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 summarize 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 fees are estimated 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. The surgeon and 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 $431 × 1.22 commercial. $525
Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. $708
Likely subtotal $5,183
Surgical episode (typical) ~$5,183

Your recovery plan — adjust to what your doctor told you

After your procedure, 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) ~$8,968
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
Anesthesia (estimate)
base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk

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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