4050066 — Xpansion Graft Appl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). XPANSION GRAFT APPL (CDM 4050066) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4050066?code_type=CDM
MLA (9th ed.)
“XPANSION GRAFT APPL (CDM 4050066) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4050066?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“XPANSION GRAFT APPL (CDM 4050066) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4050066?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,113–$8,024 (25th–75th percentile) across 8 hospitals · 49 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4050066 — 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 |
|---|---|---|---|---|---|---|---|
| JAMESTOWN REGIONAL MEDICAL CENTER Both | Aetna | Commercial | $2.00 | $3.00 | $2.00 | 2026-05-22 | MRF ↗ |
| JAMESTOWN REGIONAL MEDICAL CENTER Both | NextBlue North Dakota | Medicare Advantage | $2.00 | $3.00 | $2.00 | 2026-05-22 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Amerigroup/Wellpoint (Medicaid) | Amerigroup/Wellpoint (Medicaid) All Plans | $2.24 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare/Allwell | Wellcare/Allwell All Plans | $2.28 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Wellpoint (Dual Eligibles only) | Wellpoint (Dual Eligibles only) All Plans | $2.36 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| JAMESTOWN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield North Dakota | Commercial | $3.00 | $3.00 | $2.00 | 2026-05-22 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Premera | Premera All Plans | $3.40 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Regence | Regence All Plans | $3.40 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Lifewise | Lifewise All Plans | $3.40 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Uniform Medical Plan (WA Public Employees and Retiree Plan) | Uniform Medical Plan (WA Public Employees and Retiree Plan) All Plans | $3.40 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Molina (Medicaid) | Molina (Medicaid) All Plans | $3.44 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | CHPW (Cascade Select) | CHPW (Cascade Select) All Plans | $3.60 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Cigna All Plans | $3.72 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Aetna All Plans | $3.80 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Asuris | Asuris All Plans | $3.84 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | HMA | HMA All Plans | $3.84 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Ambetter | Ambetter All Plans | $3.88 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Coordinated Care (Medicaid) | Coordinated Care (Medicaid) All Plans | $3.88 | $4.00 | $3.40 | 2025-07-01 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NETWORK | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED SELECT NETWORK | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA COMMERCIAL | CIGNA COMMERCIAL | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE IDEMNITY | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORK | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORKAL | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NTWRK | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORKAL | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NETWORK | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NTWRK | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA COMMERCIAL | CIGNA COMMERCIAL | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED SELECT NETWORK | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE IDEMNITY | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORK | $4.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $4.80 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $4.80 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST HEALTH COMMERICAL | FIRST HEALTH | $8.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST HEALTH COMMERICAL | FIRST HEALTH | $8.00 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $8.48 | $16.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $8.48 | $16.00 | — | 2024-06-28 | MRF ↗ |
| FOREST HEALTH MEDICAL CENTER Both | None | — | — | $71.60 | — | 2026-02-26 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | VA CCN -ALL PLANS | VA CCN -ALL PLANS | $173.54 | $482.05 | $433.85 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRICARE- ALL PLANS | TRICARE- ALL PLANS | $173.54 | $482.05 | $433.85 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRIWEST WELLMARK-ALL PLANS | TRIWEST WELLMARK-ALL PLANS | $173.54 | $482.05 | $433.85 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MEDICAL ASSOCIATES-ALL PLANS | MEDICAL ASSOCIATES-ALL PLANS | $173.54 | $482.05 | $433.85 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | WELLMARK MCR ADV- ALL PLANS | WELLMARK MCR ADV- ALL PLANS | $175.27 | $482.05 | $433.85 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC MCR ADV | UHC MCR ADV | $178.74 | $482.05 | $433.85 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | OSCAR-ALL PLANS | OSCAR-ALL PLANS | $260.31 | $482.05 | $433.85 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MIDLANDS NEW BUSINESS | MIDLANDS NEW BUSINESS | $337.44 | $482.05 | $433.85 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $415.53 | $482.05 | $433.85 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $457.95 | $482.05 | $433.85 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MIDLANDS CHOICE - ALL OTHER PLANS | MIDLANDS CHOICE - ALL OTHER PLANS | $467.59 | $482.05 | $433.85 | 2026-01-03 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | United Healthcare | Options PPO | $950.98 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | United Healthcare | Options PPO | $950.98 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | United Healthcare | Options PPO | $950.98 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Aetna | Signature | $1,066.80 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Aetna | Signature | $1,066.80 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | Aetna | Signature | $1,066.80 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Avmed | Commercial | $1,112.52 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Avmed | Commercial | $1,112.52 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | Avmed | Commercial | $1,112.52 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | United Healthcare | Indemnity | $1,144.52 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | United Healthcare | Indemnity | $1,144.52 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | United Healthcare | Indemnity | $1,144.52 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Aetna | Non-Gatekeeper | $1,176.53 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | Aetna | Non-Gatekeeper | $1,176.53 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Aetna | Non-Gatekeeper | $1,176.53 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Aetna | International | $1,219.20 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Aetna | International | $1,219.20 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | Aetna | International | $1,219.20 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | USA Managed Care | PPO | $1,219.20 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | USA Managed Care | PPO | $1,219.20 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | USA Managed Care | PPO | $1,219.20 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | First Health | PPO | $1,264.92 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | First Health | PPO | $1,264.92 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | First Health | PPO | $1,264.92 | $1,524.00 | $609.60 | 2025-08-01 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI BC KMA IP | $2,171.20 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI MOLINA PSPRT IP | $2,171.20 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI BC KMA OP | $2,171.20 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI UNITEDHEALTH IP | $2,171.20 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI UNITEDHEALTH CARE | $2,265.60 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY_MCAID IP | $2,265.60 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MCAID OP | $2,265.60 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI HUMANA IP | $2,265.60 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI PASSPORT HLTH | $2,265.60 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VA ROUTINE SERVICES | $2,360.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VA OP | $2,360.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VA IP | $2,360.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE SWING BED | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE ASC | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE IP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI BC PATHWAY OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI BC PATHWAY IP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CENTURION BCF IP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED AETNA SWINGBED | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CENTURION BCF OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC OP ESSENTIAL | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI WELLCARE OF KY IP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI WELLCARE OF KY OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC ASC | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PASSPRT ASC | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED HUMANA OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED HUM ASC | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED ALLWELL FROM MHS IP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED UHC ADV OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED ALLWELL FROM MHS OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED MOLINA HLTHCR MCO OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC ADV OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC SWING BED | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED CIGNA OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED WELLCARE SWING | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED AETNA IP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED AETNA | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED UHC SWING BED | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PASSPRT OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PYRAMID LIFE ADV IP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED WELLCARE IP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PASSPRT IP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED HUM SWING BED | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PYRAMID LIFE ADV OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED ALLWELL MHS SWINGBED | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED IP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED IU HLTH ADV IP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED OPTUM MED NETWORK OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED WELLCARE OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED UHC ADV IP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED MEDICAL MUTUAL OP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | WEXFORD HLTH OP/BCF | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC IP | $2,454.40 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI PASSPORT/KMA HLTH | $3,020.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI HUMANA OP | $3,115.20 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI AETNA BET HEALTH | $3,209.60 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | ACCIDENT FUND PCMH IP | $4,720.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | WORKERS COMP OP | $4,720.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | WORKERS COMP IP | $4,720.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | ACCIDENT FUND PCMH OUPT | $4,720.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CARESOURCE SWINGBED | $5,547.88 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP | $5,547.88 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 160 (XT) KY/OP | $5,547.88 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 130 SWING | $5,547.88 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP ESSENTIALS | $5,547.88 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC LAB | $5,547.88 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL OP | $5,547.88 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL IP | $5,547.88 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC OP | $5,547.88 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC OP | $5,827.31 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL OP | $5,827.31 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 160 (XT) KY/OP | $5,827.31 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CARESOURCE SWINGBED | $5,827.31 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP | $5,827.31 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 130 SWING | $5,827.31 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC LAB | $5,827.31 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP ESSENTIALS | $5,827.31 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL IP | $5,827.31 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GUARANTOR LIABLE | TP | $6,608.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | PCMH INSURNACE | PCMH DEACONESS ONECARE | $7,363.20 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH INPT | $7,542.56 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | UMR IP | $7,542.56 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH INPATIENT | $7,542.56 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH OP | $7,542.56 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | ALL SAVERS | $7,542.56 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | UMR OP | $7,542.56 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | PASSPORT MOLINA MRKTPLACE | $7,542.56 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH | $7,542.56 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SECONDARY INSURANCE | AARP INSURANCE | $7,542.56 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | UNICARE IP | $7,542.56 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | KENTUCKY HEALTH COOP | $7,835.20 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | UNIFIED GROUP SERVICES | $7,835.20 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | PAT VALLEY MEDICAL BENEFI | $7,835.20 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | FREEDOM LIFE IP | $7,948.48 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | FREEDOM LIFE OP | $7,948.48 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | AETNA | $7,948.48 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | AETNA US HLTHCARE IP | $7,948.48 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | ENCORE HEALTH NETWORK | $8,024.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | OPERATING ENGINEERS | ENCORE HEALTH NETWORK | $8,024.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1718 | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1942 | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1609 | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1308 | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAGAMORE | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAGAMORE OP | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BOILERMAKERS HEALTHCARE | CIGNA BOILERM IP | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | GREAT WEST OP | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAGA1912 | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | GREAT WEST IP | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CIGNA | CIGNA OP | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CIGNA | CIGNA IP | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG2064 | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BOILERMAKERS HEALTHCARE | CIGNA BOILERM OP | $8,212.80 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WAUSAU BENEFITS | WAUSAU BENEFITS IP | $9,440.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | G-W CONSOLIDATED IP | $9,440.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | G-W CONSOLIDATED OP | $9,440.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI OUT OF STATE OP | $9,440.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE EAST IP | $9,440.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE FOR LIFE | $9,440.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE EAST | $9,440.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE | $9,440.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | TRIWEST | $9,440.00 | $9,440.00 | $6,608.00 | 2026-01-02 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.