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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38525 — Biopsy/removal Lymph Nodes

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 $3,950

Usually $2,108–$6,177 (25th–75th percentile) across 2,237 hospitals · 5,879 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 38525 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What the whole episode might cost

Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$2,108 $3,950 typical $6,177

The middle 50% of negotiated facility rates for this procedure, measured across 2,237 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $3,950
Surgeon (professional fee) Estimate national typical Medicare PFS $431 × 1.22 commercial. $525
Likely subtotal $4,475
Surgical episode (typical) ~$4,475

Your recovery plan — adjust to what your surgeon told you

After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$8,260
How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Surgeon (professional fee) (estimate)
rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

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
CAPE FEAR VALLEY MEDICAL CENTER Outpatient United Healthcare Compass $1.00 $0.60 2026-05-22 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Cigna Commercial $1.00 $0.60 2026-05-22 MRF ↗
CANYON VISTA MEDICAL CENTER Outpatient BLUE CROSS AND BLUE SHIELD OF ARIZONA, INC. PPO $0.33 $18,688.00 $7,475.20 2025-07-01 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient United Healthcare Compass $1.00 $0.60 2026-05-22 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient United Healthcare Compass $1.00 $0.60 2026-05-22 MRF ↗
CHI HEALTH LAKESIDE Outpatient United Commercial|All Plans 2026-02-28 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient MEDICA [16025] MEDICA ELECT [1602502] $22,711.25 $11,128.51 2026-01-01 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Nc Commercial $1.00 $0.60 2026-05-22 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Nc Commercial $1.00 $0.60 2026-05-22 MRF ↗
CHI Health Richard Young Behavioral Health Outpatient Medica Commercial|Open Access 2026-02-28 MRF ↗
CHI HEALTH GOOD SAMARITAN Outpatient Medica Commercial|Open Access 2026-02-28 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Ks Commercial $1.00 $1.00 $0.75 2026-05-18 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $1.37 $44,418.33 $26,651.00 2026-03-24 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient CIGNA [16012] CIGNA HEALTHCARE [1601204] $22,711.25 $11,128.51 2026-01-01 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) HR [40] Plans $3.47 $27,116.78 $27,116.78 2026-04-03 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO UM [212] Plans $3.78 $32,466.89 $32,466.89 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans $3.78 $32,466.89 $32,466.89 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON ACO UM [130] Plans $3.78 $32,466.89 $32,466.89 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON MCO UM [104] Plans $3.78 $32,466.89 $32,466.89 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient INSTITUTION [10406] All WORCESTER RECOVERY UM [233] Plans $3.78 $32,466.89 $32,466.89 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MASSHEALTH [20302] All MASSHEALTH UM [10] Plans $3.78 $32,466.89 $32,466.89 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO UM [222] Plans $3.78 $32,466.89 $32,466.89 2026-03-26 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $4.58 $1,238.00 $1,176.10 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $4.58 $1,238.00 $1,176.10 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $4.58 $1,238.00 $1,176.10 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $4.70 $1,238.00 $1,176.10 2026-02-20 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans $4.73 $32,466.89 $32,466.89 2026-03-26 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $4.83 $1,238.00 $1,176.10 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $4.95 $1,238.00 $1,176.10 2026-02-20 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $5.41 $2,563.00 $1,922.25 2025-03-07 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient MASSHEALTH [20302] All MASSHEALTH HR [91] Plans $5.60 $27,116.78 $27,116.78 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON MCO HR [305] Plans $5.60 $27,116.78 $27,116.78 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO HR [307] Plans $5.60 $27,116.78 $27,116.78 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON ACO HR [304] Plans $5.60 $27,116.78 $27,116.78 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO HR [303] Plans $5.60 $27,116.78 $27,116.78 2026-04-03 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $5.94 $1,238.00 $1,176.10 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $5.94 $1,238.00 $1,176.10 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $6.07 $1,238.00 $1,176.10 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $6.07 $1,238.00 $1,176.10 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $6.07 $1,238.00 $1,176.10 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $6.07 $1,238.00 $1,176.10 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $6.19 $1,238.00 $1,176.10 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $6.31 $1,238.00 $1,176.10 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $6.44 $1,238.00 $1,176.10 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $6.69 $1,238.00 $1,176.10 2026-02-20 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KY (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCN DOMESTIC WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MS WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ND WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NH (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AR WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AZ WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TX WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NC WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - RI WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility KAISER DOMESTIC WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE DISTINCTION TRANSPLANT WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AL WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WA (PREMERA) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WY WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NJ (HORIZON) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCBS GENERIC WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NM WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - HI WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MT WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OR (REGENCE) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (CAPITAL) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AK (PREMERA) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NE WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FEDERAL WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SD (WELLMARK) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OH (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VT WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MI WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - UT (REGENCE) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ME (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MO (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OK WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - CA WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CA (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK HMO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NV (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility WC DOMESTIC WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FL WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SC WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TN WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WI (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility PRE-EMPLOYMENT WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IN (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ID WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - WA (REGENCE) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - ID (REGENCE) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - GA (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - LA WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL ALTERNATE WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS DOMESTIC WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CT (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CO (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MN WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (ANTHEM) WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KS WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CARE NETWORK WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MA WELLMARK PPO $6.93 $27,356.99 2026-03-31 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans $7.46 $75,620.17 $75,620.17 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient INSTITUTION [10406] All WORCESTER RECOVERY HA [235] Plans $7.59 $29,977.37 $29,977.37 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO HA [223] Plans $7.59 $29,977.37 $29,977.37 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO HA [197] Plans $7.59 $29,977.37 $29,977.37 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient FALLON MEDICAID [10904] All FALLON ACO HA [79] Plans $7.59 $29,977.37 $29,977.37 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient MASSHEALTH [20302] All MASSHEALTH HA [93] Plans $7.59 $29,977.37 $29,977.37 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient FALLON MEDICAID [10904] All FALLON MCO HA [55] Plans $7.59 $29,977.37 $29,977.37 2026-03-26 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Blue Cross Blue Shield Medicare Advantage $8.41 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility VA Health All $8.41 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility UHC Medicare Advantage $8.41 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Humana Medicare Advantage $8.41 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Tricare All $8.41 2026-03-28 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans $9.33 $75,620.17 $75,620.17 2026-03-26 MRF ↗
MERCY MEDICAL CTR OutpatientFacility CARELON HEALTH MEDICAID CARELON MEDICAID $9.78 $9,530.43 2026-03-31 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $10.39 $5,775.00 $3,774.43 2024-12-31 MRF ↗
MERCY MEDICAL CTR OutpatientFacility WELLSENSE HEALTH PLAN WELLSENSE SILVER $10.71 $9,530.43 2026-03-31 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $12.70 $1,100.00 $209.00 2026-01-25 MRF ↗
Riverside Community Hospital Outpatient Molina MCD $20.08 2026-03-01 MRF ↗
Riverside Community Hospital Outpatient LA Care Health Medi-cal $20.08 2026-03-01 MRF ↗
Thousand Oaks Surgical Hospital Outpatient Brand New Day MCD $22.09 2026-03-01 MRF ↗
Riverside Community Hospital Outpatient Brand New Day MCD $22.09 2026-03-01 MRF ↗
Thousand Oaks Surgical Hospital Outpatient Gold Coast Health Plan MCD $22.09 2026-03-01 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 $21,534.75 2024-12-08 MRF ↗
Riverside Community Hospital Outpatient Inland Empire Health Plan MGMCD $29.12 2026-03-01 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $30.03 $462.00 $300.30 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $30.03 $462.00 $300.30 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $30.03 $462.00 $300.30 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $30.03 $462.00 $300.30 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $30.03 $462.00 $300.30 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $30.03 $462.00 $300.30 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $30.03 $462.00 $300.30 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $30.03 $462.00 $300.30 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $30.03 $462.00 $300.30 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $30.03 $462.00 $300.30 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $30.03 $462.00 $300.30 2026-03-12 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 $21,534.75 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 $12,054.00 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 $12,054.00 2024-12-08 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $34.00 $3,719.00 $3,719.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $34.00 $3,719.00 $3,719.00 2025-10-04 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient MEDI-CAL MEDI-CAL $34.00 $1,508.00 $407.16 2026-01-31 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient UNIVERSAL IPA MCAL OP/PROFEE ONLY UNIVERSAL IPA MCAL OP/PROFEE ONLY $34.00 $1,508.00 $407.16 2026-01-31 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $34.00 $1,857.00 $1,857.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $34.00 $1,857.00 $1,857.00 2025-10-04 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 $10,754.25 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 $10,754.25 2024-12-08 MRF ↗
TAHOE FOREST HOSPITAL Outpatient CA HEALTH AND WELLNESS-ALL PLANS CA HEALTH AND WELLNESS-ALL PLANS $34.68 $1,857.00 $1,857.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient CA HEALTH AND WELLNESS-ALL PLANS CA HEALTH AND WELLNESS-ALL PLANS $34.68 $3,719.00 $3,719.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient CA HEALTH AND WELLNESS-ALL PLANS CA HEALTH AND WELLNESS-ALL PLANS $34.68 $1,857.00 $1,857.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient CA HEALTH AND WELLNESS-ALL PLANS CA HEALTH AND WELLNESS-ALL PLANS $34.68 $3,719.00 $3,719.00 2025-10-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $35.36 $544.00 $353.60 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $35.36 $544.00 $353.60 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $35.36 $544.00 $353.60 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $35.36 $544.00 $353.60 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $35.36 $544.00 $353.60 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $35.36 $544.00 $353.60 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $35.36 $544.00 $353.60 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $35.36 $544.00 $353.60 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $35.36 $544.00 $353.60 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $35.36 $544.00 $353.60 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $35.36 $544.00 $353.60 2026-03-18 MRF ↗
MERCYONE CLINTON MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $38.53 $27,622.54 2026-03-31 MRF ↗
FAIRCHILD MEDICAL CENTER Outpatient MEDI-CAL MEDI-CAL $39.00 $1,075.00 $1,075.00 2025-12-03 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $39.33 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $39.33 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $39.33 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $39.33 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $39.33 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $39.33 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $39.33 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $39.33 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $39.33 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $39.33 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $39.33 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $39.33 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $39.33 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $39.33 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $39.33 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $39.33 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $39.33 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $39.33 2026-04-14 MRF ↗
TAHOE FOREST HOSPITAL Outpatient PARTNERSHIP HEALTH PLAN- ALL PLANS PARTNERSHIP HEALTH PLAN- ALL PLANS $44.20 $3,719.00 $3,719.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient PARTNERSHIP HEALTH PLAN- ALL PLANS PARTNERSHIP HEALTH PLAN- ALL PLANS $44.20 $1,857.00 $1,857.00 2025-10-04 MRF ↗

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