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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40812 — Excise/repair Mouth Lesion

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 $1,593

Usually $831–$2,704 (25th–75th percentile) across 1,908 hospitals · 5,530 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 40812 — 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
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 2026-02-28 MRF ↗
TITUSVILLE AREA HOSPITAL Outpatient United Healthcare Medicare Medicare Advantage $1.00 $437.00 $262.20 2026-02-12 MRF ↗
TITUSVILLE AREA HOSPITAL Outpatient United Healthcare Medicare Medicare Advantage $1.00 $437.00 $262.20 2026-02-12 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.04 $552.00 $524.40 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $2.04 $552.00 $524.40 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.04 $552.00 $524.40 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.10 $552.00 $524.40 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.15 $552.00 $524.40 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $2.21 $552.00 $524.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.65 $552.00 $524.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.65 $552.00 $524.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.70 $552.00 $524.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.70 $552.00 $524.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $2.70 $552.00 $524.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.70 $552.00 $524.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.76 $552.00 $524.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.82 $552.00 $524.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.87 $552.00 $524.40 2026-02-20 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $2.89 $1,432.00 $1,074.00 2025-03-07 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $2.98 $552.00 $524.40 2026-02-20 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $3.98 $382.60 $382.60 2026-04-24 MRF ↗
Ventura County Medical Center - Santa Paula Hospital Outpatient UHC MCR ADV UHC MCR ADV $5.45 $2,861.00 $1,430.50 2026-03-23 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $9.52 $5,290.00 $1,524.07 2024-12-31 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $10.90 $489.00 $489.00 2026-02-13 MRF ↗
CHILDREN'S HOSPITAL COLORADO OutpatientFacility CCHA Behavioral Health Medicaid (All Contracted Plans) $12.50 $125.00 $81.25 2026-04-17 MRF ↗
RICHLAND HOSPITAL OutpatientFacility Dean Health Plan DHI/DHP Products and ASO Managed Care $13.56 $99.00 $79.20 2026-04-24 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $14.90 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $14.90 2026-04-14 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BLUE SHIELD PROMISE [1017] BLUE SHIELD PROMISE (FKA CARE1ST HEALTHPLAN MEDI-CAL) $15.00 $3,933.00 $2,163.15 2026-04-01 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Medicare $18.70 2026-04-14 MRF ↗
CHILDREN'S HOSPITAL COLORADO OutpatientFacility Integrated Health Plan Commercial (PPO) $18.75 $125.00 $81.25 2026-04-17 MRF ↗
OLEAN GENERAL HOSPITAL OutpatientFacility Univera Medicare Managed Care Plan $18.84 2026-04-01 MRF ↗
BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility Univera Medicare Managed Care Plan $18.84 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL COMMUNITY CARE [10550015] $18.90 $3,933.00 $2,163.15 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MOLINA [1240] MOLINA MEDI-CAL [12400001] $18.90 $3,933.00 $2,163.15 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MOLINA [1240] MOLINA MEDI-CAL $18.90 $3,933.00 $2,163.15 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL [10550002] $18.90 $3,933.00 $2,163.15 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL $18.90 $3,933.00 $2,163.15 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient COMMUNITY HEALTH GROUP [1022] COMMUNITY HEALTH GROUP (MEDI-CAL) $19.35 $3,933.00 $2,163.15 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient HEALTH NET [1039] HEALTH NET MEDI-CAL $20.25 $3,933.00 $2,163.15 2026-04-01 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility MagnaCare All Products $20.41 2025-12-31 MRF ↗
MITCHELL COUNTY REGIONAL HEALTH Outpatient MEDICAL ASSOCIATES-ALL PLANS MEDICAL ASSOCIATES-ALL PLANS $21.10 $58.61 $52.75 2026-01-03 MRF ↗
MITCHELL COUNTY REGIONAL HEALTH Outpatient TRICARE- ALL PLANS TRICARE- ALL PLANS $21.10 $58.61 $52.75 2026-01-03 MRF ↗
MITCHELL COUNTY REGIONAL HEALTH Outpatient TRIWEST WELLMARK-ALL PLANS TRIWEST WELLMARK-ALL PLANS $21.10 $58.61 $52.75 2026-01-03 MRF ↗
MITCHELL COUNTY REGIONAL HEALTH Outpatient VA CCN -ALL PLANS VA CCN -ALL PLANS $21.10 $58.61 $52.75 2026-01-03 MRF ↗
MITCHELL COUNTY REGIONAL HEALTH Outpatient WELLMARK MCR ADV- ALL PLANS WELLMARK MCR ADV- ALL PLANS $21.31 $58.61 $52.75 2026-01-03 MRF ↗
MITCHELL COUNTY REGIONAL HEALTH Outpatient UHC MCR ADV UHC MCR ADV $21.73 $58.61 $52.75 2026-01-03 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Commercial $21.91 2026-04-14 MRF ↗
LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility BCBS ALL PRODUCTS $23.75 $25.00 $24.00 2025-12-28 MRF ↗
LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility UHC ALL PRODUCTS $24.00 $25.00 $24.00 2025-12-28 MRF ↗
LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility MIDLANDS CHOICE ALL PRODUCTS $25.00 $25.00 $24.00 2025-12-28 MRF ↗
COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility Medica All Plans $27.50 $76.40 $95.50 2026-03-05 MRF ↗
COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility Medica All Plans $27.50 $76.40 $95.50 2026-03-05 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 2024-12-08 MRF ↗
MITCHELL COUNTY REGIONAL HEALTH Outpatient OSCAR-ALL PLANS OSCAR-ALL PLANS $31.65 $58.61 $52.75 2026-01-03 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 2024-12-08 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - Meridian Medicaid - Meridian $34.00 $341.00 $170.00 2025-02-03 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
RICHLAND HOSPITAL OutpatientFacility Anthem Blue Cross Blue Shield of Wisconsin Medicare Advantage $34.65 $99.00 $79.20 2026-04-24 MRF ↗
RICHLAND HOSPITAL OutpatientFacility Security Health Medicare Advantage $34.65 $99.00 $79.20 2026-04-24 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - United Medicaid - United $35.00 $341.00 $170.00 2025-02-03 MRF ↗
RICHLAND HOSPITAL OutpatientFacility Group Health Coop of Eau Claire Commercial $37.42 $99.00 $79.20 2026-04-24 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S SEMC EMPLOYEE [70005904] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NYSIF [700058] WC NY STATE INSURANCE FUND [70005801] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS NO FAULT [800006] NF TRAVELERS [80000601] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ESIS WORK COMP [700010] WC ESIS [70001001] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GALLAGHER BASSETT WORK COMP [700013] WC GALLAGHER BASSETT [70001301] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NCA WC [700057] WC NCA [70005701] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA FSLH EMPLOYEE [70005901] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient WC MISC. [709999] WC MISC. [70999901] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STATE FARM AUTO INSURANCE NF [800026] NF STATE FARM AUTO INSURANCE [80002601] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PROGRESSIVE AUTO INSURANCE [800005] NF PROGRESSIVE AUTO INSURANCE [80000501] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS WORK COMP [700028] WC TRAVELERS [70002801] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL WORK COMP [700016] WC LIBERTY MUTUAL [70001601] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL WORKER'S COMP [700062] WC UTICA NATIONAL INS [70006201] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CORVEL CORP WC [700054] WC CORVEL CORP [70005401] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CHARTIS WC [700029] WC CHARTIS [70002901] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PMA WORK COMP [700031] WC PMA [70003101] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ERIE INS NF [800002] NF ERIE INS [80000201] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient HARTFORD INS WC [700055] WC HARTFORD INS [70005501] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient SEDGWICK [700027] WC SEDGWICK [70002701] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STRATEGIC COMP SERVICES [700061] WC STRATEGIC COMP SERVICES [70006101] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GEICO AUTO INSURANCE [800003] NF GEICO AUTO INSURANCE [80000301] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STATE FARM AUTO INSURANCE NF [800026] NF STATE FARM AUTO INSURANCE [80002601] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NF MISC. [809999] NF MISC. [80999901] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MADISON ONEIDA HERK WC [700056] WC MADISON ONEIDA HERK [70005601] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS WORK COMP [700028] WC TRAVELERS [70002801] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL AUTO INSURANCE [800008] NF LIBERTY MUTUAL AUTO INS [80000801] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NY CTRL MUTUAL NF [800004] NF NY CTRL MUTUAL [80000401] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ALLSTATE AUTO INSURANCE [800001] NF ALLSTATE [80000101] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient HARTFORD INS WC [700055] WC HARTFORD INS [70005501] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MET LIFE AUTO INSURANCE [800009] NF MET LIFE AUTO INS [80000901] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA SEMC EMPLOYEE [70005902] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NY CTRL MUTUAL NF [800004] NF NY CTRL MUTUAL [80000401] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PROGRESSIVE AUTO INSURANCE [800005] NF PROGRESSIVE AUTO INSURANCE [80000501] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MET LIFE AUTO INSURANCE [800009] NF MET LIFE AUTO INS [80000901] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CHARTIS WC [700029] WC CHARTIS [70002901] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MADISON ONEIDA HERK WC [700056] WC MADISON ONEIDA HERK [70005601] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GEICO AUTO INSURANCE [800003] NF GEICO AUTO INSURANCE [80000301] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GALLAGHER BASSETT WORK COMP [700013] WC GALLAGHER BASSETT [70001301] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient WC MISC. [709999] WC MISC. [70999901] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ERIE INS NF [800002] NF ERIE INS [80000201] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL WORKER'S COMP [700062] WC UTICA NATIONAL INS [70006201] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ALLSTATE AUTO INSURANCE [800001] NF ALLSTATE [80000101] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS NO FAULT [800006] NF TRAVELERS [80000601] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ESIS WORK COMP [700010] WC ESIS [70001001] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL WORK COMP [700016] WC LIBERTY MUTUAL [70001601] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PMA WORK COMP [700031] WC PMA [70003101] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA FSLH EMPLOYEE [70005901] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S SEMC EMPLOYEE [70005904] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S MVHS EMPLOYEE [70005903] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NYSIF [700058] WC NY STATE INSURANCE FUND [70005801] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL NO FAULT [800007] NF UTICA NATIONAL INS [80000701] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NF MISC. [809999] NF MISC. [80999901] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NCA WC [700057] WC NCA [70005701] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA SEMC EMPLOYEE [70005902] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S MVHS EMPLOYEE [70005903] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL AUTO INSURANCE [800008] NF LIBERTY MUTUAL AUTO INS [80000801] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient SEDGWICK [700027] WC SEDGWICK [70002701] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CORVEL CORP WC [700054] WC CORVEL CORP [70005401] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STRATEGIC COMP SERVICES [700061] WC STRATEGIC COMP SERVICES [70006101] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL NO FAULT [800007] NF UTICA NATIONAL INS [80000701] $37.62 $13,075.73 $7,845.44 2025-01-17 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $38.00 $341.00 $170.00 2025-02-03 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient BCBS -ALL PLANS BCBS -ALL PLANS $38.00 $1,500.00 $1,050.00 2026-04-06 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $39.29 $291.00 $218.25 2026-01-16 MRF ↗
Tyler Memorial Hospital OutpatientFacility None 2026-01-01 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient BCBS BLUE CHOICE/SELECT - ALL OTHER PLANS BCBS BLUE CHOICE/SELECT - ALL OTHER PLANS $40.16 $1,500.00 $1,050.00 2026-01-12 MRF ↗
MEMORIAL HOSPITAL Outpatient BCBS - ALL PLANS BCBS - ALL PLANS $40.59 $1,500.00 $1,500.00 2026-02-18 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $41.00 $341.00 $170.00 2025-02-03 MRF ↗

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