3722850 — Tib/per Revasc W/tla
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TIB/PER REVASC W/TLA (OTHER 3722850) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3722850?code_type=OTHER
MLA (9th ed.)
“TIB/PER REVASC W/TLA (OTHER 3722850) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3722850?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“TIB/PER REVASC W/TLA (OTHER 3722850) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3722850?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,048–$23,414 (25th–75th percentile) across 14 hospitals · 37 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 3722850 — 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 |
|---|---|---|---|---|---|---|---|
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $471.30 | — | — | 2026-03-27 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AETNA | MANAGED MEDICAID | $537.28 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | CHIP | $556.13 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $556.13 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GEISINGER | MANAGED MEDICAID | $560.85 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | $589.13 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | $589.13 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $636.26 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $636.26 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $636.26 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $636.26 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $636.26 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $636.26 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $640.97 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $640.97 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $640.97 | — | — | 2026-07-01 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Coventry First Health | — | $666.00 | $17,794.00 | $7,118.00 | 2026-07-05 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $683.24 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $683.24 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $683.39 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $683.39 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $683.39 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | $791.08 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | $791.08 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UPMC | MANAGED MEDICAID | $791.08 | — | — | 2026-07-01 | 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 | JEFFERSON HEALTH PARTNERS | 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 | 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 | 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 ↗ |
| 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 ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | $1,302.52 | — | — | 2026-07-01 | 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 ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $1,484.95 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | NJ Health | $1,626.00 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $1,632.83 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $1,749.91 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | NJ Health | $1,864.00 | $61,616.39 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $1,947.08 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | NJ Health | $3,536.00 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Aetna | — | $4,449.00 | $17,794.00 | $7,118.00 | 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 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 Indemnity | — | $7,118.00 | $17,794.00 | $7,118.00 | 2026-07-05 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $7,221.07 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $7,221.07 | — | — | 2025-06-27 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $8,010.13 | $61,616.39 | — | 2026-09-02 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Cigna | — | $8,025.00 | $17,794.00 | $7,118.00 | 2026-07-05 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $9,242.46 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $9,242.46 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $9,242.46 | $61,616.39 | — | 2026-09-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $9,842.16 | — | $13,419.98 | 2026-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $9,842.16 | — | $3,450.75 | 2025-08-06 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | INDIVIDUAL EXCHANGE | $10,315.50 | — | — | 2025-06-28 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $13,432.09 | — | — | 2025-09-16 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Home State Health | MANAGED MEDICAID | $13,432.09 | — | — | 2025-07-01 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Multiplan | — | $14,235.00 | $17,794.00 | $7,118.00 | 2026-07-05 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | HomeState | Managed Medicaid | $14,372.34 | — | — | 2025-09-16 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $15,712.18 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $15,712.18 | $61,616.39 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $15,712.18 | $61,616.39 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $15,712.18 | $61,616.39 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $15,712.18 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $15,712.18 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $15,712.18 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $15,712.18 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $15,712.18 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | UHC | Managed Medicaid | $15,951.57 | — | — | 2025-09-16 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $16,020.26 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $18,484.92 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Commercial | $18,484.92 | $61,616.39 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $18,484.92 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $18,484.92 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $18,484.92 | $61,616.39 | — | 2026-09-02 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Community | Managed Medicaid | $21,752.15 | — | — | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Healthy Blue | Managed Medicaid | $21,752.15 | — | — | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Home State | Managed Medicaid | $23,202.29 | — | — | 2025-12-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $23,414.23 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $23,414.23 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Cigna | Commercial | $30,808.19 | $61,616.39 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $30,808.19 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $30,808.19 | $61,616.39 | — | 2026-08-17 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | All Products | $34,799.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | All Products | $34,799.65 | — | — | 2025-06-27 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Health Alliance Plan | Hap | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Hap | Hap Medicare | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Priority Medicare | Priority Medicare | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | United Health Medicare | United Health Medicare | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Multi-Plan | Multi-Plan | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Priority Medicaid | Priority Medicaid | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | United Health Care Medicaid | United Health Care Medicaid | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Blue Cross Blue Shield Of Michigan | Bcbsm Ppo | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | United Healthcare Insurance Company | Uhc | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Aetna | Aetna Hmo | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Aetna | Aetna Medicare | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Paramount Elite | Paramount Elite | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Humana | Humana Medicare | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Phcs | Phcs | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Cofinity | Cofinity | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Frontpath | Frontpath | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Meridian Medicaid | Meridian Medicaid | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Mclaren | Mclaren | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Paramount Hmo | Paramount Hmo | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Paramount Ppo | Paramount Ppo | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Php Northern Indiana | Php Northern Indiana | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Php Of Mid Michigan | Php Of Mid Michigan | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Priority | Priority | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC Outpatient | Optum Va | Optum Va | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | New Jersey Carpenters Health Fund | Self Funded Medical Benefit Plan | $49,293.11 | $61,616.39 | — | 2026-08-17 | MRF ↗ |