36100354 — Hc Removal Permane Peritoneal Cat
Cite this view
HANK Price Transparency. (n.d.). HC REMOVAL PERMANE PERITONEAL CAT (OTHER 36100354) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/36100354?code_type=OTHER
“HC REMOVAL PERMANE PERITONEAL CAT (OTHER 36100354) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/36100354?code_type=OTHER. Accessed .
“HC REMOVAL PERMANE PERITONEAL CAT (OTHER 36100354) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/36100354?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $304–$4,108 (25th–75th percentile) across 6 hospitals · 44 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 36100354 — 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 |
|---|---|---|---|---|---|---|---|
| EDWARD W SPARROW HOSPITAL | Priority Health - Medicare Advantage | — | $48.75 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $48.75 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $48.75 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $48.75 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Php Medicare Advantage Op | — | $106.29 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $106.29 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Medicare Advantage Op | — | $106.29 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Medicare Advantage Op | — | $106.29 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicare Op | — | $106.29 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Medicare Advantage Op | — | $106.29 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Medicare Advantage Op | — | $144.25 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcn Medicare Advantage Op | — | $144.25 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Blue Cross Medicare Plus Blue Op | — | $144.25 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Humana Medicare Advantage Op | — | $144.25 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Php Medicare Advantage Op | — | $144.25 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Medicare Op | — | $144.25 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcbs Op | — | $209.35 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Health Op | — | $232.96 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Uhc Op | — | $242.94 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcbs Op | — | $277.11 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Cofinity Op | — | $284.70 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Aetna Op | — | $284.70 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Op | — | $284.70 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Uhc Op | — | $299.88 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Cigna Op | — | $300.64 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Cigna Op | — | $300.64 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Aetna Op | — | $300.64 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Op | — | $303.68 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Cofinity Op | — | $303.68 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Humana Op | — | $303.68 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Multiplan Op | — | $330.25 | $379.60 | $94.90 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcn Op | — | $341.64 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Health Op | — | $341.64 | $379.60 | $94.90 | 2026-07-31 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $349.65 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $349.65 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $349.65 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Healthy Blue (Formerly Amerigroup Louisiana Inc.) (Healthy Louisiana) | All Plans | $349.65 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $349.65 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $349.65 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $359.35 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $359.35 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $359.35 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $359.35 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $359.35 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $362.94 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Multiplan/Phcs/American Lifecare | All Plans | $900.00 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Cigna Healthcare | All Plans | $988.00 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Aetna Health Inc. Ppo/Pos | All Payor | $1,011.00 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Mclaren Medicaid | — | $1,165.00 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicaid | — | $1,165.00 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | First Health Network Ppo | All Plans | $1,190.00 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Aetna Health Inc. Ppo/Pos | All Plans | $1,190.00 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health | — | $1,500.00 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare | — | $1,751.42 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Cigna Healthcare | All Payor | $1,935.00 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Cross Blue Shield | — | $2,279.55 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Mississippi�Managed Medicaid | All Payor | $2,361.64 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Magnolia Health Plan�Mississippi Managed Medicaid | All Payor | $2,361.64 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Truecare� Mississippi Managed Medicaid | All Payor | $2,479.72 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Humana Military – Tricare | All Plans | $2,624.22 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Peoples Health Network –Medicare Advantage | All Plans | $2,719.40 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Humana Medicare Advantage | All Plans | $2,719.40 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Aetna Health Inc. - Medicare Advantage | All Plans | $2,719.40 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare D-Snp (Dual Eligible Special Needs Plan) | All Plans | $2,719.40 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Optum Va Ccn | All Plans | $2,719.40 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Healthy Blue Dual Advantage (Hmo-D-Snp) | All Plans | $2,719.40 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | All Plans | $2,719.40 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare Medicare Advantage | All Plans | $2,719.40 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | First Health Network | All Payor | $2,743.20 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Verity Health Network – Lsu First Choice | All Plans | $2,828.91 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | All Payor | $2,880.09 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Aetna Health Inc. - Medicare Advantage | All Payor | $2,880.09 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Triwest Military - Tricare | All Payor | $2,880.09 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Peoples Health Network � Medicare Advantage | All Payor | $2,880.09 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Optum Va Ccn | All Payor | $2,880.09 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Ochsner Health Plan | All Payor | $2,880.09 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Humana � Medicare Advantage Humana Select Partner Plan | All Payor | $2,880.09 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Humana � Medicare Advantage | All Payor | $2,880.09 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Healthy Blue Dual Advantage (Hmo-D-Snp) | All Payor | $2,880.09 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | All Payor | $2,880.09 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Healthcomp & Personify Health (Formerly Gilsbar) | All Payor | $3,086.10 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | United Healthcare | — | $3,502.85 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Aetna | — | $4,041.75 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Cofinity | — | $4,041.75 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | All Payor | $4,107.85 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Payor | $4,107.85 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | $4,114.80 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Cigna | — | $4,268.09 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Payor | $4,299.91 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) | — | $4,311.20 | $5,389.00 | $1,347.25 | 2026-07-31 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Zelis (Formerly Ppoplus) | All Plans | $4,351.04 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare – Commercial Heritage | All Plans | $4,755.00 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 3 | All Payor | $5,004.27 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Ppo | All Payor | $5,148.78 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $5,554.98 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $5,997.69 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $5,997.69 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Blue Cross Blue Shield Of Louisiana Blue High-Performance Network | All Plans | $5,997.69 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare – Commercial Hmo Ppo | All Plans | $5,999.00 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Healthcomp Ppo (Formerly Gilsbar 360 | All Plans | $6,798.50 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $6,886.29 | $8,667.00 | $3,033.45 | 2026-05-08 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | United Healthcare - Commercial Select | All Payor | $7,543.83 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | United Healthcare - Commercial Hmo Ppo | All Payor | $8,203.47 | $6,858.00 | $1,097.28 | 2026-05-22 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Uhccommercial | — | $19,909.04 | $19,909.04 | $13,538.15 | 2026-05-23 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Summitwc | — | $19,909.04 | $19,909.04 | $13,538.15 | 2026-05-23 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Threeriversnetwork | — | $19,909.04 | $19,909.04 | $13,538.15 | 2026-05-23 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Aetna Medicare | — | $19,909.04 | $19,909.04 | $13,538.15 | 2026-05-23 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Aetna | Ppo | $19,909.04 | $19,909.04 | $13,538.15 | 2026-05-23 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Cignahealthspring | — | $19,909.04 | $19,909.04 | $13,538.15 | 2026-05-23 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Corvellcommercial | — | $19,909.04 | $19,909.04 | $13,538.15 | 2026-05-23 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Hmouse | — | $19,909.04 | $19,909.04 | $13,538.15 | 2026-05-23 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Medcost Americanhealthcarealliance | — | $19,909.04 | $19,909.04 | $13,538.15 | 2026-05-23 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Primehealthmedicare | — | $19,909.04 | $19,909.04 | $13,538.15 | 2026-05-23 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Primehealth-Workerscomp | — | $19,909.04 | $19,909.04 | $13,538.15 | 2026-05-23 | MRF ↗ |