3610014 — Or Lvl 7 Ea Add Min
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OR LVL 7 EA ADD MIN (CDM 3610014) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3610014?code_type=CDM
MLA (9th ed.)
“OR LVL 7 EA ADD MIN (CDM 3610014) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3610014?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“OR LVL 7 EA ADD MIN (CDM 3610014) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3610014?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $102–$170 (25th–75th percentile) across 4 hospitals · 90 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3610014 — 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 |
|---|---|---|---|---|---|---|---|
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage HMO | $11.00 | $21.00 | $5.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Texas Children's Health Plan | HMO | $15.00 | $21.00 | $5.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Prime Health Services | Commercial | $16.00 | $21.00 | $5.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $17.00 | $21.00 | $5.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $17.00 | $21.00 | $5.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield of Texas | PPO | $17.00 | $21.00 | $5.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Rockport | Commercial | $18.00 | $21.00 | $5.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Scott and White | Commercial | $19.00 | $21.00 | $5.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Multiplan | Commercial | $19.00 | $21.00 | $5.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Cigna | Medicare Advantage | $25.00 | $21.00 | $5.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | PRESUMPTIVE ELIGIBILITY | PRESUMPTIVE ELIGIBILITY | $42.50 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MEDICAID PENDING | MEDICAID PENDING | $42.50 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | FINANCIAL ASSISTANCE | FINANCIAL ASSISTANCE | $42.50 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | SELF PAY LT 090123 | DNU SELF PAY PRIOR 9.1.23 | $42.50 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | SELF PAY GT 08.31.23 | SELF PAY 090123 | $42.50 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD MOLINA | MCD MOLINA CHIP | $61.20 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MEDICAID TEXAS | MEDICAID TEXAS | $61.20 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD COOKS CHILDREN | MCD COOKS CHILDREN | $61.20 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD WELLPOINT (AMGRP) | MCD WELLPT CHIP PERINATA | $61.20 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD SUPERIOR | MCD SUPERIOR CHIP | $61.20 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD TEXAS CHILDREN | MCD TEXAS CHILDREN | $61.20 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | UNITED BEHAVIORAL HEALTH | UNITED BEHAVIORAL HEALTH | $68.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | UNITED HEALTH CARE HMO | UNITED HEALTH CARE PPO | $68.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | UNITED HEALTH CARE HMO | UNITED HEALTH CARE HMO | $68.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Cigna | Commercial | $68.00 | $170.00 | $43.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | UNITED HEALTH CARE HMO | UHC SHARED SERVICES | $68.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of Texas | Blue Essentials | $85.00 | $170.00 | $43.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage | $85.00 | $170.00 | $43.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of Texas | Commercial | $85.00 | $170.00 | $43.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | BLUE CROSS HMO | BLUE CROSS BAV | $85.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | BLUE CROSS HMO | BLUE CROSS PPO | $85.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | UMR | UMR NTMC EMPLOYEE | $85.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | BLUE CROSS HMO | BLUE CROSS HMO ESSENTIALS | $85.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | FIRST HEALTH PPO | FIRST HEALTH PPO | $102.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Healthcare Highways | PPO | $102.00 | $170.00 | $43.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | First Health | PPO | $102.00 | $170.00 | $43.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | CIGNA PPO | CIGNA HMO | $102.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | CIGNA PPO | CIGNA PPO | $102.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Aetna | Commercial | $105.00 | $170.00 | $43.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | WEBPTA | WEBTPA | $105.40 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | AETNA HMO | AETNA PPO | $105.40 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | AETNA HMO | AETNA HMO | $105.40 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD MOLINA | MCD MOLINA | $111.99 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD UHC STAR | MCD UHC STAR PLUS | $113.83 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD CENPATICO | MCD CENPATICO | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD TEXAS TRUE CHOICE | MCD TEXAS TRUE CHOICE | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD TEXAS CHILDREN | MCD TEXAS CHILDREN | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD COOKS CHILDREN | MCD COOKS CHILDREN | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD MOLINA | MCD MOLINA | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD WELLPOINT (AMGRP) | MCD WELLPOINT | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD PARKLAND | MCD PARKLAND | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD CIGNA STAR PLUS | MCD CIGNA STAR PLUS | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD BCBS | MCD BCBS | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD BCBS | MCD BCBS STAR | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD AETNA | MCD AETNA | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD AETNA | MCD AETNA OKLAHOMA | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MEDICAID OUT OF STATE | MEDICAID OUT OF STATE | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MEDICAID OKLAHOMA | MEDICAID OKLAHOMA IP | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD UHC STAR | MCD UHC STAR KIDS | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD SUPERIOR | MCD SUPERIOR | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD MISC | MCD MISCELLANEOUS | $115.05 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MCD MOLINA | MCD MOLINA | $118.38 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | MultiPlan | PPO | $119.00 | $170.00 | $43.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MULTIPLAN PHCS PPO | MEDI-SHARE PHCS | $119.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MULTIPLAN PHCS PPO | MULTIPLAN PHCS PPO | $119.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | HUMANA PPO | HUMANA PPO | $127.50 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | HUMANA PPO | HUMANA PPO | $144.50 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | HEALTHSMART PPO | HEALTHSMART PPO | $144.50 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Provider Select | PPO | $145.00 | $170.00 | $43.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Prime Health | PPO | $153.00 | $170.00 | $43.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | INS MGMT SERVICES PPO | INS MGMT SERVICES PPO | $153.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | United Healthcare | Commercial | $156.00 | $170.00 | $43.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | PAN AMERICAN LIFE | PAN AMERICAN LIFE | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MOTOR VEHICLE ACCIDENT | MOTOR VEHICLE ACCIDENT | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | GEHA | GEHA | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | CHAMPVA | CHAMPVA | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | COMPREHENSIVE BENEFITS | COMPREHENSIVE BENEFITS | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | GUARDIAN | GUARDIAN | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | HEALTH AMERICA | HEALTH AMERICA | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | AARP | AARPTSH | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | AARP | AARP | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | TRAVELERS | TRAVELERS | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | PRIME HEALTH SERVICES WC | PRIME HEALTH SERVICES WC | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | SCOTT & WHITE | SCOTT & WHITE | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | NEW ERA LIFE | NEW ERA LIFE | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | AETNA SENIOR SUPPLEMENT | AETNA SENIOR SUPPLEMENT | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | GALAXY PPO | GALAXY PPO | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | PROVIDER SELECT PPO | PROVIDER SELECT PPO | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | USA MCO PPO | USA MCO PPO | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | AFLAC | AFLAC | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | AFRP RESPONSIBLE PLANNERS | AFRP RESPONSIBLE PLANNERS | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | CARE CONSOLIDATED RR EMP | CARE CONSOLIDATED RR EMP | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | GREAT WEST HEALTHCARE | GREAT WEST HEALTHCARE | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | HEALTHCHOICE SELECT | HEALTHCHOICE SELECT | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | OMAHA INSURANCE CO | OMAHA INSURANCE CO | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | PRINCIPAL FINANCIAL GROUP | PRINCIPAL FINANCIAL GROUP | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | SHENANDOAH LIFE | SHENANDOAH LIFE | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | TML | TML | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | TRANSAMERICA LIFE | TRANSAMERICA LIFE | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | TRS | TRS | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | ALLSAVERS | ALLSAVERS | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MONCRIEF INSTITUTE | MONCRIEF INSTITUTE | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MISCELLANEOUS INC | MISCELLANEOUS INS | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | CORPORATE REMEDIES WC | CORPORATE REMEDIES WC | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | GEHA | MOLINA COMMERCIAL | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | THIRD PARTY LIABILITY | THIRD PARTY LIABILITY | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | PROMPT PAY | PROMPT PAY | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | LAW ENFORCEMENT | COMMUNITY BENEFITS | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | LAW ENFORCEMENT | COOKE COUNTY SHERIFF | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | COUNTY INDIGENT | COUNTY INDIGENT | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MD SAVE | MD SAVE | $170.00 | $170.00 | $42.50 | 2025-10-06 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | UHC NHP | 2530_UNITED HEALTH CARE NHP PSH 20250701 | $1,223.26 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS BSL | 2509_BLUE CROSS BLUE SHIELD BSL PSH 20250701 | $1,302.18 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS MBN | 2515_BLUE CROSS BLUE SHIELD MBN PSH 20250701 | $1,302.18 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS HMO | 2510_BLUE CROSS BLUE SHIELD HMO PSH 20250701 | $1,341.64 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS SBN | 2511_BLUE CROSS BLUE SHIELD SBN PSH 20250701 | $1,341.64 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | UHC HMO | 2529_UNITED HEALTH CARE HMO PSH 20250701 | $1,381.10 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS PHS | 2513_BLUE CROSS BLUE SHIELD PHS PSH 20250701 | $1,657.32 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | CIGNA | 2531_CIGNA PSH 20250701 | $1,894.08 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | AETNA | 2494_AETNA PSH 20250701 | $1,894.08 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS NWB | 2512_BLUE CROSS BLUE SHIELD NWB PSH 20250701 | $1,973.00 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS PPO | 2514_BLUE CROSS BLUE SHIELD PPO PSH 20250701 | $2,328.14 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | VISTA COVENTRY STATE OF FLORIDA | 2416_VISTA PSH 20241001 | $2,328.14 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | PCC EMPLOYEE | 2411_PENSACOLA CHRISTIAN COLLEGE PSH 20241001 | $2,367.60 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | FIRSTHEALTH | 1977_FIRST HEALTH PSH 20220701 | $2,407.06 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | COVENTRY WC | 2265_COVENTRY WORKERS COMPENSATION SHFL 20230715 | $2,564.90 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | CHOICE CARE | 424_CHOICE CARE PSH 20181001 | $2,762.20 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $3,354.10 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | EVOLUTIONAL TRADITIONAL PPO | 1456_EVOLUTION HEALTHCARE TRADITIONAL PPO PSH 20170101 | $3,354.10 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BEECHSTREET | 1477_BEECH STREET PSH 20170101 | $3,551.40 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $3,946.00 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | EVERNORTH BEHAVIORAL HEALTH | 2064_EVERNORTH BEHAVIORAL HEALTH 20221123 | $3,946.00 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | MVA | 1476_MVA AUTO 20150101 | $3,946.00 | $3,946.00 | $1,578.40 | 2026-01-01 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | United Healthcare | Medicare Advantage | $5,559.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | Medica | Medicare Advantage | $6,106.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | Humana | Medicare Advantage | $9,114.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | Blue Cross and Blue Shield of Nebraska | PPO | $15,190.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | Ambetter | Commercial | $15,190.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | Nebraska Total Care | Ambetter | $15,190.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | MultiPlan | Commercial | $15,190.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | Blue Cross and Blue Shield of Nebraska | Select BlueChoice | $15,190.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | Aetna | Commercial | $15,493.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | Midlands Choice | Commercial | $15,669.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | United Healthcare | Commercial | $15,669.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | Cigna | Commercial | $15,669.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | Corvel | PPO | $15,669.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | Three Rivers | Commercial | $15,669.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |
| BUTLER COUNTY HEALTH Outpatient | Medica | Commercial | $15,669.00 | $15,989.00 | $15,989.00 | 2026-07-06 | MRF ↗ |