,992.00 | $2,496.00 | 2026-05-13 | 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 ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $1,642.00 | $492.60 | 2026-05-08 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $44.01 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $45.77 | — | — | 2026-05-09 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene | Az Complete Health | $52.57 | $19,306.62 | $19,306.62 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene | Care 1St Health Plan Az | $52.57 | $19,306.62 | $19,306.62 | 2026-05-23 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Sr.Careplus | Managedmedicare | $67.00 | $419.00 | $168.00 | 2026-05-06 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $73.83 | $2,299.51 | $1,172.75 | 2025-01-10 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Humanahcp | Managedmedicare | $77.00 | $419.00 | $168.00 | 2026-05-06 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $80.07 | — | — | 2026-05-08 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $88.83 | $2,299.51 | $827.82 | 2026-01-01 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Aetna| Negotiated_Percentage | — | $95.00 | $1,642.00 | $492.60 | 2026-05-08 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $95.67 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $99.50 | — | — | 2026-05-09 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $104.47 | $2,299.51 | $827.82 | 2026-01-01 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Ambetter | Commercial | $117.00 | $419.00 | $168.00 | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $125.00 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $125.00 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $125.00 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $125.00 | — | — | 2026-05-24 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $126.37 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $126.37 | — | — | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health Mgd Medicaid | $131.25 | $4,395.00 | $2,197.50 | 2026-05-24 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $131.25 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $131.25 | $4,395.00 | $2,197.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health Mgd Medicaid | $131.25 | $4,395.00 | $2,197.50 | 2026-05-14 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $131.25 | $5,055.00 | $2,527.50 | 2026-05-26 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $131.25 | $4,992.00 | $2,496.00 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $131.25 | $1,855.00 | $927.50 | 2026-05-23 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource Oh | Managed Medicaid | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna Rental | First Health | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $131.25 | $1,855.00 | $927.50 | 2026-05-14 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna | Student | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna | Better Health | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Cigna | Cigna | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | United Healthcare | United Healthcare | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna | Aetna | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $131.25 | $3,838.00 | $1,919.00 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna Rental | First Health | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $131.25 | $1,855.00 | $927.50 | 2026-05-23 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Buckeye Oh | Managed Medicaid | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Anthem Pathway | Anthem Pathway | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Caresource | Caresource | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $131.25 | $4,992.00 | $2,496.00 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | $131.25 | $4,884.00 | $2,442.00 | 2026-05-14 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $131.25 | $3,735.00 | $1,867.50 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $131.25 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $131.25 | $1,855.00 | $927.50 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Cigna | Cigna | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource | Caresource | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Humana | Managed Medicaid | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Molina Oh | Managed Medicaid | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $131.25 | $4,395.00 | $2,197.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $131.25 | $4,395.00 | $2,197.50 | 2026-05-14 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $131.25 | $5,055.00 | $2,527.50 | 2026-05-26 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $131.25 | $3,838.00 | $1,919.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Aetna | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $131.25 | $3,735.00 | $1,867.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $131.25 | $4,395.00 | $2,197.50 | 2026-05-24 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | $131.25 | $4,884.00 | $2,442.00 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | $131.25 | $4,884.00 | $2,442.00 | 2026-05-23 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | $131.25 | $4,884.00 | $2,442.00 | 2026-05-14 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Multiplan | Multiplan | — | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | $131.25 | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | $131.25 | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $131.25 | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $131.25 | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mcaid | $133.13 | $4,884.00 | $2,442.00 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | The Health Plan Wv | Mgd Mcaid | $133.13 | $4,395.00 | $2,197.50 | 2026-05-14 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | The Health Plan Wv | Mgd Mcaid | $133.13 | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $133.13 | $3,838.00 | $1,919.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mcaid | $133.13 | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $133.13 | $3,735.00 | $1,867.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mcaid | $133.13 | $4,884.00 | $2,442.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $133.13 | $1,855.00 | $927.50 | 2026-05-23 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $133.13 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | The Health Plan Wv | Mgd Mcaid | $133.13 | $4,992.00 | $2,496.00 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $133.13 | $1,855.00 | $927.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | The Health Plan Wv | Mgd Mcaid | $133.13 | $4,395.00 | $2,197.50 | 2026-05-24 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | The Health Plan Wv | Mgd Mcaid | $133.13 | $5,055.00 | $2,527.50 | 2026-05-26 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $133.75 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna | Better Health Mgd Medicaid | $133.75 | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $133.75 | $1,855.00 | $927.50 | 2026-05-23 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $133.75 | $3,735.00 | $1,867.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Better Health Wv Mgd Medicaid | $133.75 | $4,884.00 | $2,442.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $133.75 | $1,855.00 | $927.50 | 2026-05-14 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Aetna | Better Health Wv Mgd Medicaid | $133.75 | $5,055.00 | $2,527.50 | 2026-05-26 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health Mgd Medicaid | $133.75 | $4,992.00 | $2,496.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health Mgd Medicaid | $133.75 | $3,697.00 | $1,848.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $133.75 | $3,838.00 | $1,919.00 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Better Health Wv Mgd Medicaid | $133.75 | $4,884.00 | $2,442.00 | 2026-05-14 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Optumcare | Commercial | $134.00 | $419.00 | $168.00 | 2026-05-06 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Hpn | Commercial | $134.00 | $419.00 | $168.00 | 2026-05-06 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Sierra | Commercial | $134.00 | $419.00 | $168.00 | 2026-05-06 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $134.80 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $134.80 | — | — | 2026-05-23 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Iowa Total Care Mcd Adv (Active 7/1/19) | Default | $143.22 | $651.00 | $423.00 | 2026-05-08 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Oscar Health | Default | — | $651.00 | $423.00 | 2026-05-08 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Cigna | Default | — | $651.00 | $423.00 | 2026-05-08 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Amerigroup Wellpoint | Default | $143.22 | $651.00 | $423.00 | 2026-05-08 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Molina Healthcare Of Iowa | Default | $143.22 | $651.00 | $423.00 | 2026-05-08 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Medicaid Iowa | Default | $143.22 | $651.00 | $423.00 | 2026-05-08 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Aetna | Default | — | $651.00 | $423.00 | 2026-05-08 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Upmc | Medicaid | $145.00 | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Humana Ky | Managed Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Sc | Hix | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Stratose | Commercial | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna Better Health Kentucky-Cin | Mngd Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna National | Commercial | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Providence Health Plan | Managed Medicaid | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Providence Health Plan | Commercial | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Humana | Tricare | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Sentara Health Administration | Commercial | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $145.00 | — | — | 2026-05-13 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Wellcare Of Ky | Managed Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerigroup Of Ga | Managed Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Ghp | Medicaid | $145.00 | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Alliance Coal Health Plan | Commercial | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Carolina Complete Health | Mgd Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcd Advantage | $145.00 | — | — | 2026-05-09 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerigroup Georgia | Managed Medicaid | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerihealth Caritas Florida | Managed Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerihealth Caritas Nc | Managed Medicaid | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerihealth Mercy Health Plans | Managed Medicaid | $145.00 | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicaid | Traditional Medicaid | $145.00 | — | — | 2026-05-09 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $145.00 | $4,992.00 | $2,496.00 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Pennsylvania Health And Wellness | Mgd Medicaid | $145.00 | $4,395.00 | $2,197.50 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Home State Health Plan | Mngd Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Managed Health Services | Mngd Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Amerihealth | Medicaid | $145.00 | — | — | 2026-05-08 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $145.00 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Anthem Ohio | Commercial | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $145.00 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Carolina Complete Health | Managed Medicaid | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Sentara Health Administration | Commercial | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Health Smart | Preferred Care | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | United Healthcare Community Plan Nc | Medicaid | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Alliance Coal Health Plan | Commercial | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna National | Commercial | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Humana | Tricare | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Multiplan | Commercial | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Multiplan | Commercial | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $145.00 | $4,262.00 | $2,131.00 | 2026-05-13 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Alliance Health Tailored Plan | Medicaid | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Medical Mutual Of Ohio | Commercial | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Wellcare Of Nc | Managed Medicaid | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Cigna | Commercial | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | United Healthcare | Nat | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Fidelis Care New York | Managed Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Meridian Health Plan Of Mi | Mngd Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Peach State Health | Managed Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Capital District Health Plan | Commercial | — | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Providence Health Plan | Commercial | — | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Medcost | Commercial | — | $14,198.67 | $14,198.67 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Health Smart | Preferred Care | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Prime Health Services | Commercial | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Independence Blue Cross | Commercial | — | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Cigna | Commercial | — | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Multiplan | Commercial | — | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Gateway Health Plan | Managed Medicaid | $145.00 | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Providence Health Plan | Commercial | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Health Smart | Preferred Care | — | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Humana | Tricare | — | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Upmc Health Plan | Managed Medicaid | $145.00 | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Wellcare Of New York | Managed Medicaid | — | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $145.00 | — | — | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Aetna Better Health Of Pa | Managed Medicaid | $145.00 | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Geisinger Health Plan | Managed Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Cigna | Commercial | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Health Partners Of Philadelphia | Mgd. Medicaid | $145.00 | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Aetna National | Commercial | — | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Molina Healthcare Of Ky | Managed Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Providence Health Plan | Managed Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Stratose | Commercial | — | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $145.00 | $1,855.00 | $927.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Capital District Health Plan | Managed Medicaid | — | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $145.00 | $1,855.00 | $927.50 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Amerihealth Mercy Health Plans | Managed Medicaid | $145.00 | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Stratose | Commercial | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Carolina Complete Health | Managed Medicai | — | $15,694.44 | $15,694.44 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $145.00 | $1,855.00 | $927.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Sunshine Health | Mngd Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Coventry Cares Ky | Managed Medicaid | — | $14,036.44 | $14,036.44 | 2026-05-14 | 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.