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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31276 — Nsl/sins Ndsc Frnt Tiss Rmvl

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 $6,610

Usually $2,316–$8,918 (25th–75th percentile) across 1,856 hospitals · 3,821 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 31276 — 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 the surgeon's fee are estimated 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
$2,316 $6,610 typical $8,918

The middle 50% of negotiated facility rates for this procedure, measured across 1,856 hospitals. The the surgeon's fee 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. $6,610
Surgeon (professional fee) Estimate national typical Medicare $318 × 1.22 commercial. $388
Likely subtotal $6,998
Surgical episode (typical) ~$6,998
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
CAPE FEAR VALLEY MEDICAL CENTER Outpatient United Healthcare Compass $7,043.00 $4,225.80 2026-05-13 MRF ↗
BETSY JOHNSON REGIONAL HOSPITAL Outpatient United Healthcare Compass $7,043.00 $4,225.80 2026-05-24 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Nc Commercial $6,898.00 $4,138.80 2026-05-13 MRF ↗
BETSY JOHNSON REGIONAL HOSPITAL Outpatient Blue Cross Blue Shield Of Nc Commercial $6,898.00 $4,138.80 2026-05-24 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Nc Commercial $1.00 $0.60 2026-05-22 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Ks Commercial $1.00 $1.00 $0.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Healthy Blue Medicaid $1,724.00 $1,293.00 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient United Healthcare Commercial $1,724.00 $1,293.00 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Hpk (Incl. Cigna) Commercial $1,724.00 $1,293.00 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Ks Commercial $2.02 $1,724.00 $1,293.00 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Phcs/Multiplan Commercial $1,724.00 $1,293.00 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Aetna Commercial $1,724.00 $1,293.00 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Sunflower Medicaid $1,724.00 $1,293.00 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Wppa/Providrscare Commercial $1,724.00 $1,293.00 2026-05-18 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON MCO UM [104] Plans $2.64 $55,988.36 $55,988.36 2026-03-26 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER TUFTS HEALTH PUBLIC PLAN [75002] CHA HB MEDICAID-STANDARD $4.44 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient FALLON [50006] CHA HB MEDICAID-STANDARD $4.44 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OOS MEDICAID [70002] CHA HB MEDICAID-STANDARD $4.44 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BOSTON MEDICAL CENTER - WELLSENSE [50003] CHA HB MEDICAID-STANDARD $4.44 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS GENERAL BRIGHAM [50021] CHA HB MEDICAID-STANDARD $4.44 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS HEALTH [70001] CHA HB MEDICAID-STANDARD $4.44 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TUFTS TOGETHER W CHA [75001] CHA HB MEDICAID-STANDARD $4.44 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient UNITED HEALTH [40002] CHA HB MEDICAID-STANDARD $4.44 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient AARP [40001] CHA HB MEDICARE MANAGED CARE - UHC $4.54 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient UNITED HEALTH [40002] CHA HB MEDICARE MANAGED CARE - UHC $4.54 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient RR MEDICARE [60002] CHA HB MEDICARE $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS GENERAL BRIGHAM [50021] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient COMMONWEALTH CARE ALLIANCE [65001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HEALTH SAFETY NET [80001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER COMMERCIAL PAYOR [50015] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient SENIOR WHOLE HEALTH [65003] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient CIGNA [50005] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient ELDER SERVICE PLAN [65002] CHA HB ELDER SERVICE PLAN $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HUMANA [50008] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER GOV'T PAYOR [85003] CHA HB TRICARE $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BCBS - OUT OF STATE [10002] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TUFTS HEALTH PLAN [30001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HPHC [20001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MEDICARE [60001] CHA HB MEDICARE $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient CHAMPVA [85001] CHA HB TRICARE $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TUFTS HEALTH PLAN [30001] CHA HB Tufts Health Plan Medicare Preferred $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HEALTH SAFETY NET [80001] CHA HB HEALTH SAFETY NET $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient FALLON [50006] CHA HB FALLON $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TRICARE [85002] CHA HB TRICARE $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER TUFTS HEALTH PUBLIC PLAN [75002] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BCBS - MA [10001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient FALLON [50006] CHA HB FALLON CAREPLUS $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient AETNA [50001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BOSTON MEDICAL CENTER - WELLSENSE [50003] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,255.18 $8,255.18 2026-03-20 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $6.18 $40,348.95 $24,209.37 2026-03-24 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient FALLON MEDICAID [10904] All FALLON MCO HA [55] Plans $7.59 $37,200.87 $37,200.87 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO HA [223] Plans $7.59 $37,200.87 $37,200.87 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO HA [197] Plans $7.59 $37,200.87 $37,200.87 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient FALLON MEDICAID [10904] All FALLON MCO HA [55] Plans $7.59 $43,856.52 $43,856.52 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient MASSHEALTH [20302] All MASSHEALTH HA [93] Plans $7.59 $37,200.87 $37,200.87 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient MASSHEALTH [20302] All MASSHEALTH HA [93] Plans $7.59 $43,856.52 $43,856.52 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient INSTITUTION [10406] All WORCESTER RECOVERY HA [235] Plans $7.59 $43,856.52 $43,856.52 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient FALLON MEDICAID [10904] All FALLON ACO HA [79] Plans $7.59 $37,200.87 $37,200.87 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO HA [223] Plans $7.59 $43,856.52 $43,856.52 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO HA [197] Plans $7.59 $43,856.52 $43,856.52 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER HR [124] Plans $7.59 $61,205.79 $61,205.79 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient INSTITUTION [10406] All WORCESTER RECOVERY HA [235] Plans $7.59 $37,200.87 $37,200.87 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient FALLON MEDICAID [10904] All FALLON ACO HA [79] Plans $7.59 $43,856.52 $43,856.52 2026-03-26 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER TUFTS HEALTH PUBLIC PLAN [75002] CHA HB TUFTS HEALTH PUBLIC PLANS QHP NON-SUBSIDIZED $8.13 $8,255.18 $8,255.18 2026-03-20 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO UM [212] Plans $8.62 $55,988.36 $55,988.36 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient INSTITUTION [10406] All WORCESTER RECOVERY UM [233] Plans $8.62 $55,988.36 $55,988.36 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON ACO UM [130] Plans $8.62 $55,988.36 $55,988.36 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO UM [222] Plans $8.62 $55,988.36 $55,988.36 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans $8.62 $55,988.36 $55,988.36 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MASSHEALTH [20302] All MASSHEALTH UM [10] Plans $8.62 $55,988.36 $55,988.36 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $10.20 $69,671.26 $13,934.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $10.20 $69,671.26 $13,934.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $10.20 $69,671.26 $13,934.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $10.38 $69,671.26 $13,934.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $10.38 $69,671.26 $13,934.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $10.38 $69,671.26 $13,934.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $10.39 $69,671.26 $13,934.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $10.39 $69,671.26 $13,934.25 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans $10.78 $55,988.36 $55,988.36 2026-03-26 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $10.86 $937.00 $178.03 2026-01-25 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient INSTITUTION [10406] All WORCESTER RECOVERY UM [233] Plans $15.26 $42,281.63 $42,281.63 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO UM [222] Plans $15.26 $42,281.63 $42,281.63 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON ACO UM [130] Plans $15.26 $42,281.63 $42,281.63 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MASSHEALTH [20302] All MASSHEALTH UM [10] Plans $15.26 $42,281.63 $42,281.63 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans $15.26 $42,281.63 $42,281.63 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO UM [212] Plans $15.26 $42,281.63 $42,281.63 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON MCO UM [104] Plans $15.26 $42,281.63 $42,281.63 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans $19.08 $42,281.63 $42,281.63 2026-03-26 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $21.72 $1,339.00 $1,339.00 2026-02-13 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $22.13 $12,296.00 $6,792.92 2024-12-31 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER HA [122] Plans $25.11 $37,200.87 $37,200.87 2026-03-26 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient INSTITUTION [10406] All WORCESTER RECOVERY UM [233] Plans $30.40 $75,932.46 $75,932.46 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO UM [212] Plans $30.40 $75,932.46 $75,932.46 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans $30.40 $75,932.46 $75,932.46 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON MCO UM [104] Plans $30.40 $75,932.46 $75,932.46 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO UM [222] Plans $30.40 $75,932.46 $75,932.46 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MASSHEALTH [20302] All MASSHEALTH UM [10] Plans $30.40 $75,932.46 $75,932.46 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON ACO UM [130] Plans $30.40 $75,932.46 $75,932.46 2026-03-26 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 ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans $38.00 $75,932.46 $75,932.46 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient INSTITUTION [10406] All WORCESTER RECOVERY UM [233] Plans $38.15 $31,029.27 $31,029.27 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON MCO UM [104] Plans $38.15 $31,029.27 $31,029.27 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER UM [121] Plans $38.15 $31,029.27 $31,029.27 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MASSHEALTH [20302] All MASSHEALTH UM [10] Plans $38.15 $31,029.27 $31,029.27 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO UM [222] Plans $38.15 $31,029.27 $31,029.27 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans $38.15 $31,029.27 $31,029.27 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON ACO UM [130] Plans $38.15 $31,029.27 $31,029.27 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO UM [212] Plans $38.15 $31,029.27 $31,029.27 2026-03-26 MRF ↗
St Elizabeth Medical Center Outpatient CHARTIS WC [700029] WC CHARTIS [70002901] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient SEDGWICK [700027] WC SEDGWICK [70002701] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PMA WORK COMP [700031] WC PMA [70003101] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL AUTO INSURANCE [800008] NF LIBERTY MUTUAL AUTO INS [80000801] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NF MISC. [809999] NF MISC. [80999901] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS WORK COMP [700028] WC TRAVELERS [70002801] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NYSIF [700058] WC NY STATE INSURANCE FUND [70005801] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NF MISC. [809999] NF MISC. [80999901] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL WORK COMP [700016] WC LIBERTY MUTUAL [70001601] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CORVEL CORP WC [700054] WC CORVEL CORP [70005401] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MET LIFE AUTO INSURANCE [800009] NF MET LIFE AUTO INS [80000901] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MET LIFE AUTO INSURANCE [800009] NF MET LIFE AUTO INS [80000901] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NCA WC [700057] WC NCA [70005701] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PMA WORK COMP [700031] WC PMA [70003101] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GEICO AUTO INSURANCE [800003] NF GEICO AUTO INSURANCE [80000301] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL AUTO INSURANCE [800008] NF LIBERTY MUTUAL AUTO INS [80000801] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MADISON ONEIDA HERK WC [700056] WC MADISON ONEIDA HERK [70005601] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient HARTFORD INS WC [700055] WC HARTFORD INS [70005501] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS WORK COMP [700028] WC TRAVELERS [70002801] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CHARTIS WC [700029] WC CHARTIS [70002901] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CORVEL CORP WC [700054] WC CORVEL CORP [70005401] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STATE FARM AUTO INSURANCE NF [800026] NF STATE FARM AUTO INSURANCE [80002601] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ERIE INS NF [800002] NF ERIE INS [80000201] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA FSLH EMPLOYEE [70005901] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NY CTRL MUTUAL NF [800004] NF NY CTRL MUTUAL [80000401] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient SEDGWICK [700027] WC SEDGWICK [70002701] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S MVHS EMPLOYEE [70005903] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA SEMC EMPLOYEE [70005902] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient WC MISC. [709999] WC MISC. [70999901] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PROGRESSIVE AUTO INSURANCE [800005] NF PROGRESSIVE AUTO INSURANCE [80000501] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient HARTFORD INS WC [700055] WC HARTFORD INS [70005501] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL WORKER'S COMP [700062] WC UTICA NATIONAL INS [70006201] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS NO FAULT [800006] NF TRAVELERS [80000601] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ESIS WORK COMP [700010] WC ESIS [70001001] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ALLSTATE AUTO INSURANCE [800001] NF ALLSTATE [80000101] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL WORKER'S COMP [700062] WC UTICA NATIONAL INS [70006201] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STRATEGIC COMP SERVICES [700061] WC STRATEGIC COMP SERVICES [70006101] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ERIE INS NF [800002] NF ERIE INS [80000201] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ALLSTATE AUTO INSURANCE [800001] NF ALLSTATE [80000101] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NCA WC [700057] WC NCA [70005701] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NYSIF [700058] WC NY STATE INSURANCE FUND [70005801] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GALLAGHER BASSETT WORK COMP [700013] WC GALLAGHER BASSETT [70001301] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GEICO AUTO INSURANCE [800003] NF GEICO AUTO INSURANCE [80000301] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PROGRESSIVE AUTO INSURANCE [800005] NF PROGRESSIVE AUTO INSURANCE [80000501] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NY CTRL MUTUAL NF [800004] NF NY CTRL MUTUAL [80000401] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GALLAGHER BASSETT WORK COMP [700013] WC GALLAGHER BASSETT [70001301] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA FSLH EMPLOYEE [70005901] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S SEMC EMPLOYEE [70005904] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL WORK COMP [700016] WC LIBERTY MUTUAL [70001601] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STATE FARM AUTO INSURANCE NF [800026] NF STATE FARM AUTO INSURANCE [80002601] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ESIS WORK COMP [700010] WC ESIS [70001001] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MADISON ONEIDA HERK WC [700056] WC MADISON ONEIDA HERK [70005601] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA SEMC EMPLOYEE [70005902] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL NO FAULT [800007] NF UTICA NATIONAL INS [80000701] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STRATEGIC COMP SERVICES [700061] WC STRATEGIC COMP SERVICES [70006101] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL NO FAULT [800007] NF UTICA NATIONAL INS [80000701] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient WC MISC. [709999] WC MISC. [70999901] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S MVHS EMPLOYEE [70005903] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S SEMC EMPLOYEE [70005904] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS NO FAULT [800006] NF TRAVELERS [80000601] $40.74 $14,069.84 $8,441.90 2025-01-17 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans $47.69 $31,029.27 $31,029.27 2026-03-26 MRF ↗
PROWERS MEDICAL CENTER Both Standard_Charged|Medicare|Negotiated_Percentage $49.00 $952.00 $571.20 2026-05-18 MRF ↗
PROWERS MEDICAL CENTER Both Standard_Charged|Medicare|Negotiated_Percentage $49.00 $952.00 $571.20 2026-05-21 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER HA [122] Plans $50.22 $46,772.81 $46,772.81 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER HA [122] Plans $50.22 $43,856.52 $43,856.52 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER HA [122] Plans $50.22 $39,474.49 $39,474.49 2026-03-26 MRF ↗
SKYLINE HOSPITAL Outpatient REGENCE BS CARE REGENCE BS CARE $51.00 $1,361.50 $980.28 2026-05-04 MRF ↗
SKYLINE HOSPITAL Outpatient REGENCE BS PAR REGENCE BS PAR $51.00 $1,361.50 $980.28 2026-05-04 MRF ↗
SKYLINE HOSPITAL Outpatient REGENCE BS PPO/POS - ALL OTHER PLANS REGENCE BS PPO/POS - ALL OTHER PLANS $51.00 $1,361.50 $980.28 2026-05-04 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $53.81 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $54.15 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $54.15 2026-03-18 MRF ↗
EDGERTON HOSPITAL AND HEALTH SERVICES Both Aetna Default $55.00 $1,313.00 $958.49 2026-05-09 MRF ↗
EDGERTON HOSPITAL AND HEALTH SERVICES Both United Healthcare Default $1,313.00 $958.49 2026-05-09 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $61.67 2026-03-18 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility MagnaCare All Products $61.68 2025-12-31 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $62.05 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $62.05 2026-03-18 MRF ↗
MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $62.90 $60,862.53 2026-03-31 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $67.14 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $67.56 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $67.56 2026-03-18 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $69.39 $514.00 $385.50 2026-01-16 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER UM [121] Plans $75.33 $55,683.75 $55,683.75 2026-03-26 MRF ↗

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