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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36000050 — Hc Surgery 1st Minute Level 0

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 $420

Usually $170–$1,106 (25th–75th percentile) across 8 hospitals · 87 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 36000050 — 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
Ascension NE Wisconsin - Mercy Campus Outpatient ANTHEM PATHWAYS 946_ANTHEM PATHWAYS MEWI SEWI 20230101 $73.50 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Both ACA 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 $92.75 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PATHWAYS 946_ANTHEM PATHWAYS MEWI SEWI 20230101 $94.08 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PATHWAYS 946_ANTHEM PATHWAYS MEWI SEWI 20230101 $94.08 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient ANTHEM BLUE CONNECTION 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 $94.50 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient SMARTHEALTH 977_SMARTHEALTH OUTPATIENT CAWI 20230101 $98.56 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient WELLCARE 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 $98.56 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient MEDICARE REPLACEMENT 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 $98.56 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient SMARTHEALTH 977_SMARTHEALTH OUTPATIENT CAWI 20230101 $98.56 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient MEDICARE REPLACEMENT 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 $98.56 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient WELLCARE 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 $98.56 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient NETWORK HEALTH PLAN 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 $99.75 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient VETERANS ADMINISTRATION 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 $103.04 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient TRICARE 619_TRICARE OUTPATIENT CAWI 20200201 $103.04 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient MEDICARE RAILROAD 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 $103.04 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient VETERANS ADMINISTRATION 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 $103.04 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both VETERANS ADMINISTRATION 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 $103.04 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both TRICARE 623_TRICARE INPATIENT CAWI 20200201 $103.04 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both MEDICARE RAILROAD 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 $103.04 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both TRICARE 623_TRICARE INPATIENT CAWI 20200201 $103.04 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both MEDICARE RAILROAD 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 $103.04 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient MEDICARE RAILROAD 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 $103.04 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient TRICARE 619_TRICARE OUTPATIENT CAWI 20200201 $103.04 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both VETERANS ADMINISTRATION 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 $103.04 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient ALLIANCE 885_ALLIANCE MEWI SEWI 20221001 $103.25 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient ANTHEM HMO POS 1000_ANTHEM HMO POS MEWI SEWI 20230401 $105.00 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient MOLINA MARKETPLACE 521_MOLINA MARKETPLACE CAWI 20190615 $107.52 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient MOLINA MARKETPLACE 521_MOLINA MARKETPLACE CAWI 20190615 $107.52 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $112.00 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient CCHP 931_CCHP MEWI SEWI 20230101 $117.25 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient SEHN 895_SEHN MEWI SEWI 20221001 $117.25 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both ACA 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 $118.72 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both ACA 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 $118.72 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient PREVEA COMMERCIAL AND EXCHANGE 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 $119.00 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $120.75 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM BLUE CONNECTION 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 $120.96 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM BLUE CONNECTION 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 $120.96 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient HUMANA PPO 961_HUMANA PPO MEWI SEWI 20230301 $122.50 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient DEAN HEALTH PLAN 942_DEAN HEALTH PLAN 20210901 $122.50 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient HUMANA WVN 962_HUMANA WVN MEWI SEWI 20230301 $122.50 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient HUMANA HMO POS 936_HUMANA HMO POS MEWI SEWI 20230301 $122.50 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient HEALTH PAYMENT SYSTEMS 997_HEALTH PAYMENT SYSTEMS 20230701 $126.00 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NETWORK HEALTH PLAN 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 $127.68 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NETWORK HEALTH PLAN 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 $127.68 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ALLIANCE 885_ALLIANCE MEWI SEWI 20221001 $132.16 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ALLIANCE 885_ALLIANCE MEWI SEWI 20221001 $132.16 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient ANTHEM PPO 1001_ANTHEM PPO MEWI SEWI 20230401 $133.00 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM HMO POS 1000_ANTHEM HMO POS MEWI SEWI 20230401 $134.40 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM HMO POS 1000_ANTHEM HMO POS MEWI SEWI 20230401 $134.40 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient WPS 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 $140.00 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient TRILOGY 1007_TRILOGY MEWI SEWI 20230701 $140.00 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient ARISE 1008_ARISE PREMIER MEWI SEWI 20230701 $141.75 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $143.36 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $143.36 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient AETNA 472_AETNA MEWI SEWI 20180701 $145.25 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CCHP 931_CCHP MEWI SEWI 20230101 $150.08 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient SEHN 895_SEHN MEWI SEWI 20221001 $150.08 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CCHP 931_CCHP MEWI SEWI 20230101 $150.08 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient SEHN 895_SEHN MEWI SEWI 20221001 $150.08 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient PREVEA COMMERCIAL AND EXCHANGE 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 $152.32 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient PREVEA COMMERCIAL AND EXCHANGE 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 $152.32 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient WEA 267_WEA ALL POLICIES 20160101 $154.00 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient EOS/MULITPLAN 235_HEALTH EOS/MULTIPLAN 20160401 $154.00 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $154.56 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ACA 908_NETWORK HEALTH PLAN ACA CAWI 20220101 $154.56 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $154.56 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ACA 908_NETWORK HEALTH PLAN ACA CAWI 20220101 $154.56 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NETWORK HEALTH PLAN 937_NETWORK HEALTH PLAN CAWI 20230101 $154.56 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NETWORK HEALTH PLAN 937_NETWORK HEALTH PLAN CAWI 20230101 $154.56 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient NEHA PPO BROAD 568_NEHA PPO BROAD 20200101 $155.75 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient NEHA PPO ON/NEAR SITE 569_NEHA PPO ON/NEAR SITE 20200101 $155.75 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NEHA LIMITED 838_NEHA LIMITED CAWI 20220101 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient DEAN HEALTH PLAN 942_DEAN HEALTH PLAN 20210901 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient SEHN 268_SEHN CAWI 20160101 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA PPO 961_HUMANA PPO MEWI SEWI 20230301 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NEHA 837_NEHA ASCENSION ONLY CAWI 20220101 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA HMO POS 936_HUMANA HMO POS MEWI SEWI 20230301 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA WVN 962_HUMANA WVN MEWI SEWI 20230301 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA WVN 962_HUMANA WVN MEWI SEWI 20230301 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NEHA 837_NEHA ASCENSION ONLY CAWI 20220101 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NEHA LIMITED 838_NEHA LIMITED CAWI 20220101 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient SEHN 268_SEHN CAWI 20160101 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA HMO POS 936_HUMANA HMO POS MEWI SEWI 20230301 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient DEAN HEALTH PLAN 942_DEAN HEALTH PLAN 20210901 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA PPO 961_HUMANA PPO MEWI SEWI 20230301 $156.80 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Both HUMANA BEHAVIORAL HMO PPO 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 $157.50 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Both HUMANA BEHAVIORAL WVN 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 $157.50 $175.00 $99.75 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient CIGNA 1004_CIGNA 20230701 $161.00 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PATHWAYS 960_ANTHEM PATHWAYS CAWI 20230101 $161.28 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HEALTH PAYMENT SYSTEMS 997_HEALTH PAYMENT SYSTEMS 20230701 $161.28 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HEALTH PAYMENT SYSTEMS 997_HEALTH PAYMENT SYSTEMS 20230701 $161.28 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PATHWAYS 960_ANTHEM PATHWAYS CAWI 20230101 $161.28 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient EOS/MULTIPLAN WC 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 $166.25 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PPO 1001_ANTHEM PPO MEWI SEWI 20230401 $170.24 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PPO 1001_ANTHEM PPO MEWI SEWI 20230401 $170.24 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM BLUE CONNECTION 902_ANTHEM BLUE CONNECTION CAWI 20230101 $174.72 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM BLUE CONNECTION 902_ANTHEM BLUE CONNECTION CAWI 20230101 $174.72 $224.00 $127.68 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Both CDM DEFAULT - NON-NEGOTIATED RATE CDM DEFAULT - NON-NEGOTIATED RATE $175.00 $175.00 $99.75 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient TRILOGY 1007_TRILOGY MEWI SEWI 20230701 $179.20 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient WPS 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 $179.20 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient WPS 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 $179.20 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient TRILOGY 1007_TRILOGY MEWI SEWI 20230701 $179.20 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ARISE 1008_ARISE PREMIER MEWI SEWI 20230701 $181.44 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ARISE 1008_ARISE PREMIER MEWI SEWI 20230701 $181.44 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient AETNA 472_AETNA MEWI SEWI 20180701 $185.92 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient AETNA 473_AETNA CAWI 20170701 $185.92 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient AETNA 473_AETNA CAWI 20170701 $185.92 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient AETNA 472_AETNA MEWI SEWI 20180701 $185.92 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA PPO 879_HUMANA PPO CAWI 20221001 $190.40 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA PPO 879_HUMANA PPO CAWI 20221001 $190.40 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CCHP 528_CCHP CAWI 20180101 $190.40 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient WPS 1010_WISCONSIN PHYSICIAN SERVICES CAWI 20230701 $190.40 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient WPS 1010_WISCONSIN PHYSICIAN SERVICES CAWI 20230701 $190.40 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CCHP 528_CCHP CAWI 20180101 $190.40 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW3 1011_CENTIVO NW3 CAWI 20220101 $192.64 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ARISE 877_ARISE PREMIER CAWI 20221001 $192.64 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW3 1011_CENTIVO NW3 CAWI 20220101 $192.64 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ARISE 877_ARISE PREMIER CAWI 20221001 $192.64 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ALLIANCE 994_ALLIANCE CAWI 20210701 $194.88 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM HMO POS 903_ANTHEM HMO POS CAWI 20230101 $194.88 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PPO 904_ANTHEM PPO CAWI 20230101 $194.88 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ALLIANCE 994_ALLIANCE CAWI 20210701 $194.88 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM HMO POS 903_ANTHEM HMO POS CAWI 20230101 $194.88 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PPO 904_ANTHEM PPO CAWI 20230101 $194.88 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient EOS/MULITPLAN 235_HEALTH EOS/MULTIPLAN 20160401 $197.12 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient WEA 267_WEA ALL POLICIES 20160101 $197.12 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient EOS/MULITPLAN 235_HEALTH EOS/MULTIPLAN 20160401 $197.12 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient WEA 267_WEA ALL POLICIES 20160101 $197.12 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NEHA PPO ON/NEAR SITE 569_NEHA PPO ON/NEAR SITE 20200101 $199.36 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NEHA PPO BROAD 568_NEHA PPO BROAD 20200101 $199.36 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NEHA PPO ON/NEAR SITE 569_NEHA PPO ON/NEAR SITE 20200101 $199.36 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NEHA PPO BROAD 568_NEHA PPO BROAD 20200101 $199.36 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both HUMANA BEHAVIORAL WVN 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 $201.60 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both HUMANA BEHAVIORAL WVN 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 $201.60 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA HMO POS 878_HUMANA HMO POS CAWI 20221001 $201.60 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA WVN 880_HUMANA WVN CAWI 20221001 $201.60 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both HUMANA BEHAVIORAL HMO PPO 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 $201.60 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient UNITED HEALTH CARE PPO 123_UNITED HEALTH CARE PPO CAWI 20130101 $201.60 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA WVN 880_HUMANA WVN CAWI 20221001 $201.60 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA HMO POS 878_HUMANA HMO POS CAWI 20221001 $201.60 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient UNITED HEALTH CARE PPO 123_UNITED HEALTH CARE PPO CAWI 20130101 $201.60 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both HUMANA BEHAVIORAL HMO PPO 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 $201.60 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient UNITED HEALTH CARE POS 1003_UNITED HEALTH CARE POS CAWI 20230401 $203.84 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient UNITED HEALTH CARE POS 1003_UNITED HEALTH CARE POS CAWI 20230401 $203.84 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CIGNA 1004_CIGNA 20230701 $206.08 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient TRILOGY 1006_TRILOGY CAWI 20230701 $206.08 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CIGNA 1004_CIGNA 20230701 $206.08 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient TRILOGY 1006_TRILOGY CAWI 20230701 $206.08 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW1 806_CENTIVO NW1 CAWI 20220101 $208.32 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW1 806_CENTIVO NW1 CAWI 20220101 $208.32 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient EOS/MULTIPLAN WC 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 $212.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient EOS/MULTIPLAN WC 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 $212.80 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both CDM DEFAULT - NON-NEGOTIATED RATE CDM DEFAULT - NON-NEGOTIATED RATE $224.00 $224.00 $127.68 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both CDM DEFAULT - NON-NEGOTIATED RATE CDM DEFAULT - NON-NEGOTIATED RATE $224.00 $224.00 $127.68 2026-01-01 MRF ↗
MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility Anthem HMO/PPO/Traditional $319.04 $1,642.00 $492.60 2026-02-13 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility PACE Senior Care Partners $319.54 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility PACE Senior Care Partners $319.54 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility UHC Dual Complete DSNP $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility BCN Medicare Advantage $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Railroad Medicare Medicare $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility VA VA $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility UHC Medicare Advantage $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility UHC Exchange $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility UHC Dual Complete DSNP $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility VA VA $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility PACE SWMI $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Health Alliance Plan Medicare Advantage $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility BCBS MAPPO $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility UHC Exchange $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility UHC Medicare Advantage $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Railroad Medicare Medicare $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility BCN Medicare Advantage $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility PHP Medicare Advantage $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility PACE SWMI $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Health Alliance Plan Medicare Advantage $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility BCBS MAPPO $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility PHP Medicare Advantage $336.36 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Priority Health Medicare $339.73 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Priority Health Medicare $339.73 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Aetna Medicare $349.82 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Aetna Medicare $349.82 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $353.18 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $353.18 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility MI Amish Medical Board Commercial $386.82 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility MI Amish Medical Board Commercial $386.82 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Allen County Amish Medical Aid Commercial $420.45 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Amish Plain Church Group Commercial $420.45 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Allen County Amish Medical Aid Commercial $420.45 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility Amish Plain Church Group Commercial $420.45 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON METHODIST HOSPITAL OutpatientFacility UMR Bronson Commercial $497.82 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON BATTLE CREEK HOSPITAL OutpatientFacility BCBS Complete $538.18 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON BATTLE CREEK HOSPITAL OutpatientFacility BCBS Complete $538.18 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility BCBS Complete $538.18 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON LAKEVIEW HOSPITAL OutpatientFacility BCBS Complete $538.18 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON SOUTH HAVEN HOSPITAL OutpatientFacility BCBS Complete $538.18 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON METHODIST HOSPITAL OutpatientFacility BCBS Complete $538.18 $1,345.45 $1,076.36 2026-02-01 MRF ↗
BRONSON METHODIST HOSPITAL InpatientFacility UMR Bronson Commercial $592.00 $1,345.45 $1,076.36 2026-02-01 MRF ↗
MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility Chamber Care TruConnect $1,642.00 $492.60 2026-02-13 MRF ↗
MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility TriCare Government $1,642.00 $492.60 2026-02-13 MRF ↗
MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility Sagamore Commercial $1,642.00 $492.60 2026-02-13 MRF ↗

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