27800001 — Imp Hancock Ii 23mm Ultra T505u-23
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). IMP HANCOCK II 23MM ULTRA T505U-23 (CDM 27800001) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/27800001?code_type=CDM
MLA (9th ed.)
“IMP HANCOCK II 23MM ULTRA T505U-23 (CDM 27800001) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/27800001?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“IMP HANCOCK II 23MM ULTRA T505U-23 (CDM 27800001) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/27800001?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,916–$29,068 (25th–75th percentile) across 12 hospitals · 102 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 27800001 — 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 |
|---|---|---|---|---|---|---|---|
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $38.43 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $38.43 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $43.71 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $43.71 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $43.71 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $43.71 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | TRICARE | 2571_TRICARE OUTPATIENT 20231001 | $57.96 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | TRICARE | 2813_TRICARE INPATIENT 20241001 | $57.96 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $61.99 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $66.82 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $82.89 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST VHN | $84.07 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST VHN | $84.07 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $89.59 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HMO | $89.59 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HMO | $89.59 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $89.59 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA LOCAL PLUS | $89.59 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $89.59 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA LOCAL PLUS | $89.59 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $89.59 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | SMARTHEALTH | 2917_SMARTHEALTH OP 20250101 | $91.77 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | SMARTHEALTH | 2815_SMARTHEALTH INPATIENT 20241001 | $91.77 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA ONE HEALTH | 2826_CIGNA ONE HEALTH 20241001 | $96.60 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $100.04 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA HMO | $100.16 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $100.16 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA LOCAL PLUS | $100.16 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA PPO | $100.16 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $100.16 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | AETNA | AETNA | $102.56 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA PPO | $107.85 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA PPO | $107.85 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $108.09 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $113.80 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $113.80 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | MEDCOST | MEDCOST | $114.31 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | MEDCOST | MEDCOST VHN | $114.31 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MEDCOST | MEDCOST VHN | $114.31 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MEDCOST | MEDCOST | $114.31 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $120.10 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $120.10 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $120.10 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $120.10 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA IFP | 3019_JCIL CIGNA IFP 20250101 | $120.75 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $124.90 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $124.90 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $124.90 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $124.90 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS BCE | 2879_JCIL BLUE CROSS BLUE SHIELD BCE 20241001 | $125.58 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS BCS | 2832_JCIL BLUE CROSS BLUE SHIELD BCS 20241001 | $125.58 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS HMO | 2833_JCIL BLUE CROSS BLUE SHIELD HMO 20241001 | $154.56 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | AETNA | AETNA | $154.68 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | AETNA | AETNA | $154.68 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $161.38 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA C5 | 3023_CIGNA C5 20250101 | $164.22 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| Norton Community Hospital Both | HUMANA | HUMANA | $164.29 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | HUMANA | HUMANA | $164.29 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | HUMANA | HUMANA | $164.29 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | HUMANA | HUMANA | $164.29 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS PPO | 2834_JCIL BLUE CROSS BLUE SHIELD PPO 20241001 | $173.88 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $173.95 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $180.14 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $180.14 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $180.76 | $1,129.76 | $169.46 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $180.76 | $1,129.76 | $169.46 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $184.95 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $190.54 | $1,190.90 | $178.64 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $190.54 | $1,190.90 | $178.64 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $192.13 | $1,200.83 | $180.12 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BEECH STREET | BEECH STREET | $192.15 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | BEECH STREET | BEECH STREET | $192.15 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST | $204.16 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST | $204.16 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $205.62 | $1,129.76 | $169.46 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $205.62 | $1,129.76 | $169.46 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $205.62 | $1,129.76 | $169.46 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $205.62 | $1,129.76 | $169.46 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | PHCS | PHCS | $208.97 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | MULITPLAN | MULITPLAN | $208.97 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MULITPLAN | MULITPLAN | $208.97 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | BEECH STREET | BEECH STREET | $208.97 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | BEECH STREET | BEECH STREET | $208.97 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | PROVIDER NETWORK OF AMERICA | PROVIDER NETWORK OF AMERICA | $216.17 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | PROVIDER NETWORK OF AMERICA | PROVIDER NETWORK OF AMERICA | $216.17 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | PROVIDER NETWORK OF AMERICA | PROVIDER NETWORK OF AMERICA | $216.17 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | PROVIDER NETWORK OF AMERICA | PROVIDER NETWORK OF AMERICA | $216.17 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $216.74 | $1,190.90 | $178.64 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $216.74 | $1,190.90 | $178.64 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $216.74 | $1,190.90 | $178.64 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $216.74 | $1,190.90 | $178.64 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $218.55 | $1,200.83 | $180.12 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $218.55 | $1,200.83 | $180.12 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST VHN | $218.85 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $233.23 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA LOCAL PLUS | $233.23 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $233.23 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HMO | $233.23 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TN NO NETWORK | $235.39 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | SENTARA HEALTH | SENTARA HEALTH | $240.19 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $240.19 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $240.19 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | WELLCARE | WELLCARE MEDICAID | $240.19 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | WELLCARE | WELLCARE MEDICAID | $240.19 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | WELLCARE | WELLCARE MEDICAID | $240.19 | $240.19 | $36.03 | 2025-01-17 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | BLUE CROSS PLATINUM BLUE CP | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | TRIWEST | CHAMPVA | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | BLUE CROSS OF MN | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICA | MEDICA PRIME SOLUTION | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | RETAIL CLERKS HEALTH PLAN | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | TRIWEST | TRICARE WEST | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | UNITED HEALTHCARE | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | LABORCARE UNITED HEALTHCARE | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | BLUE CROSS MEDICARE ADVANTAGE | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | BLUEPLUS PMAP AG | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | VA | VETERANS ADMINISTRATION | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | ADVANTRA FREEDOM | ADVANTRA FREEDOM MC ADVANTAGE | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UMR | UMR | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICA | MEDICA DUAL SOLUTION MSH0 | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | UHC DUAL COMPLETE MSHO | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | AMER ASSOC RET PERSONS | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | AETNA LIFE & CASUALTY | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICA | MEDICA | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | FORWARD HEALTH WI MEDICAID | EDS WISCONSIN MED ASSISTANCE | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICA | MEDICA PMAP CHOICE CARE | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | HUMANA | HUMANA GOLD CHOICE | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | VACC | VETERANS COMMUNITY CARE NETWOR | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | METROPOLITAN HEALTH | METROPOLITAN HEALTH MC ADVANTA | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICA | MEDICA ADVANTAGE SOLUTION | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | METROPOLITAN HEALTH | METROPOLITAN HEALTHPLAN PMAP | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | SAGE | SAGE SCREENING PROGRAM | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICA | SELECTCARE | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | UNITED HEALTHCARE MEDICARE ADV | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICARE NGS | MEDICARE A | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICARE NGS | MEDICARE B | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UCARE | UCARE MSHO & UC CONNECT + MC | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICARE NGS | MEDICARE B NONPATIENT | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | IMC | ITASCA MEDICAL CARE PMAP | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | CIGNA | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | AETNA MEDICARE ADVANTAGE | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UCARE | UCARE FOR SENIORS | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | HP | HEALTH PARTNERS | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UCARE | UCARE COMMERICAL | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | MEDICAID MN | MEDICAID OUTPATIENT | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UMR | UMR FDL CHS | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | BLUE LINK | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UCARE | UCARE MA PMAP | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | UHC | UHC PMAP | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL BothFacility | BCBSMN | BLUEPLUS MSHO SECURE BLUE AG | — | $765.00 | $512.55 | 2025-01-01 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA PPO | $260.74 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA LOCAL PLUS | $260.74 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $260.74 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA HMO | $260.74 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $260.74 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | AETNA | AETNA | $266.99 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $279.49 | $1,746.80 | $262.02 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $279.49 | $1,746.80 | $262.02 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA PPO | $280.75 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $281.38 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | AETNA | 2925_JCIL AETNA 20250201 | $284.97 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC PPO | 3096_PFIL, PRIL, PSIL UNITED HEALTHCARE OPTIONS PPO 20250701 | $289.80 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC PPO | 3094_JCIL UNITED HEALTHCARE OPTIONS PPO 20250701 | $289.80 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC CHOICE | 3093_JCIL UNITED HEALTHCARE 20250701 | $289.80 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC CHOICE | 3095_PFIL, PRIL, PSIL UNITED HEALTHCARE 20250701 | $289.80 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $291.59 | $1,129.76 | $169.46 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MEDCOST | MEDCOST VHN | $297.57 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MEDCOST | MEDCOST | $297.57 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | MEDCOST | MEDCOST VHN | $297.57 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | MEDCOST | MEDCOST | $297.57 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $307.37 | $1,190.90 | $178.64 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $309.93 | $1,200.83 | $180.12 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $312.64 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $312.64 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $312.64 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $314.30 | $1,129.76 | $169.46 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $317.92 | $1,746.80 | $262.02 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $317.92 | $1,746.80 | $262.02 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $317.92 | $1,746.80 | $262.02 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $317.92 | $1,746.80 | $262.02 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $325.15 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $325.15 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $325.15 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $331.31 | $1,190.90 | $178.64 | 2025-01-17 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA ONE HEALTH | 2758_PHIL CIGNA ONE HEALTH 20240101 | $333.27 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $334.07 | $1,200.83 | $180.12 | 2025-01-17 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | HUMANA HMO | 2837_JCIL HUMANA HMO 20241001 | $342.93 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | HUMANA PPO | 2838_JCIL HUMANA PPO 20241001 | $362.25 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $382.98 | $2,393.61 | $359.04 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $382.98 | $2,393.61 | $359.04 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $385.42 | $2,408.90 | $361.34 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $385.42 | $2,408.90 | $361.34 | 2025-01-17 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Inpatient | HEALTHLINK PPO | 963_JCIL HEALTHLINK PPO 20160101 | $386.40 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $389.88 | $1,129.76 | $169.46 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST VHN | $395.42 | $1,129.76 | $169.46 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST VHN | $395.42 | $1,129.76 | $169.46 | 2025-01-17 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA | 3006_JCIL CIGNA 20250101 | $396.06 | $483.00 | $159.39 | 2026-01-01 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | AETNA | AETNA | $402.68 | $625.28 | $93.79 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $410.98 | $1,190.90 | $178.64 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST VHN | $416.82 | $1,190.90 | $178.64 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST VHN | $416.82 | $1,190.90 | $178.64 | 2025-01-17 | 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.