Price Transparency 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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29888 — Knee Arthroscopy/surgery

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

Typical negotiated price $7,307

Usually $4,147–$11,371 (25th–75th percentile) across 2,159 hospitals · 5,219 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 29888 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What the whole episode might cost

Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$4,147 $7,307 typical $11,371

The middle 50% of negotiated facility rates for this procedure, measured across 2,159 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $7,307
Surgeon (professional fee) Estimate national typical Medicare PFS $889 × 1.22 commercial. $1,085
Likely subtotal $8,393
Surgical episode (typical) ~$8,393

Your recovery plan — adjust to what your surgeon told you

After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$12,177
How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Surgeon (professional fee) (estimate)
rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

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
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility HEALTH CHOICE CONTRACTED [320166] HB ROGR OKLAHOMA STATE AND EDUCATION EMPLOYEES $0.39 $26,926.01 $17,501.91 2026-03-13 MRF ↗
BARTON MEMORIAL HOSPITAL Outpatient Aetna Commercial $17,955.00 $12,568.50 2026-05-23 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Nc Commercial $8,846.00 $5,307.60 2026-05-13 MRF ↗
BETSY JOHNSON REGIONAL HOSPITAL Outpatient Blue Cross Blue Shield Of Nc Commercial $8,846.00 $5,307.60 2026-05-24 MRF ↗
O U MEDICAL CENTER Outpatient Humana Healthy Horizons Medicaid $46,123.00 $4,612.30 2026-05-22 MRF ↗
O U MEDICAL CENTER Outpatient Humana Healthy Horizons Medicaid $46,123.00 $4,612.30 2026-05-14 MRF ↗
O U MEDICAL CENTER Outpatient Humana Healthy Horizons Medicaid $46,123.00 $4,612.30 2026-05-06 MRF ↗
CANYON VISTA MEDICAL CENTER Outpatient BLUE CROSS AND BLUE SHIELD OF ARIZONA, INC. PPO $0.65 $24,656.89 $9,862.76 2025-07-01 MRF ↗
BARTON MEMORIAL HOSPITAL Outpatient Pacificare Of California Commercial $17,955.00 $12,568.50 2026-05-23 MRF ↗
MERCYONE NORTH IOWA MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $2.88 $83,116.25 2026-03-31 MRF ↗
MERCYONE CLINTON MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $4.56 $43,121.81 2026-03-31 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility LAW ENFORCEMENT MANAGED MEDICAID $5.50 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility HEALTHY BLUE MANAGED MEDICAID $5.50 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility NEBRASKA TOTAL CARE MANAGED MEDICAID $5.50 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility NEBRASKA TOTAL CARE MANAGED MEDICAID $5.50 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility HEALTHY BLUE MANAGED MEDICAID $5.50 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility UHC COMMUNITY PLAN NE MANAGED MEDICAID $5.50 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility UHC COMMUNITY PLAN NE MANAGED MEDICAID $5.50 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility LAW ENFORCEMENT MANAGED MEDICAID $5.50 $10.57 $9.51 2025-12-27 MRF ↗
HOSPITAL FOR SPECIAL SURGERY OutpatientFacility BLUE CROSS BLUE SHIELD NY [1022] BCBS INDIVIDUAL NETWORK [102218] $5.56 $23,694.95 2026-04-01 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE EMPIRE MEDICAID ESSENTIAL 1 2 3 4 $6.68 $11,875.02 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE EMPIRE MEDICAID $6.68 $11,875.02 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE EMPIRE MEDICAID $6.68 $11,875.02 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE EMPIRE MEDICAID ESSENTIAL 1 2 3 4 $6.68 $11,875.02 2026-03-31 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED BEHAVORIAL HEALTH [120] UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL $22,033.62 $14,321.85 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK ESSENTIALS $22,033.62 $14,321.85 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA $22,033.62 $14,321.85 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC MEDICARE COMPLETE $22,033.62 $14,321.85 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 1&2 $22,033.62 $14,321.85 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $7.58 $33,113.72 $21,523.92 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 $22,033.62 $14,321.85 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient AETNA [100] AETNA MEDICARE ADVANTAGE $22,033.62 $14,321.85 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE MEDICARE HMO $22,033.62 $14,321.85 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC DUAL COMPLETE $22,033.62 $14,321.85 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS MEDICARE [176] FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE $22,033.62 $14,321.85 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 3&4 $22,033.62 $14,321.85 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $22,033.62 $14,321.85 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $22,033.62 $14,321.85 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient MVP [109] MVP ESSENTIAL 1&2 $7.58 $33,113.72 $21,523.92 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4 $7.58 $33,113.72 $21,523.92 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS $22,033.62 $14,321.85 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE DUAL $22,033.62 $14,321.85 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 $22,033.62 $14,321.85 2024-12-30 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER HR [124] Plans $7.59 $80,718.53 $80,718.53 2026-04-03 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient EXCELLUS HMO [104] BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY $8.61 $18,635.70 $12,113.21 2024-12-30 MRF ↗
HOSPITAL FOR SPECIAL SURGERY OutpatientFacility BLUE CROSS BLUE SHIELD NY [1022] BCBS INDIVIDUAL NETWORK [102218] $8.80 $23,694.95 2026-04-01 MRF ↗
COMMUNITY HOSPITAL BothFacility BLUE CROSS PPO $10.04 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility BLUE CROSS PPO $10.04 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility AETNA PPO $10.15 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility MIDLANDS CHOICE PPO $10.15 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility NE WORKERS COMP NE WORKERS COMP $10.15 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility UHC PPO $10.15 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility MIDLANDS CHOICE PPO $10.15 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility AETNA PPO $10.15 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility NE WORKERS COMP NE WORKERS COMP $10.15 $10.57 $9.51 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility UHC PPO $10.15 $10.57 $9.51 2025-12-27 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CO (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WI (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - WA (REGENCE) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AR WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - LA WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (CAPITAL) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AK (PREMERA) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FL WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MI WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - CA WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SC WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL ALTERNATE WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FEDERAL WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility KAISER DOMESTIC WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ME (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MT WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KS WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS DOMESTIC WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IN (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NE WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE DISTINCTION TRANSPLANT WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AZ WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WY WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CA (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SD (WELLMARK) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK HMO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NC WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility PRE-EMPLOYMENT WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OH (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TN WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility WC DOMESTIC WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OR (REGENCE) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MS WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NH (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCN DOMESTIC WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MN WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VT WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OK WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NV (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - RI WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NM WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TX WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MA WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CT (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KY (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCBS GENERIC WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WA (PREMERA) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - HI WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - GA (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NJ (HORIZON) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AL WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - ID (REGENCE) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - UT (REGENCE) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ID WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ND WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CARE NETWORK WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MO (ANTHEM) WELLMARK PPO $10.90 $31,053.89 2026-03-31 MRF ↗
FIELD HEALTH SYSTEM Both Mississippi Select Health Care Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both Private Healthcare Systems PHCS Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $12.57 $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both First Choice Health Network Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both Medicare A MS JH Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both UHC Community Plan MS Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both Medicare B MS JH Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both Advanced Health Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both Connecticut General Cigna Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both Medicaid Mississippi Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both Magnolia Health Plan MCD Rep Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both Mississippi Physicians Care Network Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both Primewell Vantage Health Plan Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both Multiplan Inc. for American Family Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both GEHA Multiplan Network Default $1,672.00 $1,254.00 2025-03-07 MRF ↗
SAINT JOSEPH MOUNT STERLING Outpatient Humana Medicaid|All Plans 2026-02-28 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $23.70 $13,167.00 $7,262.33 2024-12-31 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $36.84 $99,041.62 $19,808.32 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $36.84 $99,041.62 $19,808.32 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $36.84 $99,041.62 $19,808.32 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $37.49 $99,041.62 $19,808.32 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $37.49 $99,041.62 $19,808.32 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $37.49 $99,041.62 $19,808.32 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $37.55 $99,041.62 $19,808.32 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $37.55 $99,041.62 $19,808.32 2026-03-26 MRF ↗
PROWERS MEDICAL CENTER Both Standard_Charged|Medicare|Negotiated_Percentage $49.00 $2,554.00 $1,532.40 2026-05-18 MRF ↗
PROWERS MEDICAL CENTER Both Standard_Charged|Medicare|Negotiated_Percentage $49.00 $2,554.00 $1,532.40 2026-05-21 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
S E LACKEY MEMORIAL HOSPITAL Outpatient CIGNA COMM - ALL PLANS CIGNA COMM - ALL PLANS $50.00 $2,963.00 $2,963.00 2026-02-10 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO HA [197] Plans $51.31 $54,870.55 $54,870.55 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO HA [223] Plans $51.31 $54,870.55 $54,870.55 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient FALLON MEDICAID [10904] All FALLON ACO HA [79] Plans $51.31 $54,870.55 $54,870.55 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient INSTITUTION [10406] All WORCESTER RECOVERY HA [235] Plans $51.31 $54,870.55 $54,870.55 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient MASSHEALTH [20302] All MASSHEALTH HA [93] Plans $51.31 $54,870.55 $54,870.55 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER HA [122] Plans $51.31 $54,870.55 $54,870.55 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) HA [43] Plans $51.31 $54,870.55 $54,870.55 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient FALLON MEDICAID [10904] All FALLON MCO HA [55] Plans $51.31 $54,870.55 $54,870.55 2026-03-26 MRF ↗
EDGERTON HOSPITAL AND HEALTH SERVICES Both Aetna Default $55.00 $2,751.00 $2,008.23 2026-05-09 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $56.64 $4,480.00 $4,480.00 2026-02-13 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BC MEDI-CAL BC MEDI-CAL $60.00 $490.00 $88.20 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $60.00 $490.00 $88.20 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $60.00 $490.00 $88.20 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $60.00 $490.00 $88.20 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $60.00 $490.00 $88.20 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MEDI-CAL MEDI-CAL $60.00 $490.00 $88.20 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $60.00 $490.00 $88.20 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $60.00 $490.00 $88.20 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $60.00 $490.00 $88.20 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ACCESS MEDI-CAL ACCESS MEDI-CAL $60.00 $490.00 $88.20 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PREFERRED MEDI-CAL PREFERRED MEDI-CAL $60.00 $490.00 $88.20 2026-01-30 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) HA [257] Plans $64.14 $54,870.55 $54,870.55 2026-03-26 MRF ↗
ADVENTHEALTH OTTAWA Outpatient Cigna_HealthCare HMO_PPO $68.00 $89,883.08 $44,941.54 2024-12-15 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHNET MCAL HEALTHNET MCAL $71.46 $490.00 $88.20 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $72.00 $490.00 $88.20 2026-01-30 MRF ↗
St Anthony Regional Hospital & Nursing Home Outpatient MIDLANDS CHOICE - ALL PLANS MIDLANDS CHOICE - ALL PLANS $76.98 $2,681.00 $2,681.00 2026-02-09 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $79.36 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $79.36 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $79.36 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $79.36 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $79.36 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $79.36 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $79.36 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $79.36 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $79.36 2026-04-14 MRF ↗

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