33903 — Perq P-art Revsc 1 Abnor Bi
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Perq p-art revsc 1 abnor bi (OTHER 33903) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/33903?code_type=OTHER
MLA (9th ed.)
“Perq p-art revsc 1 abnor bi (OTHER 33903) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/33903?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Perq p-art revsc 1 abnor bi (OTHER 33903) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/33903?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,151–$24,711 (25th–75th percentile) across 27 hospitals · 117 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 33903 — 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 |
|---|---|---|---|---|---|---|---|
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | — | — | — | 2026-05-23 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $468.77 | $1,824.00 | $534.61 | 2026-07-05 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $512.64 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $512.64 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $517.62 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $521.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $521.72 | — | — | 2026-05-14 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1028 Advantage Aetna | — | $528.73 | $2,262.00 | — | 2026-08-01 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 750 Tricare | — | $579.80 | $2,262.00 | — | 2026-08-01 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1022 Advantage Humana | — | $672.26 | $2,262.00 | — | 2026-08-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $693.30 | $1,824.00 | $534.61 | 2026-07-05 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1023 Advantage United Healthcare | — | $744.85 | $2,262.00 | — | 2026-08-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $746.02 | $1,824.00 | $534.61 | 2026-07-05 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $767.82 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $767.82 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $767.82 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $767.82 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $775.99 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $775.99 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $793.91 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $793.91 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $793.91 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $793.91 | — | — | 2026-05-24 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $811.81 | $2,345.00 | $1,641.50 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $811.81 | $2,345.00 | $1,641.50 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $811.81 | $2,345.00 | $1,641.50 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $811.81 | $2,345.00 | $1,641.50 | 2026-05-22 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $815.88 | $1,824.00 | $534.61 | 2026-07-05 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $816.83 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $816.83 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $816.83 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $816.83 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $816.83 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $816.83 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $816.83 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $816.83 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $816.83 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $816.83 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $816.83 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $816.83 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $816.83 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $816.83 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $833.17 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $833.17 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $833.17 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $833.17 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $833.24 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $833.24 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $833.24 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $833.24 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $841.33 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $841.33 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $841.33 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $841.33 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $841.33 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $841.33 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $858.23 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $858.24 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $869.53 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $869.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $869.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $869.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $869.53 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $869.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $869.53 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $869.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $869.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $869.53 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $869.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $869.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $869.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $869.53 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $869.53 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $869.53 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $869.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $869.53 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $869.53 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $869.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $869.53 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $869.53 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $874.90 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $882.18 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $882.18 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $890.34 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $890.34 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $912.04 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $912.04 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $928.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $928.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $946.66 | $1,824.00 | $534.61 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $946.66 | $1,824.00 | $534.61 | 2026-07-05 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $958.22 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $999.20 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $999.20 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $1,083.21 | — | — | 2026-05-23 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cigna | — | $1,094.40 | $1,824.00 | $534.61 | 2026-07-05 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $1,094.90 | — | — | 2026-05-23 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 300 Blue Cross | — | $1,124.53 | $2,262.00 | — | 2026-08-01 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $1,134.41 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $1,166.53 | — | — | 2026-05-23 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Ppo | $1,172.16 | $2,345.00 | $1,641.50 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Ppo | $1,172.16 | $2,345.00 | $1,641.50 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Hmo | $1,172.16 | $2,345.00 | $1,641.50 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Hmo | $1,172.16 | $2,345.00 | $1,641.50 | 2026-05-14 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Comm | — | $1,207.31 | $1,824.00 | $534.61 | 2026-07-05 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $1,210.97 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $1,211.04 | — | — | 2026-05-23 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Comm | — | $1,222.08 | $1,824.00 | $534.61 | 2026-07-05 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Ppo | $1,236.68 | $2,345.00 | $1,641.50 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Ppo | $1,236.68 | $2,345.00 | $1,641.50 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Hmo | $1,236.68 | $2,345.00 | $1,641.50 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Hmo | $1,236.68 | $2,345.00 | $1,641.50 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $1,268.57 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $1,268.57 | — | — | 2026-05-13 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kern Health | All | — | — | — | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Cross Medi-Cal | All | $1,366.00 | — | — | 2026-05-08 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Comm | — | $1,368.00 | $1,824.00 | $534.61 | 2026-07-05 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $1,411.79 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $1,411.79 | — | — | 2026-05-23 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $1,424.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $1,424.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $1,424.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $1,424.00 | — | — | 2026-05-22 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Wellspan | — | $1,440.96 | $1,824.00 | $534.61 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Multiplan | — | $1,459.20 | $1,824.00 | $534.61 | 2026-07-05 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $1,478.00 | — | — | 2026-05-13 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $1,478.00 | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $1,478.00 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $1,482.88 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $1,482.88 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $1,482.88 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $1,482.88 | — | — | 2026-05-24 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Bcbs | Ppo | $1,524.25 | $2,345.00 | $1,641.50 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Bcbs | Ppo | $1,524.25 | $2,345.00 | $1,641.50 | 2026-05-14 | MRF ↗ |
| HARRIS HEALTH Outpatient | Uhc | Commercial | $1,573.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Uhc | Commercial | $1,573.00 | — | — | 2026-05-22 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Adventist | All | $1,633.00 | — | — | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Net Medi-Cal | All | $1,684.00 | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $1,694.15 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $1,694.15 | — | — | 2026-05-23 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Tenncare Select | $1,800.00 | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Tenncare Select | $1,800.00 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Tenncare Select | $1,800.00 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $1,816.56 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,823.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,823.00 | — | — | 2026-05-24 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Bcbs | Hmo | $1,876.00 | $2,345.00 | $1,641.50 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Bcbs | Hmo | $1,876.00 | $2,345.00 | $1,641.50 | 2026-05-14 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 501 United Healthcare | — | $1,920.88 | $2,262.00 | — | 2026-08-01 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 402 Aetna Life Insurance | — | $1,924.76 | $2,262.00 | — | 2026-08-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Cencal | All | $2,075.00 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $3,115.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $3,115.00 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $3,143.27 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $3,143.27 | — | — | 2026-05-24 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Amerigroup Tx | Medicaid | $5,338.09 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Medicaid | Medicaid | $5,338.09 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Superior Tx | Medicaid | $5,338.09 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $5,370.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $5,370.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $5,370.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $5,370.00 | — | — | 2026-05-13 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | El Paso Health | Medicaid | $5,444.85 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Molina Tx | Medicaid | $5,871.90 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $5,966.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $5,966.00 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | First Care Star | Medicaid | $6,177.24 | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $6,260.00 | — | — | 2026-05-08 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $6,367.76 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $6,367.76 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $6,367.76 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $6,367.76 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $6,367.76 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $6,367.76 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $6,367.76 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $6,564.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $6,564.00 | — | — | 2026-05-13 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield | All | $6,610.00 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | In Medicaid | $6,907.38 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | In Medicaid | $6,907.38 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Community Care Health Plan | All | $7,073.00 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Tn Individual Exchange Benefit | $7,548.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Tn Individual Exchange Benefit | $7,548.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Core | $7,590.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Core | $7,590.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Commercial | $7,924.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Nexus Aco Oap | $7,924.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Nexus Aco Oap | $7,924.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Commercial | $7,924.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $8,135.48 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $8,135.48 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana Military | Tricare | $8,796.34 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana Military | Tricare | $8,796.34 | — | — | 2026-05-13 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Uhc | Nexus | $9,028.00 | — | — | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Uhc | Nexus | $9,028.00 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Horizon | Hmo | — | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Humana | Military Tricare | $9,150.55 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Humana | Military Tricare | $9,150.55 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Humana | Military Tricare | $9,150.55 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Humana | Military Tricare | $9,150.55 | — | — | 2026-05-14 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.