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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31645 — Brnchsc W/ther Aspir 1st

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 $2,130

Usually $1,423–$3,096 (25th–75th percentile) across 2,000 hospitals · 6,280 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 31645 — 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
$1,423 $2,130 typical $3,096

The middle 50% of negotiated facility rates for this procedure, measured across 2,000 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. $2,130
Surgeon (professional fee) Estimate national typical Medicare $133 × 1.22 commercial. $163
Likely subtotal $2,292
Surgical episode (typical) ~$2,292
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
CEDARS-SINAI MEDICAL CENTER Inpatient SCAN Health Plan Medicare Advantage $18,282.30 $11,883.50 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $18,282.30 $11,883.50 2025-11-26 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient United Healthcare United Healthcare - PPO $1.20 $4,266.00 $3,199.50 2026-04-01 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $4.23 $361.00 $68.59 2026-01-25 MRF ↗
ADVENTIST HEALTH AND RIDEOUT Outpatient PREMIER PHYS EMPLOY PROFEE ONLY PREMIER PHYS EMPLOY PROFEE ONLY $4.65 $417.29 $91.80 2026-01-25 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $5.43 $1,468.00 $1,394.60 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $5.43 $1,468.00 $1,394.60 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $5.43 $1,468.00 $1,394.60 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $5.58 $1,468.00 $1,394.60 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $5.73 $1,468.00 $1,394.60 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $5.87 $1,468.00 $1,394.60 2026-02-20 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $6.18 $22,137.81 $13,282.69 2026-03-24 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $6.92 $3,842.00 $1,755.09 2024-12-31 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $7.05 $1,468.00 $1,394.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $7.05 $1,468.00 $1,394.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $7.19 $1,467.00 $1,393.65 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $7.19 $1,467.00 $1,393.65 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $7.19 $1,468.00 $1,394.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $7.19 $1,468.00 $1,394.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $7.33 $1,467.00 $1,393.65 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $7.49 $1,468.00 $1,394.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $7.63 $1,467.00 $1,393.65 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $7.92 $1,467.00 $1,393.65 2026-02-20 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $18.52 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $18.64 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $18.64 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $21.23 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $21.36 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $21.36 2026-03-18 MRF ↗
VALLEY MEDICAL CENTER Outpatient GREAT WEST [190102] CIGNA.COMMERCIAL.FACILITY.VMC $21.60 $16,254.60 $11,378.22 2026-03-12 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $22.68 $72,120.55 $14,424.11 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $22.68 $72,120.55 $14,424.11 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $22.68 $72,120.55 $14,424.11 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $22.68 $63,084.40 $12,616.88 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $22.68 $77,981.10 $15,596.22 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $22.68 $63,084.40 $12,616.88 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $22.68 $63,084.40 $12,616.88 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $22.68 $77,981.10 $15,596.22 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $22.68 $72,120.55 $14,424.11 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $22.68 $77,981.10 $15,596.22 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $22.68 $72,120.55 $14,424.11 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $22.68 $72,120.55 $14,424.11 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $23.08 $77,981.10 $15,596.22 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $23.08 $63,084.40 $12,616.88 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $23.08 $72,120.55 $14,424.11 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $23.08 $72,120.55 $14,424.11 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $23.08 $72,120.55 $14,424.11 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $23.08 $77,981.10 $15,596.22 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $23.08 $63,084.40 $12,616.88 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $23.08 $72,120.55 $14,424.11 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $23.08 $72,120.55 $14,424.11 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $23.08 $77,981.10 $15,596.22 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $23.08 $72,120.55 $14,424.11 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $23.08 $63,084.40 $12,616.88 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $23.11 $77,981.10 $15,596.22 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $23.11 $72,120.55 $14,424.11 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $23.11 $72,120.55 $14,424.11 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $23.11 $63,084.40 $12,616.88 2026-03-26 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $23.11 2026-03-18 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $23.11 $77,981.10 $15,596.22 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $23.11 $72,120.55 $14,424.11 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $23.11 $72,120.55 $14,424.11 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $23.11 $63,084.40 $12,616.88 2026-03-26 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $23.26 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $23.26 2026-03-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Martins Point Default $25.20 $70.00 $52.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Default $25.96 $70.00 $52.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Ppo $25.96 $70.00 $52.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Federal $25.96 $70.00 $52.50 2026-05-18 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 BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] BELOW FPIL WELLPOINT CHIP PERINATE [100708] $35.01 $44,483.35 $17,793.34 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] ABOVE FPIL WELLPOINT CHIP PERINATE [100709] $35.01 $28,310.25 $11,324.10 2026-05-29 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] BELOW FPIL WELLPOINT CHIP PERINATE [100708] $35.01 $28,310.25 $11,324.10 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] BELOW FPIL WELLPOINT CHIP PERINATE [100708] $35.01 $44,483.35 $17,793.34 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] ABOVE FPIL WELLPOINT CHIP PERINATE [100709] $35.01 $28,310.25 $11,324.10 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] ABOVE FPIL WELLPOINT CHIP PERINATE [100709] $35.01 $44,483.35 $17,793.34 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] BELOW FPIL WELLPOINT CHIP PERINATE [100708] $35.01 $28,310.25 $11,324.10 2026-05-29 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] BELOW FPIL WELLPOINT CHIP PERINATE [100708] $35.01 $28,310.25 $11,324.10 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] ABOVE FPIL WELLPOINT CHIP PERINATE [100709] $35.01 $28,310.25 $11,324.10 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] ABOVE FPIL WELLPOINT CHIP PERINATE [100709] $35.01 $44,483.35 $17,793.34 2026-03-31 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM SHORT TERM LIMITED DURATION 9361_ANTHEM SHORT TERM LIMITED DURATION VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM TRADITIONAL 9233_ANTHEM TRADITIONAL VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient UNIFIED GROUP SERVICES 8813_ANTHEM UNIFIED GROUPS VKIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $39.43 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $39.43 2026-01-01 MRF ↗
Tyler Memorial Hospital OutpatientFacility None 2026-01-01 MRF ↗
MERCY MEDICAL CTR OutpatientFacility CARELON HEALTH MEDICAID CARELON MEDICAID $42.71 $3,042.78 2026-03-31 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $43.47 $322.00 $241.50 2026-01-16 MRF ↗
Unm Sandoval Regional Medical Center Outpatient United Healthcare Commercial $46.00 $1,170.00 $643.50 2026-05-09 MRF ↗
HURLEY MEDICAL CENTER Both UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] UNITED HEALTH CARE MEDICAID [900401] $46.12 $307.00 $307.00 2026-03-23 MRF ↗
MERCY MEDICAL CTR OutpatientFacility WELLSENSE HEALTH PLAN WELLSENSE SILVER $46.78 $3,042.78 2026-03-31 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient MVP [109] MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient MVP [109] MVP GOLD PPO $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient EXCELLUS HMO [104] MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER 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|UNIVERA ESSENTIAL 1&2 $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient MAGNACARE [115] MAGNACARE $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient MAGNACARE [115] MAGNACARE $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient WELLCARE MEDICARE HMO [122] WELLCARE MEDICARE HMO|WELLCARE DUAL $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient MVP [109] MVP GOLD HMO $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] INDEPENDENT HEALTH MEDICAID $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4 $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient MVP [109] MVP|CIGNA|GWH CIGNA|NALC CIGNA $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient HIGHMARK [114] HIGHMARK MEDICARE $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient HIGHMARK [114] HIGHMARK MEDICAID|HIGHMARK CHP $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient EMBLEM GHI [113] EMBLEM GHI|GHI ALT $4,819.21 $3,132.49 2024-12-30 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient HIGHMARK [114] HIGHMARK ESSENTIALS $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient HIGHMARK [114] EMPIRE BLUE CROSS (NYC)|HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|FEDERAL BLUE CROSS & BLUE SHIELD $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient HIGHMARK [114] HIGHMARK HMO BLUE|HIGHMARK OUT OF AREA|EMPIRE PLAN B/C (KINGSTON) $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient MOLINA HEALTHCARE OF NY [188] MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient MVP [109] MVP ESSENTIAL 1&2 $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient EMBLEM GHI [113] EMBLEM GHI|GHI ALT $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient MULTIPLAN [141] COMMERCIAL|MULTIPLAN|MULTIPLAN/PHCS GENERIC|CDPHP COMMERCIAL $4,819.21 $3,132.49 2024-12-30 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient EXCELLUS INDEMNITY [127] HEALTHY NY $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient AETNA [100] AETNA|AETNA DENTAL|MERITAIN HEALTH $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient EXCELLUS INDEMNITY [127] BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|BLUE CROSS & BLUE SHIELD|UNIVERA|EXCELLUS BCBS RIT $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient FIDELIS EXCHANGE [157] FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient AETNA [100] AETNA MEDICARE ADVANTAGE $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient UNITED HEALTHCARE [101] UNITED HEALTHCARE|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC CHPS|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient FIDELIS CARE NEW YORK [112] FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient AETNA [100] AETNA|AETNA DENTAL|MERITAIN HEALTH $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient FIDELIS EXCHANGE [157] FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Outpatient MULTIPLAN [141] COMMERCIAL|MULTIPLAN|MULTIPLAN/PHCS GENERIC|CDPHP COMMERCIAL $4,819.21 $3,132.49 2024-12-30 MRF ↗
UNITED MEMORIAL MEDICAL CENTER Inpatient UNITED HEALTHCARE [101] UHC MEDICARE COMPLETE|UHC DUAL COMPLETE $4,819.21 $3,132.49 2024-12-30 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] GENESEE HEALTH PLAN B [102204] $50.73 $307.00 $307.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] $50.73 $307.00 $307.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both KEY BENEFIT ADMINISTRATORS [1089] KEY BENEFIT ADMINISTRATORS [108901] $50.73 $307.00 $307.00 2026-03-23 MRF ↗
BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility Home State Health Plan Medicaid $51.00 $1,712.00 $325.28 2026-02-27 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO $18,282.30 $11,883.50 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO, Non-City of LA, Vivity $18,282.30 $11,883.50 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO, City of LA, Vivity $18,282.30 $11,883.50 2025-11-26 MRF ↗
HURLEY MEDICAL CENTER Both PACE MEDICARE HMO [7023] GENESYS PACE MEDICARE HMO [702301] $59.37 $307.00 $307.00 2026-03-23 MRF ↗
Northern Montana Hospital Outpatient Healthy Kids Medicaid Medicaid $61.57 $230.00 $161.00 2026-04-02 MRF ↗
Northern Montana Hospital Outpatient Montana Medicaid Medicaid $61.57 $230.00 $161.00 2026-04-02 MRF ↗
Northern Montana Hospital Outpatient Healthy Kids Medicaid Medicaid $61.57 $230.00 $161.00 2026-04-02 MRF ↗
Northern Montana Hospital Outpatient Montana Medicaid Medicaid $61.57 $230.00 $161.00 2026-04-02 MRF ↗
HELEN NEWBERRY JOY HOSPITAL Outpatient MI WC - ALL PLANS MI WC - ALL PLANS $63.03 $175.09 $110.31 2026-01-27 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Harvard Pilgrim Healthcare Pos $65.10 $70.00 $52.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Harvard Pilgrim Healthcare Default $65.10 $70.00 $52.50 2026-05-18 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $65.53 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 $65.53 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $65.53 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 $65.53 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $65.53 2026-01-01 MRF ↗
HURLEY MEDICAL CENTER Both BLUE CARE NETWORK ADVANTAGE [7001] BLUE CARE NETWORK ADVANTAGE [700101] $65.97 $307.00 $307.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MOLINA [1071] MOLINA MARKETPLACE [107102] $65.97 $307.00 $307.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both AMBETTER [1094] AMBETTER MARKETPLACE [109401] $65.97 $307.00 $307.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both AMBETTER [1094] AMBETTER OUT OF STATE [109402] $65.97 $307.00 $307.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MOLINA MEDICARE [7006] MOLINA MEDICARE COMPLETE CARE [700602] $65.97 $307.00 $307.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both VA MEDICAL CENTER [1061] VA COMMUNITY CARE NETWORK [106104] $65.97 $307.00 $307.00 2026-03-23 MRF ↗
Children's Hospital & Medical Center Transplant Inpatient Humana Oh Managed Care Medicaid Plan $66.10 $1,056.00 $538.56 2026-05-09 MRF ↗
Children's Hospital & Medical Center Transplant Inpatient Caresource Oh Managed Care Medicaid Plan $66.10 $1,056.00 $538.56 2026-05-09 MRF ↗
Children's Hospital & Medical Center Transplant Inpatient Anthem Oh Managed Care Medicaid Plan $66.10 $1,056.00 $538.56 2026-05-09 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both United Healthcare Default $66.50 $70.00 $52.50 2026-05-18 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED AT&T-ALL PLANS UNITED AT&T-ALL PLANS $66.82 $322.00 $241.50 2026-01-16 MRF ↗
HIGHLAND HOSPITAL Both EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH PLUS [220108],EXCELLUS HEALTHY NY [220110], EXCELLUS ESSENTIAL (NO MEDICAID) [220109], EXCELLUS ESSENTIAL (W/ MEDICAID) [170604], UNIVERA HEALTHY NY [220112], UNIVERA ESSENTIAL (NO MEDICAID) [220 $66.97 2026-04-01 MRF ↗

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