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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33228 — Remv&replc Pm Gen Dual Lead

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 $11,435

Usually $7,548–$17,927 (25th–75th percentile) across 2,144 hospitals · 6,862 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 33228 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What the whole episode might cost

Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees 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
$7,548 $11,435 typical $17,927

The middle 50% of negotiated facility rates for this procedure, measured across 2,144 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $11,435
Surgeon (professional fee) Estimate national typical Medicare $315 × 1.22 commercial. $385
Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. $708
Likely subtotal $12,528
Surgical episode (typical) ~$12,528

Your recovery plan — adjust to what your doctor told you

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

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$16,313
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
Anesthesia (estimate)
base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk

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
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient None $41,211.27 $20,605.63 2024-12-15 MRF ↗
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient None $41,211.27 $20,605.63 2024-12-15 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Fidelis Managedmedicaid $0.45 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Mvp Managedmedicaid $0.45 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both United Managedmedicaid $0.45 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both United Essentialplans1Thru4 $0.45 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both United Essentialplans1Thru4 $0.45 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Mvp Managedmedicaid $0.45 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Cdphp Managedmedicaid $0.45 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Fidelis Managedmedicaid $0.45 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Cdphp Managedmedicaid $0.45 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both United Managedmedicaid $0.45 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Empire Managedmedicaidaliessa $0.47 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Empire Managedmedicaidaliessa $0.47 $4.42 2026-05-13 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 $5,290.00 $1,565.84 2026-02-28 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Highmark $0.78 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Highmark $0.78 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Mvp Essentialplans1Thru6 $0.91 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Mvp Essentialplans1Thru6 $0.91 $4.42 2026-05-13 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage $42,605.00 $34,936.10 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Health Net of California, Inc. HMO $42,605.00 $34,936.10 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage $42,605.00 $34,936.10 2025-11-26 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Empire Managedmedicaidnonaliessaessentialplans1Thru4 $1.00 $4.42 2026-05-23 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage $42,605.00 $34,936.10 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage $42,605.00 $34,936.10 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $42,605.00 $34,936.10 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage $77,690.00 $50,498.50 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $77,690.00 $50,498.50 2025-11-26 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Empire Managedmedicaidnonaliessaessentialplans1Thru4 $1.00 $4.42 2026-05-13 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility WELLPOINT [250265] WELLPOINT FLORIDA [25026501] $1.08 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility WELLPOINT [250265] WELLPOINT FLORIDA [25026501] $1.08 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility WELLPOINT [250265] WELLPOINT FLORIDA [25026501] $1.08 $2.00 $0.40 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL BothFacility WELLPOINT [250265] WELLPOINT FLORIDA [25026501] $1.08 $2.00 $0.40 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH BothFacility WELLPOINT [250265] WELLPOINT FLORIDA [25026501] $1.08 $2.00 $0.40 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers BothFacility WELLPOINT [250265] WELLPOINT FLORIDA [25026501] $1.08 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility WELLPOINT [250265] WELLPOINT FLORIDA [25026501] $1.08 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility AVMED HEALTH PLAN [250204] AVMED HEALTH PLAN CONTRACTED [25020401] $1.18 $2.00 $0.40 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL BothFacility AVMED HEALTH PLAN [250204] AVMED HEALTH PLAN CONTRACTED [25020401] $1.18 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility AVMED HEALTH PLAN [250204] AVMED HEALTH PLAN CONTRACTED [25020401] $1.18 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility AVMED HEALTH PLAN [250204] AVMED HEALTH PLAN CONTRACTED [25020401] $1.18 $2.00 $0.40 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers BothFacility AVMED HEALTH PLAN [250204] AVMED HEALTH PLAN CONTRACTED [25020401] $1.18 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility AVMED HEALTH PLAN [250204] AVMED HEALTH PLAN CONTRACTED [25020401] $1.18 $2.00 $0.40 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH BothFacility AVMED HEALTH PLAN [250204] AVMED HEALTH PLAN CONTRACTED [25020401] $1.18 $2.00 $0.40 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH BothFacility BCBS [210001] BC FL PPO [21000101] $1.23 $2.00 $0.40 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL BothFacility BCBS [210001] BC FL PPO [21000101] $1.23 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility BCBS [210001] BC FL PPO [21000101] $1.23 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility BCBS [210001] BC FL PPO [21000101] $1.23 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility BCBS [210001] BC FL PPO [21000101] $1.23 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility BCBS [210001] BC FL PPO [21000101] $1.23 $2.00 $0.40 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers BothFacility BCBS [210001] BC FL PPO [21000101] $1.23 $2.00 $0.40 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers BothFacility GLOBAL EXCEL MANAGEMENT [250241] GLOBAL EXCEL CONTRACTED [25024101] $1.30 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility GLOBAL EXCEL MANAGEMENT [250241] GLOBAL EXCEL CONTRACTED [25024101] $1.30 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility GLOBAL EXCEL MANAGEMENT [250241] GLOBAL EXCEL CONTRACTED [25024101] $1.30 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility GLOBAL EXCEL MANAGEMENT [250241] GLOBAL EXCEL CONTRACTED [25024101] $1.30 $2.00 $0.40 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL BothFacility GLOBAL EXCEL MANAGEMENT [250241] GLOBAL EXCEL CONTRACTED [25024101] $1.30 $2.00 $0.40 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH BothFacility GLOBAL EXCEL MANAGEMENT [250241] GLOBAL EXCEL CONTRACTED [25024101] $1.30 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility GLOBAL EXCEL MANAGEMENT [250241] GLOBAL EXCEL CONTRACTED [25024101] $1.30 $2.00 $0.40 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers BothFacility CLARITEV/MULTIPLAN [250223] CLARITEV MULTIPLAN NETWORK [25022301] $1.60 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility CLARITEV/MULTIPLAN [250223] CLARITEV MULTIPLAN NETWORK [25022301] $1.60 $2.00 $0.40 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL BothFacility CLARITEV/MULTIPLAN [250223] CLARITEV MULTIPLAN NETWORK [25022301] $1.60 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility CLARITEV/MULTIPLAN [250223] CLARITEV MULTIPLAN NETWORK [25022301] $1.60 $2.00 $0.40 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH BothFacility CLARITEV/MULTIPLAN [250223] CLARITEV MULTIPLAN NETWORK [25022301] $1.60 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility CLARITEV/MULTIPLAN [250223] CLARITEV MULTIPLAN NETWORK [25022301] $1.60 $2.00 $0.40 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility CLARITEV/MULTIPLAN [250223] CLARITEV MULTIPLAN NETWORK [25022301] $1.60 $2.00 $0.40 2026-03-26 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient San Diego Pace San Diego Pace $2.09 $28,577.00 $21,432.75 2026-04-01 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Cdphp Commercial $2.43 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Cdphp Commercial $2.43 $4.42 2026-05-23 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON MCO UM [104] Plans $2.64 $63,038.11 $63,038.11 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) HR [40] Plans $2.89 $30,161.52 $30,161.52 2026-04-03 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SC WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - RI WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KS WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WY WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WI (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WA (PREMERA) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CARE NETWORK WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NM WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TN WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AZ WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MI WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - HI WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - WA (REGENCE) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (CAPITAL) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility PRE-EMPLOYMENT WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NJ (HORIZON) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MT WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NV (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MN WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NE WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCBS GENERIC WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OK WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NC WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - CA WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS DOMESTIC WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - LA WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IN (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ID WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL ALTERNATE WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCN DOMESTIC WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SD (WELLMARK) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AL WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ND WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TX WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - ID (REGENCE) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - UT (REGENCE) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MS WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OH (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility WC DOMESTIC WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FEDERAL WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MA WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CA (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NH (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VT WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FL WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK HMO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ME (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AK (PREMERA) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CO (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE DISTINCTION TRANSPLANT WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MO (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KY (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CT (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - GA (ANTHEM) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility KAISER DOMESTIC WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AR WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OR (REGENCE) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK PPO $3.36 $17,398.53 2026-03-31 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both United Commercial $3.38 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both United Commercial $3.38 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Mvp Commercial $3.50 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Mvp Commercial $3.50 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Emblemghi $3.54 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Harvardpilgrim $3.54 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Magnacare $3.54 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Magnacare $3.54 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Emblemghi $3.54 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Multiplan $3.54 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Harvardpilgrim $3.54 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Multiplan $3.54 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Threeriversprovidernetwork $3.76 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Threeriversprovidernetwork $3.76 $4.42 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Coventry $3.98 $4.42 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Coventry $3.98 $4.42 2026-05-13 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TUFTS TOGETHER W CHA [75001] CHA HB MEDICAID-STANDARD $4.44 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OOS MEDICAID [70002] CHA HB MEDICAID-STANDARD $4.44 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS GENERAL BRIGHAM [50021] CHA HB MEDICAID-STANDARD $4.44 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient UNITED HEALTH [40002] CHA HB MEDICAID-STANDARD $4.44 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS HEALTH [70001] CHA HB MEDICAID-STANDARD $4.44 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BOSTON MEDICAL CENTER - WELLSENSE [50003] CHA HB MEDICAID-STANDARD $4.44 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient FALLON [50006] CHA HB MEDICAID-STANDARD $4.44 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER TUFTS HEALTH PUBLIC PLAN [75002] CHA HB MEDICAID-STANDARD $4.44 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient AARP [40001] CHA HB MEDICARE MANAGED CARE - UHC $4.54 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient UNITED HEALTH [40002] CHA HB MEDICARE MANAGED CARE - UHC $4.54 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER TUFTS HEALTH PUBLIC PLAN [75002] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient SENIOR WHOLE HEALTH [65003] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient FALLON [50006] CHA HB FALLON CAREPLUS $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HPHC [20001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient RR MEDICARE [60002] CHA HB MEDICARE $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient FALLON [50006] CHA HB FALLON $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BCBS - MA [10001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BOSTON MEDICAL CENTER - WELLSENSE [50003] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HEALTH SAFETY NET [80001] CHA HB HEALTH SAFETY NET $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient CIGNA [50005] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TUFTS HEALTH PLAN [30001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient CHAMPVA [85001] CHA HB TRICARE $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BCBS - OUT OF STATE [10002] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient ELDER SERVICE PLAN [65002] CHA HB ELDER SERVICE PLAN $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient COMMONWEALTH CARE ALLIANCE [65001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TRICARE [85002] CHA HB TRICARE $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER COMMERCIAL PAYOR [50015] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HUMANA [50008] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HEALTH SAFETY NET [80001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER GOV'T PAYOR [85003] CHA HB TRICARE $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS GENERAL BRIGHAM [50021] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TUFTS HEALTH PLAN [30001] CHA HB Tufts Health Plan Medicare Preferred $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient AETNA [50001] CHA HB MEDICARE MANAGED CARE 100 PCT $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MEDICARE [60001] CHA HB MEDICARE $5.04 $8,276.15 $8,276.15 2026-03-20 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] BELOW FPIL WELLPOINT CHIP PERINATE [100708] $5.89 $55,068.97 $22,027.59 2026-05-29 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] ABOVE FPIL WELLPOINT CHIP PERINATE [100709] $5.89 $55,068.97 $22,027.59 2026-05-29 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER TUFTS HEALTH PUBLIC PLAN [75002] CHA HB TUFTS HEALTH PUBLIC PLANS QHP NON-SUBSIDIZED $8.13 $8,276.15 $8,276.15 2026-03-20 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON ACO UM [130] Plans $8.62 $63,038.11 $63,038.11 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER UM [121] Plans $8.62 $63,038.11 $63,038.11 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MASSHEALTH [20302] All MASSHEALTH UM [10] Plans $8.62 $63,038.11 $63,038.11 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO UM [212] Plans $8.62 $63,038.11 $63,038.11 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans $8.62 $63,038.11 $63,038.11 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 $63,038.11 $63,038.11 2026-03-26 MRF ↗

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