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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36836 — Prq Av Fstl Crtj Uxtr 1 Acs

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 $17,830

Usually $7,857–$25,810 (25th–75th percentile) across 1,514 hospitals · 2,974 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 36836 — 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
SAINT AGNES MEDICAL CENTER OutpatientFacility Correct Care Integrated Health Medicaid $23,875.00 $16,712.50 2025-01-01 MRF ↗
Rehabilitation Hospital of Fort Myers BothFacility BCBS [210001] BC FL PPO [21000101] $0.61 $1.00 $0.20 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility BCBS [210001] BC FL PPO [21000101] $0.61 $1.00 $0.20 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL BothFacility BCBS [210001] BC FL PPO [21000101] $0.61 $1.00 $0.20 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility BCBS [210001] BC FL PPO [21000101] $0.61 $1.00 $0.20 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility BCBS [210001] BC FL PPO [21000101] $0.61 $1.00 $0.20 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility BCBS [210001] BC FL PPO [21000101] $0.61 $1.00 $0.20 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH BothFacility BCBS [210001] BC FL PPO [21000101] $0.61 $1.00 $0.20 2026-03-26 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Oscar Health Exchange $2.39 $81.75 $28.61 2026-05-08 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $4.99 $41,125.86 $24,675.52 2026-03-24 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MEDICAID [20240] HB FTSM OK MEDICAID $5.25 $27,920.06 $18,148.04 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MEDICAID [20240] HB FTSM OK MEDICAID $5.25 $27,920.06 $18,148.04 2026-03-13 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Aetna Commercial $6.18 $81.75 $28.61 2026-05-08 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS MEDICARE [176] FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient AETNA [100] AETNA MEDICARE ADVANTAGE $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE MEDICARE HMO $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC MEDICARE COMPLETE $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient GENERIC CARRIER [107] COMMERCIAL|HUMANA|CDPHP COMMERCIAL $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient AETNA [100] AETNA|AETNA DENTAL|MERITAIN HEALTH $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient AETNA [100] AETNA|AETNA DENTAL|MERITAIN HEALTH $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient EXCELLUS HMO [104] MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR|MEDICARE BLUE PPO $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $7.44 $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC MEDICARE COMPLETE $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient EXCELLUS INDEMNITY [127] BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|BLUE CROSS & BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient EMBLEM GHI [113] EMBLEM GHI $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 3&4 $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MH OPTUM [170] MH OPTUM COMMUNITY $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MVP [109] MVP ROCHESTER|MVP|CIGNA|GWH CIGNA|NALC CIGNA $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient HIGHMARK [114] HIGHMARK MEDICARE $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EXCELLUS HMO [104] MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR|MEDICARE BLUE PPO $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MVP [109] MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 3&4 $7.44 $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] YOURCARE BEACON MEDICAID|MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP|CIGNA|GWH CIGNA|NALC CIGNA $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EXCELLUS HMO [104] BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 1&2 $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE DUAL $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC DUAL COMPLETE $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS CARE NEW YORK [112] FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $7.44 $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient GENERIC MEDICARE HMO [125] HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|CDPHP MEDICARE HMO $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EXCELLUS INDEMNITY [127] BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|EMPIRE BLUE CROSS (NYC)|BLUE CROSS & BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC DUAL COMPLETE $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient HIGHMARK [114] HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient GENERIC MEDICARE HMO [125] HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|CDPHP MEDICARE HMO $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 3&4 $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED BEHAVORIAL HEALTH [120] UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MULTIPLAN [141] MULTIPLAN $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient AETNA [100] AETNA MEDICARE ADVANTAGE $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS CARE NEW YORK [112] FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient GENERIC CARRIER [107] COMMERCIAL|HUMANA|CDPHP COMMERCIAL $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient VETERANS ADMINISTRATION [178] VA VETERAN'S CHOICE VACAA [17803] $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EMBLEM GHI [113] EMBLEM GHI $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP GOLD HMO $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK MEDICARE $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK ESSENTIALS $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS MEDICARE [176] FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE DUAL $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC CHPS|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE MEDICARE HMO $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP GOLD PPO $10,069.17 $6,544.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient EXCELLUS HMO [104] BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 $10,069.17 $6,544.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $7.95 $10,069.17 $6,544.96 2024-12-30 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB FTSM ARK MEDICAID $23.20 $27,920.06 $18,148.04 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB FTSM SUMMIT $23.20 $27,920.06 $18,148.04 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB FTSM ARK MEDICAID $23.20 $27,920.06 $18,148.04 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MEDICAID [20240] HB FTSM ARK MEDICAID $23.20 $27,920.06 $18,148.04 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB FTSM ARK MEDICAID $23.20 $27,920.06 $18,148.04 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB FTSM SUMMIT $23.20 $27,920.06 $18,148.04 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MEDICAID [20240] HB FTSM ARK MEDICAID $23.20 $27,920.06 $18,148.04 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB FTSM ARK MEDICAID $23.20 $27,920.06 $18,148.04 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB FTSM CARESOURCE MEDICAID $23.66 $27,920.06 $18,148.04 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility CARESOURCE MEDICAID [20460] HB FTSM CARESOURCE MEDICAID $23.66 $27,920.06 $18,148.04 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility CARESOURCE MEDICAID [20460] HB FTSM CARESOURCE MEDICAID $23.66 $27,920.06 $18,148.04 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB FTSM CARESOURCE MEDICAID $23.66 $27,920.06 $18,148.04 2026-03-13 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] HB FTSM PASSE EMPOWER $29.46 $27,920.06 $18,148.04 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] HB FTSM PASSE EMPOWER $29.46 $27,920.06 $18,148.04 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] HB FTSM PASSE EMPOWER $29.46 $27,920.06 $18,148.04 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] HB FTSM PASSE EMPOWER $29.46 $27,920.06 $18,148.04 2026-03-13 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $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 ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility ARKANSAS TOTAL CARE CONTRACTED [320039] HB FTSM PASSE AR TOTAL CARE $42.68 $27,920.06 $18,148.04 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility ARKANSAS TOTAL CARE CONTRACTED [320039] HB FTSM PASSE AR TOTAL CARE $42.68 $27,920.06 $18,148.04 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility ARKANSAS TOTAL CARE [20039] HB FTSM PASSE AR TOTAL CARE $42.68 $27,920.06 $18,148.04 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility ARKANSAS TOTAL CARE [20039] HB FTSM PASSE AR TOTAL CARE $42.68 $27,920.06 $18,148.04 2026-03-13 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Aetna Oncology Medicare Advantage $49.16 2025-08-01 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Aetna HMO/PPO (MMG) $49.16 2025-10-24 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
EAST COOPER 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 ↗
ST MARYS MEDICAL CENTER Outpatient United Healthcare Medicare $54.58 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Peia Other Governmental $54.58 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Humana Medicare $54.58 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Highmark Blue Cross Ppo/Pos $54.58 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Highmark Blue Cross Medicare $54.58 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Aetna Medicare $54.58 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Peak Health Medicare $54.58 2026-05-06 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Blue Cross Oncology Medicare Advantage $54.72 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Aetna Oncology Commercial $55.06 2025-08-01 MRF ↗
Shepherd Center Outpatient Medicare Commercial $56.23 2026-05-06 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Humana Medicare Advantage (MMG) $57.20 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Devoted Medicare Advantage Prevailing (MMG) $57.20 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Devoted Medicare Advantage (MMG) $57.20 2025-10-24 MRF ↗
LIBERTY HOSPITAL Outpatient Blue Cross Blue Shield Freedom Network Select $57.51 2026-05-26 MRF ↗
LIBERTY HOSPITAL Outpatient Blue Cross Blue Shield Freedom Network $57.51 2026-05-26 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Humana HMO/PPO $57.83 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient CarePlus Medicare Advantage (MMG) $60.06 2025-10-24 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient WellCare Oncology Medicare Advantage $60.64 2025-08-01 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Baycare Medicare Advantage (MMG) $61.21 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Optimum Medicare Advantage (MMG) $62.92 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Freedom Health Medicare Advantage (MMG) $62.92 2025-10-24 MRF ↗
Shepherd Center Outpatient Kaiser Commercial $64.67 2026-05-06 MRF ↗
UNIVERSITY OF MARYLAND MEDICAL CENTER Both None $66.91 $65.57 2025-11-05 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Avmed Commercial (MMG) $80.08 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Aetna Exchange (MMG) $80.30 2025-10-24 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Blue Cross Oncology Blue Select $81.53 2025-08-01 MRF ↗
UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both None $83.78 $82.10 2025-11-05 MRF ↗
Shepherd Center Outpatient Coventry Commercial $84.35 2026-05-06 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Health First Commercial (MMG) $85.80 2025-10-24 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Blue Cross Oncology Health Options $87.55 2025-08-01 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Multiplan PHCS\PPO $91.52 2025-10-24 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Blue Cross Oncology Network Blue $91.93 2025-08-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Hap HAPHMO $93.00 2025-01-31 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Blue Cross Oncology PPC PPO $94.12 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Blue Cross Oncology Traditional $94.12 2025-08-01 MRF ↗
UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS Both None $96.69 $94.76 2025-11-05 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Outpatient Cigna Commercial|PPO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
Baylor St Lukes Medical Center Outpatient Cigna Commercial|PPO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Outpatient Cigna Commercial|Surefit $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Outpatient Cigna Commercial|Surefit $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Outpatient Cigna Commercial|PPO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Outpatient Cigna Commercial|PPO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
Baylor St Lukes Medical Center Outpatient Cigna Commercial|HMO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Outpatient Cigna Commercial|HMO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
ST LUKE'S SUGAR LAND HOSPITAL Outpatient Cigna Commercial|HMO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
ST LUKE'S SUGAR LAND HOSPITAL Outpatient Cigna Commercial|PPO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Outpatient Cigna Commercial|PPO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
ST LUKE'S SUGAR LAND HOSPITAL Outpatient Cigna Commercial|Surefit $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
St. Luke's Health - Springwoods Village Hospital Outpatient Cigna Commercial|Surefit $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Outpatient Cigna Commercial|Surefit $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
St. Luke's Health - Springwoods Village Hospital Outpatient Cigna Commercial|HMO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient Cigna Commercial|HMO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient Cigna Commercial|PPO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient Cigna Commercial|Surefit $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
St. Luke's Health - Springwoods Village Hospital Outpatient Cigna Commercial|PPO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
Baylor St Lukes Medical Center Outpatient Cigna Commercial|Surefit $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Outpatient Cigna Commercial|HMO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Outpatient Cigna Commercial|Surefit $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Outpatient Cigna Commercial|HMO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Outpatient Cigna Commercial|HMO $100.00 $41,310.00 $14,458.50 2026-02-28 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $102.01 $56,674.00 $18,859.63 2024-12-31 MRF ↗
Rehabilitation Institute Of Michigan Outpatient Hap HAPHMO $104.79 2025-01-31 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Medicaid Hmo Apr Drg Medicaid Hmo Apr Drg $129.72 $860.00 $860.00 2026-05-22 MRF ↗
UM Capital Region Medical Center Both None $140.22 $137.42 2025-11-05 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Magellan Complete Care Magellan Complete Care $138.80 $860.00 $860.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Blue Cross Blue Shield Of Florida Bcbs Medicare Ppo $163.40 $860.00 $860.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Health Options Inc Bcbs Health Options Medicare $163.40 $860.00 $860.00 2026-05-22 MRF ↗
HOMESTEAD HOSPITAL Both VISTA COVENTRY MEDICAID $167.89 $81,064.00 $52,691.60 2026-03-30 MRF ↗
BAPTIST HOSPITAL Both VISTA COVENTRY MEDICAID $173.17 $81,064.00 $52,691.60 2026-03-30 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility Meridian Health Plan of MI MEDICAID HMO $177.79 2025-06-28 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility Blue Cross Complete MEDICAID $177.79 2025-06-28 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility McLaren MEDICAID $177.79 2025-06-28 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility Priority Health MEDICAID $177.79 2025-06-28 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility HAP CareSource MEDICAID $177.79 2025-06-28 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility Aetna Better Health MEDICAID $186.68 2025-06-28 MRF ↗
MONTEFIORE MEDICAL CENTER Both New York Medicaid Medicaid $190.42 $2,380.00 $1,556.52 2026-04-01 MRF ↗
LARKIN COMMUNITY HOSPITAL Outpatient BCBS HMO HEALTH OPTIONS BCBS HMO HEALTH OPTIONS $191.00 $26,321.00 $18,424.70 2025-12-10 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility Meridian Health Plan of MI MEDICAID HMO $193.75 2025-06-28 MRF ↗
HENRY FORD MACOMB HOSPITAL OutpatientFacility Priority Health MEDICAID $193.75 2025-06-28 MRF ↗
HENRY FORD MACOMB HOSPITAL OutpatientFacility Aetna Better Health MEDICAID $193.75 2025-06-28 MRF ↗
HENRY FORD MACOMB HOSPITAL OutpatientFacility Blue Cross Complete MEDICAID $193.75 2025-06-28 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility Aetna Better Health MEDICAID $193.75 2025-06-28 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility HAP HAP Caresource Medicaid $193.75 2025-06-28 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility McLaren MEDICAID $193.75 2025-06-28 MRF ↗
Henry Ford Hospital OutpatientFacility Priority Health MEDICAID $193.75 $12,012.00 2025-06-28 MRF ↗
HENRY FORD MACOMB HOSPITAL OutpatientFacility Meridian Health Plan of MI MEDICAID HMO $193.75 2025-06-28 MRF ↗
Henry Ford Hospital OutpatientFacility Meridian Health Plan of MI MEDICAID HMO $193.75 $12,012.00 2025-06-28 MRF ↗
Henry Ford Hospital OutpatientFacility HAP HAP Caresource Medicaid $193.75 $12,012.00 2025-06-28 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility Priority Health MEDICAID $193.75 2025-06-28 MRF ↗
Henry Ford Hospital OutpatientFacility McLaren MEDICAID $193.75 $12,012.00 2025-06-28 MRF ↗

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