37228LT — Tib/per Revasc W/tla
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TIB/PER REVASC W/TLA (CPT 37228LT) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/37228LT?code_type=CPT
MLA (9th ed.)
“TIB/PER REVASC W/TLA (CPT 37228LT) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/37228LT?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“TIB/PER REVASC W/TLA (CPT 37228LT) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/37228LT?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $636–$4,719 (25th–75th percentile) across 8 hospitals · 28 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 37228LT — 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 ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $518.43 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $518.43 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | GEISINGER | MANAGED MEDICAID | $518.43 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $518.43 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | GEISINGER | MANAGED MEDICAID | $518.43 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $542.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $542.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $542.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | CHIP | $542.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $542.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | UNITED HEALTHCARE | CHIP | $542.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | CHIP | $542.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | MANAGED MEDICAID | $560.85 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $579.70 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | MANAGED MEDICAID | $589.13 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | $589.13 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | $589.13 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $598.55 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $598.55 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $598.55 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $598.55 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $598.55 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $598.55 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | AETNA | MANAGED MEDICAID | $612.69 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AETNA | MANAGED MEDICAID | $612.69 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $636.26 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $636.26 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $636.26 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $636.26 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $636.26 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $636.26 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $636.26 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $636.26 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $636.26 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $636.26 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $636.26 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $636.26 | — | — | 2025-08-01 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Coventry First Health | — | $666.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AETNA | MANAGED MEDICAID | $683.24 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AETNA | MANAGED MEDICAID | $683.24 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $683.24 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $683.24 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | KEYSTONE FIRST | MANAGED MEDICAID | $683.39 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $683.39 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $683.39 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $683.39 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | $775.57 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UPMC | MANAGED MEDICAID | $775.57 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UPMC | MANAGED MEDICAID | $775.57 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | UPMC | MANAGED MEDICAID | $775.57 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UPMC | MANAGED MEDICAID | $775.57 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | $775.57 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $848.34 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | GEISINGER | MANAGED MEDICAID | $853.60 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | GEISINGER | MANAGED MEDICAID | $853.60 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $853.60 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $853.60 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $853.60 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | UNITED HEALTHCARE | CHIP | $892.40 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | CHIP | $892.40 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $892.40 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | CHIP | $892.40 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $892.40 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $892.40 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $892.40 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | MANAGED MEDICAID | $923.44 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $954.48 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | MANAGED MEDICAID | $970.00 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | $970.00 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | $970.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $985.52 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $985.52 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $985.52 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $985.52 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $985.52 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $985.52 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | AETNA | MANAGED MEDICAID | $1,008.80 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AETNA | MANAGED MEDICAID | $1,008.80 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $1,047.60 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $1,047.60 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $1,047.60 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $1,047.60 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $1,047.60 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $1,047.60 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $1,047.60 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $1,047.60 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $1,047.60 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $1,047.60 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $1,047.60 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $1,047.60 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | CHIP | $1,086.40 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AETNA | MANAGED MEDICAID | $1,124.97 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $1,124.97 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $1,124.97 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AETNA | MANAGED MEDICAID | $1,124.97 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | KEYSTONE FIRST | MANAGED MEDICAID | $1,125.20 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $1,125.20 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $1,125.20 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $1,125.20 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UPMC | MANAGED MEDICAID | $1,276.99 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | $1,276.99 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | $1,276.99 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UPMC | MANAGED MEDICAID | $1,276.99 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UPMC | MANAGED MEDICAID | $1,276.99 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | UPMC | MANAGED MEDICAID | $1,276.99 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $1,396.80 | — | — | 2025-08-01 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Aetna | — | $4,449.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Aetna | — | $4,719.00 | $18,874.00 | $7,550.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Medicare | — | $5,160.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Medicare | — | $5,473.00 | $18,874.00 | $7,550.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Hmo | — | $6,050.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Ppo | — | $6,406.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Hmo | — | $6,417.00 | $18,874.00 | $7,550.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Ppo | — | $6,795.00 | $18,874.00 | $7,550.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Indemnity | — | $7,118.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Indemnity | — | $7,550.00 | $18,874.00 | $7,550.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Cigna | — | $8,025.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Cigna | — | $8,512.00 | $18,874.00 | $7,550.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Multiplan | — | $14,235.00 | $17,794.00 | $7,118.00 | 2026-05-22 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Multiplan | — | $15,099.00 | $18,874.00 | $7,550.00 | 2026-05-22 | 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 | Cofinity | Cofinity | $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 | 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 | Phcs | Phcs | $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 | Frontpath | Frontpath | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | 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 | Paramount Hmo | Paramount Hmo | $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 | Multi-Plan | Multi-Plan | $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 | 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 | Priority Medicare | Priority 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 | Optum Va | Optum Va | $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 | Priority Medicaid | Priority Medicaid | $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 | Hap | Hap Medicare | $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 | Priority | Priority | $37,151.10 | $53,073.00 | $42,458.40 | 2026-05-09 | MRF ↗ |