Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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28456 — Treat Midfoot Fracture

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $6,416

Usually $1,340–$7,620 (25th–75th percentile) across 40 hospitals · 106 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER 28456 — 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
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Aetna Better Health Ma — $35.47 $138.00 $40.45 2026-07-05 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Upmc Ma — $52.45 $138.00 $40.45 2026-07-05 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Uhc Ma Chip — $56.44 $138.00 $40.45 2026-07-05 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Upmc Ma Chip — $61.73 $138.00 $40.45 2026-07-05 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Aetna Signature Administrators — $71.62 $138.00 $40.45 2026-07-05 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Aetna Comm — $71.62 $138.00 $40.45 2026-07-05 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Cigna — $82.80 $138.00 $40.45 2026-07-05 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Geisinger Comm — $91.34 $138.00 $40.45 2026-07-05 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Uhc Comm — $92.46 $138.00 $40.45 2026-07-05 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Upmc Comm — $103.50 $138.00 $40.45 2026-07-05 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Wellspan — $109.02 $138.00 $40.45 2026-07-05 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Multiplan — $110.40 $138.00 $40.45 2026-07-05 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $146.92 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $146.92 — — 2026-05-24 MRF ↗
NEW LONDON HOSPITAL Outpatient Granite State Health Plan New Hampshire Healthy Families - Nh Managed Medicaid $177.79 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Wellsense Health Plan Wellsense - Nh Managed Medicaid $177.79 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Amerihealth Caritas Nh Amerihealth Caritas - Nh Managed Medicaid $179.51 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Commercial $225.22 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Commercial $225.22 — — 2026-05-23 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $226.69 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $226.69 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $226.69 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $226.69 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $227.04 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $227.04 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $227.04 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $227.04 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $229.46 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $229.46 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $230.63 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $230.63 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcd Advantage $239.78 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcd Advantage $239.78 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicaid Traditional Medicaid $239.78 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Chip $239.78 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Chip $239.78 — — 2026-05-14 MRF ↗
CLARION HOSPITAL Outpatient Medicaid Traditional Medicaid $239.78 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicaid Traditional Medicaid $239.78 — — 2026-05-14 MRF ↗
CLARION HOSPITAL Outpatient Medicaid Traditional Medicaid $239.78 — — 2026-05-13 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $241.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $241.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $241.53 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $241.53 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $241.53 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $241.53 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $241.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $241.53 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $241.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $241.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $241.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $241.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $241.53 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $241.53 — — 2026-05-23 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $244.86 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $244.86 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $244.86 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $244.86 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $244.86 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $244.86 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $244.86 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $244.86 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $244.86 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $244.86 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $244.86 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $244.86 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $244.86 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $244.86 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $244.86 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $244.86 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $244.86 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $244.86 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $244.86 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $244.86 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $244.86 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $244.86 — — 2026-05-24 MRF ↗
JOHN H STROGER JR HOSPITAL Outpatient Aetna Hmo $245.61 $18,534.00 $12,973.80 2026-05-14 MRF ↗
JOHN H STROGER JR HOSPITAL Outpatient Aetna Ppo $245.61 $18,534.00 $12,973.80 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Outpatient Aetna Ppo $245.61 $18,534.00 $12,973.80 2026-05-22 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Outpatient Aetna Hmo $245.61 $18,534.00 $12,973.80 2026-05-22 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $246.37 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $246.37 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $246.37 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $246.37 — — 2026-05-14 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Molina Medicaid $247.26 — — 2026-05-08 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Uhc Mcr Advantage $248.78 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Humana Mcr Advantage $248.78 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Humana Mcr Advantage $248.78 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Uhc Mcr Advantage $248.78 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $248.78 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $248.78 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcd Advantage $258.96 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcd Advantage $258.96 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Martin'S Point Health Care Martin'S Point - Us Family Health Plan $260.28 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcr Advantage $260.86 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcr Advantage $260.86 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Security Blue Mcr Adv $263.27 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Security Blue Mcr Adv $263.27 — — 2026-05-14 MRF ↗
CLARION HOSPITAL Outpatient Amerihealth Mcd Advantage $263.76 — — 2026-05-13 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcd Advantage $263.76 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Jefferson Health Mcd Advantage $263.76 — — 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Amerihealth Mcd Advantage $263.76 — — 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Jefferson Health Plan Mcd Advantage $263.76 — — 2026-05-13 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Jefferson Health Mcd Advantage $263.76 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcd Advantage $263.76 — — 2026-05-14 MRF ↗
CLARION HOSPITAL Outpatient Jefferson Health Plan Mcd Advantage $263.76 — — 2026-05-23 MRF ↗
JOHN H STROGER JR HOSPITAL Outpatient Uhc Hmo $274.44 $18,534.00 $12,973.80 2026-05-14 MRF ↗
JOHN H STROGER JR HOSPITAL Outpatient Uhc Ppo $274.44 $18,534.00 $12,973.80 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Outpatient Uhc Hmo $274.44 $18,534.00 $12,973.80 2026-05-22 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Outpatient Uhc Ppo $274.44 $18,534.00 $12,973.80 2026-05-22 MRF ↗
CLARION HOSPITAL Outpatient Geisinger Mcd Advantage $290.13 — — 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Geisinger Mcd Advantage $290.13 — — 2026-05-13 MRF ↗
CLARION HOSPITAL Outpatient Upmc Medicaid $299.73 — — 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Upmc Medicaid $299.73 — — 2026-05-13 MRF ↗
UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient Anthem In Medicaid $339.65 — — 2026-05-14 MRF ↗
UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient Anthem In Medicaid $339.65 — — 2026-05-22 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem Indiv Qhp - Exchange $388.54 — — 2026-05-23 MRF ↗
JOHN H STROGER JR HOSPITAL Outpatient Cigna Hmo $393.97 $18,534.00 $12,973.80 2026-05-14 MRF ↗
JOHN H STROGER JR HOSPITAL Outpatient Cigna Ppo $393.97 $18,534.00 $12,973.80 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Outpatient Cigna Ppo $393.97 $18,534.00 $12,973.80 2026-05-22 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Outpatient Cigna Hmo $393.97 $18,534.00 $12,973.80 2026-05-22 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Outpatient Uhc Hmo $394.51 $1,028.00 $719.60 2026-05-22 MRF ↗
JOHN H STROGER JR HOSPITAL Outpatient Uhc Hmo $394.51 $1,028.00 $719.60 2026-05-14 MRF ↗
JOHN H STROGER JR HOSPITAL Outpatient Uhc Ppo $394.51 $1,028.00 $719.60 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Outpatient Uhc Ppo $394.51 $1,028.00 $719.60 2026-05-22 MRF ↗
CHI OAKES HOSPITAL Medicare|Medica|All Plans — $405.26 — — 2026-07-31 MRF ↗
ST GABRIELS HOSPITAL Medicare|Ucare|All Plans — $407.19 — — 2026-07-31 MRF ↗
ST JOSEPHS AREA HEALTH SERVICES Medicare|Ucare|All Plans — $407.19 — — 2026-08-01 MRF ↗
ST JOSEPHS AREA HEALTH SERVICES Medicare|Prime West Health|All Plans — $407.19 — — 2026-08-01 MRF ↗
ST GABRIELS HOSPITAL Medicare|Humana|All Plans — $407.19 — — 2026-07-31 MRF ↗
ST JOSEPHS AREA HEALTH SERVICES Medicare|Bcbs - Mn|All Plans — $407.19 — — 2026-08-01 MRF ↗
ST JOSEPHS AREA HEALTH SERVICES Medicare|Medica|All Plans — $407.19 — — 2026-08-01 MRF ↗
ST GABRIELS HOSPITAL Medicare|Bcbs - Mn|All Plans — $407.19 — — 2026-07-31 MRF ↗
ST GABRIELS HOSPITAL Medicare|Medica|All Plans — $407.19 — — 2026-07-31 MRF ↗
ST JOSEPHS AREA HEALTH SERVICES Medicare|Humana|All Plans — $407.19 — — 2026-08-01 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc For Kids Medicaid $413.67 $19,454.00 $4,700.09 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Upmc Chip $413.67 — — 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc For Kids Medicaid $413.67 $19,454.00 $4,700.09 2026-05-13 MRF ↗
CLARION HOSPITAL Outpatient Upmc Chip $413.67 — — 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Upmc Chip $413.67 — — 2026-05-13 MRF ↗
CLARION HOSPITAL Outpatient Upmc Chip $413.67 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Exchange $440.88 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Elevatehealth Qhp - Exchange $440.88 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Unitedhealthcare Uhc - Hmo/Pos/Ppo $469.00 — — 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Workers Comp Other $472.69 — — 2026-05-13 MRF ↗
CLARION HOSPITAL Outpatient Workers Comp Other $472.69 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Aetna Aetna Hmo/Pos/Ppo $476.26 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Hmo/Pos/Ppo $483.10 — — 2026-05-23 MRF ↗
Baylor St Lukes Medical Center Commercial|Bcbs - Tx|Myblue Health Exchange — $509.82 — — 2026-07-31 MRF ↗
NEW LONDON HOSPITAL Outpatient Cigna Cigna Hmo-Pos-Ppo $521.80 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem Shop On Exch $528.10 — — 2026-05-23 MRF ↗
ST LUKE'S PATIENTS MEDICAL CENTER Commercial|Bcbs - Tx|Myblue Health Exchange — $538.79 — — 2026-07-30 MRF ↗
ST LUKE'S SUGAR LAND HOSPITAL Commercial|Bcbs - Tx|Myblue Health Exchange — $538.79 — — 2026-07-31 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Commercial|Bcbs - Tx|Myblue Health Exchange — $538.79 — — 2026-07-30 MRF ↗
ST LUKE'S HOSPITAL AT THE VINTAGE Commercial|Bcbs - Tx|Myblue Health Exchange — $538.79 — — 2026-07-30 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Commercial|Bcbs - Tx|Myblue Health Exchange — $538.79 — — 2026-07-31 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch $547.31 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem - Indemnity And Federal Employee Program $547.31 — — 2026-05-23 MRF ↗
Foundation Surgical Hospital Of El Paso Outpatient Healthnet Tricare $602.37 — — 2026-05-09 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch $656.77 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem - Indemnity And Federal Employee Program $656.77 — — 2026-05-23 MRF ↗
HARRIS HEALTH Outpatient Cigna Commercial $660.00 — — 2026-05-22 MRF ↗
HARRIS HEALTH Outpatient Cigna Commercial $660.00 — — 2026-05-22 MRF ↗
JOHN H STROGER JR HOSPITAL Outpatient Bcbs Ppo $668.20 $1,028.00 $719.60 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Outpatient Bcbs Ppo $668.20 $1,028.00 $719.60 2026-05-22 MRF ↗
NEW LONDON HOSPITAL Outpatient Unitedhealthcare Uhc - Freedom Plan $703.50 — — 2026-05-23 MRF ↗
HARRIS HEALTH Outpatient Aetna Commercial Ppo $726.00 — — 2026-05-22 MRF ↗
HARRIS HEALTH Outpatient Aetna Commercial Hmo $726.00 — — 2026-05-22 MRF ↗
HARRIS HEALTH Outpatient Aetna Commercial Hmo $726.00 — — 2026-05-22 MRF ↗
HARRIS HEALTH Outpatient Aetna Commercial Ppo $726.00 — — 2026-05-22 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Aetna Commercial $743.00 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Aetna Commercial $743.00 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Tenncare Select $777.00 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Tenncare Select $777.00 — — 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both United Healthcare United Healthcare Community Plan Of Pa Medicaid $814.80 $19,454.00 $4,700.09 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both United Healthcare United Healthcare Community Plan Of Pa Medicaid $814.80 $19,454.00 $4,700.09 2026-05-13 MRF ↗
JOHN H STROGER JR HOSPITAL Outpatient Bcbs Hmo $822.40 $1,028.00 $719.60 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Outpatient Bcbs Hmo $822.40 $1,028.00 $719.60 2026-05-22 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Cigna Ifp Connect $850.00 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Cigna Ifp Connect $850.00 — — 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc Community Healthchoices Plan $853.60 $19,454.00 $4,700.09 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc For You Medicaid $853.60 $19,454.00 $4,700.09 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc For You Medicaid $853.60 $19,454.00 $4,700.09 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc Community Healthchoices Plan $853.60 $19,454.00 $4,700.09 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Cigna Local Plus $875.00 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Cigna Local Plus $875.00 — — 2026-05-24 MRF ↗
ST CLAIR HOSPITAL Both Aetna Aetna Better Health $892.40 $19,454.00 $4,700.09 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Pa Health And Wellness Pa Health And Wellness Community Health Choices Plan $892.40 $19,454.00 $4,700.09 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Amerihealth Amerihealth Caritas Community Health Choices Plan $892.40 $19,454.00 $4,700.09 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Health Partners Health Partners Medicaid $892.40 $19,454.00 $4,700.09 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Health Partners Health Partners Medicaid $892.40 $19,454.00 $4,700.09 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Aetna Aetna Better Health $892.40 $19,454.00 $4,700.09 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Highmark Wholecare Medicaid $892.40 $19,454.00 $4,700.09 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Geisinger Geisinger Medicaid $892.40 $19,454.00 $4,700.09 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Amerihealth Amerihealth Caritas Community Health Choices Plan $892.40 $19,454.00 $4,700.09 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Geisinger Geisinger Medicaid $892.40 $19,454.00 $4,700.09 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Highmark Wholecare Medicaid $892.40 $19,454.00 $4,700.09 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Pa Health And Wellness Pa Health And Wellness Community Health Choices Plan $892.40 $19,454.00 $4,700.09 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Coverkids Tenncare $908.26 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Bluecare Tenncare $908.26 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Coverkids Tenncare $908.26 — — 2026-05-24 MRF ↗

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