3722450 — Fem/popl Revas W/tla
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FEM/POPL REVAS W/TLA (OTHER 3722450) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3722450?code_type=OTHER
MLA (9th ed.)
“FEM/POPL REVAS W/TLA (OTHER 3722450) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3722450?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“FEM/POPL REVAS W/TLA (OTHER 3722450) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3722450?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,058–$14,667 (25th–75th percentile) across 14 hospitals · 38 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 3722450 — 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 |
|---|---|---|---|---|---|---|---|
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $198.37 | $8,231.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $218.12 | $8,231.00 | — | 2026-08-17 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $385.51 | — | — | 2026-03-27 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AETNA | MANAGED MEDICAID | $439.48 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $454.90 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | CHIP | $454.90 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GEISINGER | MANAGED MEDICAID | $458.76 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | $481.89 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | $481.89 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $520.44 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $520.44 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $520.44 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $520.44 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $520.44 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $520.44 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $524.29 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $524.29 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $524.29 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $558.87 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $558.87 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $558.99 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $558.99 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $558.99 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | $647.08 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UPMC | MANAGED MEDICAID | $647.08 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | $647.08 | — | — | 2026-07-01 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Coventry First Health | — | $666.00 | $17,794.00 | $7,118.00 | 2026-07-05 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AETNA | MANAGED MEDICAID | $884.64 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $915.68 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | CHIP | $915.68 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GEISINGER | MANAGED MEDICAID | $923.44 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | $970.00 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | $970.00 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $1,047.60 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $1,047.60 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $1,047.60 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $1,047.60 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $1,047.60 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $1,047.60 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $1,055.36 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $1,055.36 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $1,055.36 | — | — | 2026-07-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $1,060.40 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $1,070.03 | $8,231.00 | — | 2026-09-02 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $1,124.97 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $1,124.97 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $1,125.20 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $1,125.20 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $1,125.20 | — | — | 2026-07-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $1,166.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $1,234.65 | $8,231.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $1,234.65 | $8,231.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $1,249.60 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UPMC | MANAGED MEDICAID | $1,302.52 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | $1,302.52 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | $1,302.52 | — | — | 2026-07-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $1,390.40 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | NJ Health | $1,626.00 | $8,231.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | NJ Health | $1,864.00 | $8,231.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $2,098.91 | $8,231.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $2,098.91 | $8,231.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $2,098.91 | $8,231.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $2,098.91 | $8,231.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $2,098.91 | $8,231.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $2,098.91 | $8,231.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,469.30 | $8,231.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Commercial | $2,469.30 | $8,231.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $2,469.30 | $8,231.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $2,469.30 | $8,231.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $3,127.78 | $8,231.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | NJ Health | $3,536.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $3,547.78 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $3,547.78 | — | — | 2025-06-27 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Cigna | Commercial | $4,115.50 | $8,231.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $4,115.50 | $8,231.00 | — | 2026-08-17 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Aetna | — | $4,449.00 | $17,794.00 | $7,118.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Aetna | — | $4,719.00 | $18,874.00 | $7,550.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Medicare | — | $5,160.00 | $17,794.00 | $7,118.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Medicare | — | $5,473.00 | $18,874.00 | $7,550.00 | 2026-07-05 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $5,720.00 | $44,000.00 | — | 2026-09-02 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Hmo | — | $6,050.00 | $17,794.00 | $7,118.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Ppo | — | $6,406.00 | $17,794.00 | $7,118.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Hmo | — | $6,417.00 | $18,874.00 | $7,550.00 | 2026-07-05 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | New Jersey Carpenters Health Fund | Self Funded Medical Benefit Plan | $6,584.80 | $8,231.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $6,600.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $6,600.00 | $44,000.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $6,600.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Ppo | — | $6,795.00 | $18,874.00 | $7,550.00 | 2026-07-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $6,881.72 | — | $6,746.95 | 2026-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $6,881.72 | — | $3,450.75 | 2025-08-06 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $6,978.66 | — | — | 2025-09-16 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Indemnity | — | $7,118.00 | $17,794.00 | $7,118.00 | 2026-07-05 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | HomeState | Managed Medicaid | $7,467.17 | — | — | 2025-09-16 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Indemnity | — | $7,550.00 | $18,874.00 | $7,550.00 | 2026-07-05 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | UHC | Managed Medicaid | $8,019.73 | — | — | 2025-09-16 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Cigna | — | $8,025.00 | $17,794.00 | $7,118.00 | 2026-07-05 | MRF ↗ |
| EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $8,458.38 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Cigna | — | $8,512.00 | $18,874.00 | $7,550.00 | 2026-07-05 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Humana Medicare Advantage James B Haggin Memorial Hospital | HMO | $9,473.38 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Medicare James B Haggin Memorial Hospital | HMO | $9,473.38 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | VACCN James B Haggin Memorial Hospital | HMO | $9,473.38 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Aetna Medicare Advantage James B Haggin Memorial Hospital | HMO | $9,473.38 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Humana Medicare Advantage James B Haggin Memorial Hospital | HMO | $9,473.38 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC Medicare Advantage James B Haggin Memorial Hospital | HMO | $9,473.38 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | VACCN James B Haggin Memorial Hospital | HMO | $9,473.38 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Aetna Medicare Advantage James B Haggin Memorial Hospital | HMO | $9,473.38 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC Medicare Advantage James B Haggin Memorial Hospital | HMO | $9,473.38 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Medicare James B Haggin Memorial Hospital | HMO | $9,473.38 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | INDIVIDUAL EXCHANGE | $10,315.50 | — | — | 2025-06-28 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $11,220.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $11,220.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $11,220.00 | $44,000.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $11,220.00 | $44,000.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $11,220.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $11,220.00 | $44,000.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $11,220.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $11,220.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $11,220.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $11,440.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $13,200.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $13,200.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $13,200.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Commercial | $13,200.00 | $44,000.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $13,200.00 | $44,000.00 | — | 2026-09-02 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Multiplan | — | $14,235.00 | $17,794.00 | $7,118.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Multiplan | — | $15,099.00 | $18,874.00 | $7,550.00 | 2026-07-05 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $16,720.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $16,720.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | All Products | $17,097.39 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | All Products | $17,097.39 | — | — | 2025-06-27 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Cofinity | Cofinity | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Hap | Hap Medicare | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Humana | Humana Medicare | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Aetna | Aetna Medicare | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Aetna | Aetna Hmo | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | United Healthcare Insurance Company | Uhc | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Blue Cross Blue Shield Of Michigan | Bcbsm Ppo | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | United Health Care Medicaid | United Health Care Medicaid | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Priority Medicaid | Priority Medicaid | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Meridian Medicaid | Meridian Medicaid | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | United Health Medicare | United Health Medicare | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Priority Medicare | Priority Medicare | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Paramount Elite | Paramount Elite | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Optum Va | Optum Va | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Priority | Priority | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Php Of Mid Michigan | Php Of Mid Michigan | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Php Northern Indiana | Php Northern Indiana | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Paramount Ppo | Paramount Ppo | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Paramount Hmo | Paramount Hmo | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Multi-Plan | Multi-Plan | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Health Alliance Plan | Hap | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Mclaren | Mclaren | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Frontpath | Frontpath | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Phcs | Phcs | $19,301.80 | $27,574.00 | $22,059.20 | 2026-05-09 | MRF ↗ |
| EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER Outpatient | UHC Ephraim McDowell Regional Medical Center | PPO | $21,721.11 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC James B Haggin Memorial Hospital | PPO | $21,788.77 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC James B Haggin Memorial Hospital | PPO | $21,788.77 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $22,000.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $22,000.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Cigna | Commercial | $22,000.00 | $44,000.00 | — | 2026-09-02 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Inpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $23,006.78 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Inpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $23,006.78 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER Outpatient | Anthem Commercial Ephraim McDowell Regional Medical Center | PPO | $25,287.16 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER Inpatient | Anthem Commercial Ephraim McDowell Regional Medical Center | PPO | $25,676.24 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $33,677.87 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $33,677.87 | $33,833.50 | — | 2026-02-24 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | New Jersey Carpenters Health Fund | Self Funded Medical Benefit Plan | $35,200.00 | $44,000.00 | — | 2026-08-17 | MRF ↗ |