30100040 — Hc Hyaluronic Acid Elisa Quant
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC HYALURONIC ACID ELISA QUANT (CDM 30100040) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/30100040?code_type=CDM
MLA (9th ed.)
“HC HYALURONIC ACID ELISA QUANT (CDM 30100040) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/30100040?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC HYALURONIC ACID ELISA QUANT (CDM 30100040) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/30100040?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $96–$189 (25th–75th percentile) across 8 hospitals · 51 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 30100040 — 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 |
|---|---|---|---|---|---|---|---|
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CHOICECARE COMM - ALL OTHER PLANS | CHOICECARE COMM - ALL OTHER PLANS | $19.24 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CHOICECARE MCR ADV | CHOICECARE MCR ADV | $19.24 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SUPERIOR EPO/HMO - ALL PLANS | SUPERIOR EPO/HMO - ALL PLANS | $19.24 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP MCR ADV | SWHP MCR ADV | $19.24 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | WELLMED MCR ADV - ALL PLANS | WELLMED MCR ADV - ALL PLANS | $19.24 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | PPHP MCR ADV - ALL PLANS | PPHP MCR ADV - ALL PLANS | $19.24 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $19.24 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MOLINA MCR ADV - ALL OTHER PLANS | MOLINA MCR ADV - ALL OTHER PLANS | $19.24 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | ALLIANCE WC - ALL PLANS | ALLIANCE WC - ALL PLANS | $28.86 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP MCAID | SWHP MCAID | $32.76 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | AETNA BETTER HLTH -ALL PLANS | AETNA BETTER HLTH -ALL PLANS | $32.76 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MOLINA MCAID | MOLINA MCAID | $32.76 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $33.80 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $36.40 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | BCBS HMO | BCBS HMO | $36.40 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | BCBS BLUE OPTION | BCBS BLUE OPTION | $36.40 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| ANDERSON HOSPITAL InpatientFacility | — | — | — | $50.00 | $25.00 | 2026-02-06 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | HEALTH NET MCR ADV | HEALTH NET MCR ADV | $38.12 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | HEALTH NET MCR ADV | HEALTH NET MCR ADV | $38.12 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | BCBS PPO - ALL OTHER PLANS | BCBS PPO - ALL OTHER PLANS | $39.00 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | OCCUNET - ALL PLANS | OCCUNET - ALL PLANS | $39.00 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP COMM - ALL OTHER PLANS | SWHP COMM - ALL OTHER PLANS | $41.60 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON InpatientFacility | — | — | — | $50.00 | $25.00 | 2026-02-09 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | FIRST CARE HMO SELF FUNDED | FIRST CARE HMO SELF FUNDED | $44.20 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | FIRST CARE HMO - ALL OTHER PLANS | FIRST CARE HMO - ALL OTHER PLANS | $44.20 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $46.80 | $52.00 | $33.80 | 2026-10-12 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $48.51 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $48.51 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $51.98 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $51.98 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | HEALTHNET-ALL OTHER PLANS | HEALTHNET-ALL OTHER PLANS | $54.29 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | HEALTHNET-ALL OTHER PLANS | HEALTHNET-ALL OTHER PLANS | $54.29 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | REGENCE BCBS-ALL PLANS | REGENCE BCBS-ALL PLANS | $55.44 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | REGENCE BCBS-ALL PLANS | REGENCE BCBS-ALL PLANS | $55.44 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Multiplan | Multiplan | — | $96.00 | $96.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Beachstreet | Beachstreet | — | $96.00 | $96.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Multiplan | Multiplan | — | $96.00 | $96.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Beachstreet | Beachstreet | — | $96.00 | $96.00 | 2025-07-02 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $87.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Humana | Humana Gold | — | $96.00 | $96.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Humana | Humana Gold | — | $96.00 | $96.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Bravo Healthspring | Bravo Healthspring | — | $96.00 | $96.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Bravo Healthspring | Bravo Healthspring | — | $96.00 | $96.00 | 2025-07-02 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $97.68 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $97.68 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $97.68 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $97.68 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $97.68 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $97.68 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $100.50 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $102.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $102.12 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $102.12 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $102.12 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $102.12 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $102.12 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $102.12 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $102.12 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $102.12 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $102.12 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $102.12 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $102.12 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $102.12 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $105.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $105.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $105.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $105.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $106.56 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $106.56 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $108.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $120.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $120.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $121.50 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $124.50 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $128.76 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $128.76 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $132.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $132.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $133.50 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $133.50 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $135.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $135.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CIGNA | 1004_CIGNA 20230701 | $138.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULTIPLAN WC | 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 | $142.50 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $148.74 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $148.74 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $150.00 | $150.00 | $85.50 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $150.96 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $150.96 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 908_NETWORK HEALTH PLAN ACA CAWI 20220101 | $153.18 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 937_NETWORK HEALTH PLAN CAWI 20230101 | $153.18 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 937_NETWORK HEALTH PLAN CAWI 20230101 | $153.18 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 908_NETWORK HEALTH PLAN ACA CAWI 20220101 | $153.18 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 268_SEHN CAWI 20160101 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 268_SEHN CAWI 20160101 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA LIMITED | 838_NEHA LIMITED CAWI 20220101 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA | 837_NEHA ASCENSION ONLY CAWI 20220101 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA | 837_NEHA ASCENSION ONLY CAWI 20220101 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA LIMITED | 838_NEHA LIMITED CAWI 20220101 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $155.40 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 960_ANTHEM PATHWAYS CAWI 20230101 | $159.84 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $159.84 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 960_ANTHEM PATHWAYS CAWI 20230101 | $159.84 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $159.84 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 902_ANTHEM BLUE CONNECTION CAWI 20230101 | $173.16 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 902_ANTHEM BLUE CONNECTION CAWI 20230101 | $173.16 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $177.60 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $177.60 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $177.60 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $177.60 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $179.82 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $179.82 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $184.26 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 473_AETNA CAWI 20170701 | $184.26 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $184.26 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 473_AETNA CAWI 20170701 | $184.26 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1010_WISCONSIN PHYSICIAN SERVICES CAWI 20230701 | $188.70 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1010_WISCONSIN PHYSICIAN SERVICES CAWI 20230701 | $188.70 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 879_HUMANA PPO CAWI 20221001 | $188.70 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 528_CCHP CAWI 20180101 | $188.70 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 528_CCHP CAWI 20180101 | $188.70 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 879_HUMANA PPO CAWI 20221001 | $188.70 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 877_ARISE PREMIER CAWI 20221001 | $190.92 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1011_CENTIVO NW3 CAWI 20220101 | $190.92 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1011_CENTIVO NW3 CAWI 20220101 | $190.92 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 877_ARISE PREMIER CAWI 20221001 | $190.92 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM HMO POS | 903_ANTHEM HMO POS CAWI 20230101 | $193.14 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PPO | 904_ANTHEM PPO CAWI 20230101 | $193.14 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 994_ALLIANCE CAWI 20210701 | $193.14 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PPO | 904_ANTHEM PPO CAWI 20230101 | $193.14 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM HMO POS | 903_ANTHEM HMO POS CAWI 20230101 | $193.14 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 994_ALLIANCE CAWI 20210701 | $193.14 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $195.36 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $195.36 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $195.36 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $195.36 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $197.58 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $197.58 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $197.58 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $197.58 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 878_HUMANA HMO POS CAWI 20221001 | $199.80 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $199.80 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE PPO | 123_UNITED HEALTH CARE PPO CAWI 20130101 | $199.80 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $199.80 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE PPO | 123_UNITED HEALTH CARE PPO CAWI 20130101 | $199.80 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 878_HUMANA HMO POS CAWI 20221001 | $199.80 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 880_HUMANA WVN CAWI 20221001 | $199.80 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $199.80 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 880_HUMANA WVN CAWI 20221001 | $199.80 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $199.80 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE POS | 1003_UNITED HEALTH CARE POS CAWI 20230401 | $202.02 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE POS | 1003_UNITED HEALTH CARE POS CAWI 20230401 | $202.02 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1006_TRILOGY CAWI 20230701 | $204.24 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1006_TRILOGY CAWI 20230701 | $204.24 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CIGNA | 1004_CIGNA 20230701 | $204.24 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CIGNA | 1004_CIGNA 20230701 | $204.24 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 806_CENTIVO NW1 CAWI 20220101 | $206.46 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 806_CENTIVO NW1 CAWI 20220101 | $206.46 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULTIPLAN WC | 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 | $210.90 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULTIPLAN WC | 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 | $210.90 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $222.00 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $222.00 | $222.00 | $126.54 | 2026-01-01 | MRF ↗ |
| Madera Community Hospital Inpatient | MEDI-CAL | MEDI-CAL | $5,415.39 | $9,300.00 | $5,580.00 | 2026-07-30 | MRF ↗ |