3000487 — Hc Western Blot
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC WESTERN BLOT (OTHER 3000487) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3000487?code_type=OTHER
MLA (9th ed.)
“HC WESTERN BLOT (OTHER 3000487) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3000487?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“HC WESTERN BLOT (OTHER 3000487) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3000487?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15–$144 (25th–75th percentile) across 4 hospitals · 39 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 3000487 — 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 |
|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL Outpatient | Humana Employers Health | Commercial | $5.10 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Tricare Wps Vac3 | Medicare | $5.22 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Tricare West Region | Medicare | $5.22 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Tricare North Region | Medicare | $5.22 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Medicare | Medicare | $5.22 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Tricare East | Medicare | $5.22 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana Medicare Advantage | Medicare | $5.27 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcarevrr Medicare | Medicare | $5.27 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana Medicare Gold Choice | Medicare | $5.27 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana Gold Plus Medicare | Medicare | $5.27 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare Medicare | Medicare | $5.27 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Collective Health | Commercial | $5.87 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Bcbs Hmo Bav Advantage | Commercial | $6.52 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Pos | Commercial | $8.14 | $40.69 | $20.35 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Ppo | Commercial | $8.14 | $40.69 | $20.35 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Hmo | Commercial | $8.14 | $40.69 | $20.35 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Epo | Commercial | $8.14 | $40.69 | $20.35 | 2026-05-08 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Highland County Sheriff Dept | Medicaid | $14.22 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid | $14.22 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Highland County Sheriff Dept | Medicaid | $14.22 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid | $14.22 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Humana Medicaid | Medicaid | $14.64 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Molina Medicaid | Medicaid | $14.64 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Molina Medicaid | Medicaid | $14.64 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Buckeye Medicaid | Medicaid | $14.64 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Buckeye Medicaid | Medicaid | $14.64 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Medicaid | Medicaid | $14.64 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Humana Medicaid | Medicaid | $14.64 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Medicaid | Medicaid | $14.64 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Caresource Medicaid | Medicaid | $14.93 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Paramount Medicaid | Medicaid | $14.93 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Caresource Medicaid | Medicaid | $14.93 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Paramount Medicaid | Medicaid | $14.93 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Cigna Healthsmart | Commercial | $18.70 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $18.70 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Cigna Health Care Tx | Commercial | $18.70 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Medicare | Medicare | $19.35 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Humana Medicare | Medicare | $19.35 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Humana Medicare | Medicare | $19.35 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $19.35 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Molina Medicare | Medicare | $19.35 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Dual | Medicare | $19.35 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Optum Uhc Va | Medicare | $19.35 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Molina Medicare | Medicare | $19.35 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Dual | Medicare | $19.35 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Medicare | Medicare | $19.35 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Optum Uhc Va | Medicare | $19.35 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $19.35 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Medical Mutual Medicare | Medicare | $19.74 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Aetna Medicare | Medicare | $19.74 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Aetna Medicare | Medicare | $19.74 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Medical Mutual Medicare | Medicare | $19.74 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Buckeye Medicare | Medicare | $19.93 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Buckeye Medicare | Medicare | $19.93 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Medigold | Medicare | $20.32 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Medigold | Medicare | $20.32 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Ppo | Commercial | $25.50 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Allied Group Insurance | Commercial | $25.50 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Hmo | Commercial | $25.50 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Insurance Management Service | Commercial | $25.50 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Multiplan Complimentary Network | Commercial | $26.45 | $40.69 | $20.35 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Multiplan | Commercial | $26.45 | $40.69 | $20.35 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Care Hmo | Commercial | $27.20 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Bcbs Of Texas | Commercial | $27.20 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Health | Commercial | $28.90 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Allied Benefit Mchd Employee | Commercial | $28.90 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $30.60 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Geha | Commercial | $30.60 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Care Ppo | Commercial | $30.60 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Umr | Commercial | $30.60 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Golden Rule Insurance In | Commercial | $30.60 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Tml Iebp | Commercial | $30.60 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ntca Benefit Ppo | Commercial | $30.60 | $34.00 | $27.20 | 2026-05-08 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Pathway Hmo | Medicare | $36.77 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Pathway Ppo | Medicare | $36.77 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Pathway Hmo | Medicare | $36.77 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Pathway Ppo | Medicare | $36.77 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Medben | Medicare | $48.38 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Medben | Medicare | $48.38 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicaid Advantage | Medicaid | $53.67 | $40.69 | $20.35 | 2026-05-08 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Pathway X Hmo | Medicare | $115.91 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Pathway X Ppo | Medicare | $115.91 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Pathway X Ppo | Medicare | $115.91 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Pathway X Hmo | Medicare | $115.91 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Small Group Hmo | Medicare | $122.83 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Small Group Hmo | Medicare | $122.83 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Blue Access | Commercial | $128.02 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Blue Access | Commercial | $128.02 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Blue Preferred | Commercial | $128.02 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Blue Preferred | Commercial | $128.02 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Traditional | Medicare | $131.48 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Anthem Traditional | Medicare | $131.48 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Immergrun Amish | Commercial | $138.40 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Immergrun Amish | Commercial | $138.40 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $140.48 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $140.48 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Humana | Commercial | $153.28 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Humana | Commercial | $153.28 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Central Benefits Commercial | Commercial | $155.70 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Cigna | Commercial | $155.70 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Central Benefits Commercial | Commercial | $155.70 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Cigna | Commercial | $155.70 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Medical Mutual Commercial | Commercial | $157.43 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Medical Mutual Commercial | Commercial | $157.43 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Uhc | Commercial | $159.16 | $173.00 | $138.40 | 2026-05-22 | MRF ↗ |
| HIGHLAND DISTRICT HOSPITAL Outpatient | Uhc | Commercial | $159.16 | $173.00 | $138.40 | 2026-05-07 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Uhc Va | Medicare | $6,624.60 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Humana | Medicare | $6,624.60 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Blue Cross Highmark Medicare | Medicare | $6,624.60 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | $6,624.60 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Health Plan Medicare | Medicare | $6,624.60 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Advantra | Medicare | $6,624.60 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Upmc | Medicare | $6,955.83 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Health Plan Medicaid | Medicaid | $7,176.65 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Caresource Medicaid | Medicaid | $7,320.18 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Blue Cross Highmark Medicaid | Medicaid | $7,535.48 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Blue Cross Highmark Aca | Commercial | $8,033.43 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Blue Cross Highmark Ppo | Commercial | $8,912.30 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Blue Cross Highmark Pos | Commercial | $8,912.30 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Caresource Medicare | Medicare | $8,943.21 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Blue Cross Highmark Traditional | Commercial | $9,783.43 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Aetna Medical Rental | Commercial | $9,936.90 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Uhc | Commercial | $9,936.90 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Aetna Auto | Commercial | $9,936.90 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $10,157.72 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Geha | Commercial | $10,488.95 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | 4 Most | Commercial | $10,709.77 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |
| PRESTON MEMORIAL HOSPITAL Outpatient | Health | Commercial | $10,709.77 | $11,041.00 | $5,520.50 | 2026-05-06 | MRF ↗ |