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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33289 — Tcat Impl Wrls P-art Prs Snr

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $28,318

Usually $13,387–$39,509 (25th–75th percentile) across 1,784 hospitals · 4,851 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 33289 — 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
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient None $75,922.13 $37,961.06 2024-12-15 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient None $75,922.13 $37,961.06 2024-12-15 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 $110,250.00 $32,634.00 2026-02-28 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage $87,584.50 $56,929.93 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $87,584.50 $56,929.93 2025-11-26 MRF ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $8.91 $75,693.00 $28,006.41 2026-03-31 MRF ↗
JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient CONTRA COSTA COUNTY JAIL [1012104] CCC JAIL [101210401] $9.32 $230,498.43 $103,724.29 2026-03-23 MRF ↗
JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient CONTRA COSTA COUNTY JAIL [1012104] CCC JAIL [101210401] $9.32 $234,470.46 $105,511.71 2026-03-23 MRF ↗
JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient CONTRA COSTA COUNTY JAIL [1012104] CCC JAIL [101210401] $9.32 $244,191.90 $109,886.35 2026-03-23 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $11.37 $80,778.90 $48,467.34 2026-03-24 MRF ↗
JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS Outpatient CONTRA COSTA COUNTY JAIL [1012104] CCC JAIL [101210401] $12.16 $254,334.35 $114,450.46 2026-03-23 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $19.10 $1,598.00 $1,598.00 2026-02-13 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 BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
Tyler Memorial Hospital OutpatientFacility None 2026-01-01 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HUMANA MEDICAID CONTRACTED [320486] HB JOPL OK MEDICAID $42.71 $104,125.57 $67,681.62 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB JOPL OK MEDICAID $42.71 $104,125.57 $67,681.62 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MEDICAID [20240] HB JOPL OK MEDICAID $42.71 $104,125.57 $67,681.62 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB JOPL OK MEDICAID $42.71 $104,125.57 $67,681.62 2026-03-13 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 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 ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PREFERRED MEDI-CAL PREFERRED MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MEDI-CAL MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ACCESS MEDI-CAL ACCESS MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BC MEDI-CAL BC MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Interplan Interplan $63.62 $44,330.00 $33,247.50 2026-04-01 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Blue Cross Blue Cross - Prudent Buyer $63.62 $44,330.00 $33,247.50 2026-04-01 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Multiplan Multiplan $63.62 $44,330.00 $33,247.50 2026-04-01 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Medicare Medicare $63.62 $44,330.00 $33,247.50 2026-04-01 MRF ↗
UNIVERSITY OF MARYLAND MEDICAL CENTER Both None $66.91 $65.57 2025-11-05 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHNET MCAL HEALTHNET MCAL $65.62 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $66.12 $1,148.00 $206.64 2026-01-30 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $70.59 $39,215.00 $29,978.89 2024-12-31 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - Meridian Medicaid - Meridian $74.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - United Medicaid - United $75.00 $733.00 $366.00 2025-02-03 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient GLOBAL CARE MCAL PROFEE ONLY GLOBAL CARE MCAL PROFEE ONLY $77.14 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HCLA MCAL PROFEE ONLY HCLA MCAL PROFEE ONLY $77.14 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $77.14 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient AHP MEDI-CAL AHP MEDI-CAL $77.14 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $77.14 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient EL PROYECTO MCAL PROFEE ONLY EL PROYECTO MCAL PROFEE ONLY $77.14 $1,148.00 $206.64 2026-01-30 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $80.25 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $80.25 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $80.25 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9397_UNITED HEALTHCARE VWIN 20250101 $80.25 2026-01-01 MRF ↗
CARLE BROMENN MEDICAL CENTER OutpatientFacility Cigna PPO $82.00 $32,324.00 $32,324.00 2026-04-15 MRF ↗
UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both None $83.78 $82.10 2025-11-05 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Brighton Health Plan All Products $82.15 $39,215.00 $29,978.89 2024-12-31 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $83.00 $733.00 $366.00 2025-02-03 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MOLINA MEDI-CAL MOLINA MEDI-CAL $88.16 $1,148.00 $206.64 2026-01-30 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $89.00 $733.00 $366.00 2025-02-03 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility MVP Individual Plan $89.00 $11,029.00 $9,374.65 2025-01-01 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $93.00 $733.00 $366.00 2025-02-03 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Hap HAPHMO $93.00 $81,037.00 $60,777.75 2025-01-31 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - United Medicaid - United $93.00 $733.00 $366.00 2025-02-03 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 $96,961.00 $58,176.60 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 $85,154.00 $51,092.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 $85,154.00 $51,092.40 2026-01-01 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - United Medicaid - United $98.00 $733.00 $366.00 2025-02-03 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient Aetna Better Health Ky Managed Care Medicaid Plan $99.50 $398.00 $202.98 2026-05-09 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient Humana Ky Managed Care Medicaid Plan $99.50 $398.00 $202.98 2026-05-09 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient Passport Ky Managed Care Medicaid Plan $103.48 $398.00 $202.98 2026-05-09 MRF ↗
MCLAREN BAY REGION Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $104.00 $733.00 $366.00 2025-02-03 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient Wellcare Ky Managed Care Medicaid Plan $104.67 $398.00 $202.98 2026-05-09 MRF ↗
HURLEY MEDICAL CENTER Both UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] UNITED HEALTH CARE MEDICAID [900401] $104.69 $635.00 $635.00 2026-03-23 MRF ↗
Rehabilitation Institute Of Michigan Outpatient Hap HAPHMO $104.79 2025-01-31 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $105.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Meridian Medicaid - Meridian $105.00 $733.00 $366.00 2025-02-03 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient United Health Care Ky Managed Care Medicaid Plan $105.07 $398.00 $202.98 2026-05-09 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $106.00 $733.00 $366.00 2025-02-03 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility Empire Medicare Advantage $107.00 $11,029.00 $9,374.65 2025-01-01 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - United Medicaid - United $107.00 $733.00 $366.00 2025-02-03 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO $87,584.50 $56,929.93 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 $87,584.50 $56,929.93 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 $87,584.50 $56,929.93 2025-11-26 MRF ↗
MCLAREN OAKLAND Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $114.00 $733.00 $366.00 2025-02-03 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] GENESEE HEALTH PLAN B [102204] $115.16 $635.00 $635.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] $115.16 $635.00 $635.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both KEY BENEFIT ADMINISTRATORS [1089] KEY BENEFIT ADMINISTRATORS [108901] $115.16 $635.00 $635.00 2026-03-23 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient BLUE CROSS PPO 1145_SJPK BLUE CROSS BLUE SHIELD PPO 20220401 $115.38 $50,332.00 $28,185.92 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient BC METRO DETROIT EPO 1139_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT EPO 20220401 $115.38 $50,332.00 $28,185.92 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient BC METRO DETROIT HMO 1141_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT HMO 20220401 $115.38 $50,332.00 $28,185.92 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient BCN LOCAL NETWORK SOUTHEAST 1149_SJPK BLUE CROSS BLUE SHIELD BCN LOCAL NETWORK SE 20220401 $115.38 $50,332.00 $28,185.92 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient BLUE CROSS TRADITIONAL 1147_SJPK BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 $115.38 $50,332.00 $28,185.92 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient BLUE CARE NETWORK 1143_SJPK BLUE CROSS BLUE SHIELD BCN 20220401 $115.38 $50,332.00 $28,185.92 2026-01-01 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $119.00 $733.00 $366.00 2025-02-03 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 1&2 [18803] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK MEDICARE [11402] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK ESSENTIALS [11404] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient GENERIC MEDICARE HMO [125] GENERIC MEDICARE HMO [12505] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA MEDICAID MANAGED CARE [18801] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 3&4 [18804] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MULTIPLAN [141] MULTIPLAN [14101] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient GENERIC CARRIER [107] COMMERCIAL [10701] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE [10301] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient EMBLEM GHI [113] EMBLEM GHI [11301] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient HIGHMARK [114] HIGHMARK [11401] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED BEHAVORIAL HEALTH [120] UNITED BEHAVORIAL HEALTH [12001] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN [10104] $121.86 $536.53 $536.53 2024-12-30 MRF ↗
ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility United Behavioral Health All Products $124.10 $52,752.00 $29,013.60 2025-01-01 MRF ↗
ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility United Behavioral Health All Products $124.10 $52,752.00 $29,013.60 2025-01-01 MRF ↗
MCLAREN MACOMB Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $127.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - United Medicaid - United $127.00 $733.00 $366.00 2025-02-03 MRF ↗
HURLEY MEDICAL CENTER Both PACE MEDICARE HMO [7023] GENESYS PACE MEDICARE HMO [702301] $128.30 $635.00 $635.00 2026-03-23 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - Molina Medicaid - Molina $131.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Tricare Tricare $132.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Molina Medicaid - Molina $136.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - Molina Medicaid - Molina $139.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicare - United Medicare - United $141.00 $733.00 $366.00 2025-02-03 MRF ↗
HURLEY MEDICAL CENTER Both VA MEDICAL CENTER [1061] VA COMMUNITY CARE NETWORK [106104] $142.55 $635.00 $635.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both AMBETTER [1094] AMBETTER OUT OF STATE [109402] $142.55 $635.00 $635.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both AMBETTER [1094] AMBETTER MARKETPLACE [109401] $142.55 $635.00 $635.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MOLINA MEDICARE [7006] MOLINA MEDICARE COMPLETE CARE [700602] $142.55 $635.00 $635.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MOLINA [1071] MOLINA MARKETPLACE [107102] $142.55 $635.00 $635.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both BLUE CARE NETWORK ADVANTAGE [7001] BLUE CARE NETWORK ADVANTAGE [700101] $142.55 $635.00 $635.00 2026-03-23 MRF ↗
MCLAREN MACOMB Outpatient WC - Workers Compensation WC - Workers Compensation $143.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - Meridian Medicaid - Meridian $145.00 $733.00 $366.00 2025-02-03 MRF ↗
WYCKOFF HEIGHTS MEDICAL CENTER Outpatient Aetna/Coventry Medical Rental Products $145.75 $53,275.46 $53,275.46 2026-05-26 MRF ↗
WYCKOFF HEIGHTS MEDICAL CENTER Outpatient Aetna/Coventry Gatekeeper/Non Gatekeeper $145.75 $53,275.46 $53,275.46 2026-05-26 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Traditional Medicare HMO PPO Traditional Medicare HMO PPO $146.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient HAP - HMO HAP - HMO $149.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Tricare Tricare $149.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Medicare - Molina Medicare - Molina $149.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicare - Humana Medicare - Humana $150.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicare - Priority Health Medicare - Priority Health $154.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Medicare - United Medicare - United $156.00 $733.00 $366.00 2025-02-03 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility BSNENY Medicare Advantage $157.00 $11,029.00 $9,374.65 2025-01-01 MRF ↗
JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility Horizon Managed Medicaid $157.70 $39,215.00 $29,556.21 2024-12-31 MRF ↗
ARKANSAS HEART HOSPITAL, LLC OutpatientFacility United Healthcare All Commercial Products $159.00 $52,000.00 $41,600.00 2025-11-21 MRF ↗
ARKANSAS HEART HOSPITAL, LLC OutpatientFacility United Healthcare All Commercial Products $159.00 $52,000.00 $41,600.00 2025-11-21 MRF ↗
ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility United Healthcare All Commercial Products $159.00 $52,000.00 $41,600.00 2025-11-21 MRF ↗
HURLEY MEDICAL CENTER Both TRICARE [1056] TRICARE WEST [105601] $159.24 $635.00 $635.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both VHA OFFICE OF COMMUNITY CARE [1011] CHAMPVA [101101] $159.24 $635.00 $635.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both HUMANA MILITARY [1098] HUMANA MILITARY TRICARE EAST [109801] $159.24 $635.00 $635.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both TRICARE [1056] TRICARE FOR LIFE [105602] $159.24 $635.00 $635.00 2026-03-23 MRF ↗
ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient UHC NEXUS UHC NEXUS $160.00 $91,545.00 $45,772.50 2026-01-17 MRF ↗
SOUTHERN OHIO MEDICAL CENTER InpatientFacility Molina Healthcare Benefit Exchange $160.50 $535.00 $267.50 2026-01-23 MRF ↗
ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient UHC EXCHANGE UHC EXCHANGE $162.00 $91,545.00 $45,772.50 2026-01-17 MRF ↗
HURLEY MEDICAL CENTER Both MCLAREN HEALTH ADVANTAGE [1038] MCLAREN HEALTH ADVANTAGE [103801] $162.42 $635.00 $635.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MCLAREN HEALTH ADVANTAGE [1038] MCLAREN HEALTH PLAN COMMUNITY [103802] $162.42 $635.00 $635.00 2026-03-23 MRF ↗
MCLAREN BAY REGION Outpatient United Healthcare United Healthcare $163.00 $733.00 $366.00 2025-02-03 MRF ↗
CAREWELL HEALTH MEDICAL CENTER OutpatientFacility Horizon New Jersey Health Managed Medicaid $164.70 2025-06-17 MRF ↗
TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility Wellpoint NJ Family Care $164.89 2026-03-04 MRF ↗
CHI Memorial Hospital - Hixson Outpatient BCBS - TN Commercial|Network S $167.00 $110,250.00 $32,634.00 2026-02-28 MRF ↗
MCLAREN BAY REGION Outpatient Tricare Tricare $168.00 $733.00 $366.00 2025-02-03 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility Meridian Health Plan of MI MEDICAID HMO $168.09 $7,289.00 2025-06-28 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility McLaren MEDICAID $168.09 $7,289.00 2025-06-28 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility HAP CareSource MEDICAID $168.09 $7,289.00 2025-06-28 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility Priority Health MEDICAID $168.09 $7,289.00 2025-06-28 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility Blue Cross Complete MEDICAID $168.09 $7,289.00 2025-06-28 MRF ↗
UPMC MEMORIAL OutpatientFacility Highmark BCBS of PA Medicare $168.80 $72,056.00 $43,233.60 2026-03-06 MRF ↗
NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility United Healthcare Community Plan $169.74 $17,219.00 2026-03-04 MRF ↗

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