26143 — Cath Urth Intrmt 12fr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CATH URTH INTRMT 12FR (CDM 26143) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/26143?code_type=CDM
MLA (9th ed.)
“CATH URTH INTRMT 12FR (CDM 26143) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/26143?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“CATH URTH INTRMT 12FR (CDM 26143) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/26143?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18–$5,659 (25th–75th percentile) across 7 hospitals · 53 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 26143 — 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 |
|---|---|---|---|---|---|---|---|
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | BCBS | BlueChoice | $5.75 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | BCBS | Cap | $5.75 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | OptionsPPO | $5.85 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United | OptionsPPO | $6.03 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | CignaLocalPlusNetwork | $6.79 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | CignaLocalPlusNetwork | $6.91 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | WPPA | PrimeNetwork | $6.94 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | WPPA | ProviderCareNetwork | $6.94 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | WPPA | UnifiedHealthPlan | $6.94 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | LocalPreferred | $6.95 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | WPPA | WPPAPrimeNetwork | $6.95 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | WPPA | ProviderCareNetwork | $6.95 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | WPPA | UnifiedHealth | $6.95 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | LocalPreferred | $6.96 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Centene | HIX | $7.19 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Centene | COMM | $7.26 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Preferred Health Choices | COMM | $7.55 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Medical Associates Health Plan | COMM | $7.55 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $8.86 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | LocalOpen | $9.35 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | LocalOpen | $9.36 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $9.43 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | NationalOpen | $9.57 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | NationalOpen | $9.59 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $10.89 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna Better Health | MCD | $11.98 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Spirit Aerosystems | COMMOON | $12.27 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Spirit Aerosystems | COMMOON | $12.78 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | Spirit | $14.26 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $16.34 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | First Health | PPO | $17.61 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 794_MHKS SMARTHEALTH INPATIENT 20241001 | $17.94 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 655_MHKS SMARTHEALTH OUTPATIENT 20230101 | $17.94 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United | GlobalBenefitPlan | $17.97 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Humana | $18.16 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | First Health | PPO | $18.41 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | Humana | $19.97 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $21.77 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Triwest Healthcare Alliance | Tricare | $23.60 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | AETNA | 780_MHKS AETNA 20240701 | $24.84 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | FIRST HEALTH | 115_FIRST HEALTH 20130101 | $25.30 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CORE SOURCE | 283_CORE SOURCE 20180101 | $25.30 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | COVENTRY | 669_MHKS COVENTRY 20170101 | $25.30 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $25.42 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Triwest Healthcare Alliance | Tricare | $25.96 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Cigna | Flexcare | $27.17 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Cigna | POS | $27.17 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Cigna | OAP | $27.17 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $27.96 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Sagamore Health Network | PPO | $29.25 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MEDICA | 799_MEDICA HEALTHIER YOU 20241001 | $29.44 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | USA Managed Care | COMM | $30.86 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $30.86 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | PROVIDRS CARE | 867_MHKS PROVIDRS CARE 20250701 | $31.28 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Sullivan Co Commuity Hospital | COMM | $32.50 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Corizon Health | Prison | $32.50 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Helping Hands | COMM | $32.50 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | BeechStreetCOMMPPO | $32.68 | $36.31 | $36.31 | 2024-10-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | UHC | 844_MHKS UNITED HEALTH CARE 20250101 | $33.58 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Cigna | PPO | $33.80 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $33.95 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | USA Managed Care | COMM | $33.95 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | AETNA | NAP | $34.84 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Encore Health | COMM | $35.75 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | BeechStreetCOMMPPO | $35.95 | $39.94 | $39.94 | 2026-03-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MULTIPLAN | 106_MULTIPLAN PHCS MHKS 20180601 | $36.80 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | U.S. Penitentiary | FEDERAL | $40.30 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CENTURY | 668_CENTURY 20130101 | $40.48 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CIGNA | 778_MHKS CIGNA 20240701 | $40.94 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | HUMANA | 870_HUMANA 20250101 | $41.40 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CAP | 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101 | $41.40 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CHOICE | 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101 | $41.40 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | AETNA | COMM | $41.80 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Vigo County Inmate Medical | LocalGov | $45.50 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Diagnostic Plus | WC | $45.50 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | NON-CONTRACTED | 275_NON-CONTRACTED 20170101 | $46.00 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $46.00 | $46.00 | $18.40 | 2026-01-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Indiana Health Network | COMM | $50.05 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | USA MCO | COMM | $52.00 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | First Health | COMM | $52.00 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | National Preferred Provider Net | COMM | $55.25 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Health Network (Wellmark) | COMM | $55.25 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Up and Up | COMM | $55.25 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Foremost | COMM | $55.25 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | NPN | COMM | $58.50 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | HealthLink | COMM | $58.50 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Multiplan | COMM | $58.50 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $65.00 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Medicare | Part B | $1,671.00 | $15,403.00 | $7,702.00 | 2025-06-12 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | MCR | $1,992.65 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | MCR | $2,159.59 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Imperial Insurance | MCR | $2,988.98 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | MedCare Partners | MGMCR | $2,988.98 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | $3,239.39 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | EPO | $3,822.48 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | HMO | $3,822.48 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | PPO | $3,822.48 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Cigna | Commercial | $5,014.00 | $15,403.00 | $7,702.00 | 2025-06-12 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Bright Health | COMM | $5,491.75 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Cigna | PPO | $5,571.75 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Cigna | HMO | $5,571.75 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Cigna | HMO | $5,659.14 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Cigna | PPO | $5,659.14 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Bright Health | COMM | $5,951.84 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | United | OptionsPPO | $6,068.46 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Blue Shield | EPN | $6,085.73 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | United | OptionsPPO | $6,157.30 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Health Net | COMM | $8,110.10 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Blue Shield | COMM | $8,694.52 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Health Net | COMM | $8,789.54 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | First Health | COMM | $13,550.05 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Co & NV | PPO | $13,555.00 | $15,403.00 | $7,702.00 | 2025-06-12 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | ChoiceCare Network | COMMPPO | $13,948.58 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Rocky Mountain Health Maintenance Organization Inc. | Commercial | $14,171.00 | $15,403.00 | $7,702.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Kaiser Permanente | Commercial | $14,633.00 | $15,403.00 | $7,702.00 | 2025-06-12 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | First Health | COMM | $14,685.23 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | United Healthcare Insurance Company | Commercial | $14,787.00 | $15,403.00 | $7,702.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Coventry | Commercial | $14,787.00 | $15,403.00 | $7,702.00 | 2025-06-12 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | ChoiceCare Network | COMMPPO | $15,117.15 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | PPO Next | PPO | $15,941.23 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | PPO Next | WC | $15,941.23 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | First Health | WCOMP | $15,941.23 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Multiplan | PRIMARY | $15,941.23 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | PPO Next | WC | $17,276.74 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | PPO Next | PPO | $17,276.74 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Multiplan | PRIMARY | $17,276.74 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | First Health | WCOMP | $17,276.74 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Interplan Corporation | COMM | $17,933.89 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Interplan Corporation | WC | $17,933.89 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Ventura County Foundation | COMM | $17,933.89 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | $18,930.21 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Interplan Corporation | WC | $19,436.34 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Ventura County Foundation | COMM | $19,436.34 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Interplan Corporation | COMM | $19,436.34 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna Senior Health Plan | MCR | $19,926.54 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Multiplan | COMPLEMENTARY | $20,516.13 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna Senior Health Plan | MCR | $21,595.93 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |