Price Transparencybeta 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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43202 — Esophagoscopy Flex Biopsy

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 $2,004

Usually $1,139–$2,896 (25th–75th percentile) across 1,936 hospitals · 5,766 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43202 — 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 physician and sedation 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
$1,139 $2,004 typical $2,896

The middle 50% of negotiated facility rates for this procedure, measured across 1,936 hospitals. The physician and sedation 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. $2,004
Endoscopist (professional fee) Estimate national typical Medicare $93 × 1.22 commercial. $114
Anesthesia Estimate national typical Generic anesthesia (~30 min typical, median CMS base units). Medicare $123 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. $386
Likely subtotal $2,504
Complete-episode estimate (typical) ~$2,504

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) ~$6,289
How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Endoscopist (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 — 4 base units (typical CMS value) × ~30 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
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $2.97 $257.00 $48.83 2026-01-25 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $3.38 $3,971.00 $2,382.60 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $3.38 $3,971.00 $2,382.60 2025-08-11 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KY (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CA (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WI (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AL WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FEDERAL WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NM WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SD (WELLMARK) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AR WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MO (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK HMO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IN (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CARE NETWORK WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OR (REGENCE) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - ID (REGENCE) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility PRE-EMPLOYMENT WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility WC DOMESTIC WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WY WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CT (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS DOMESTIC WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FL WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AZ WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - WA (REGENCE) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CO (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ND WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ID WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SC WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AK (PREMERA) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE DISTINCTION TRANSPLANT WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NJ (HORIZON) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OH (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MN WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NE WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCBS GENERIC WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NV (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TX WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCN DOMESTIC WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility KAISER DOMESTIC WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - UT (REGENCE) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MS WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MA WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - CA WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (CAPITAL) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OK WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NC WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MT WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - LA WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL ALTERNATE WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MI WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VT WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WA (PREMERA) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NH (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KS WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - HI WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ME (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - RI WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TN WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - GA (ANTHEM) WELLMARK PPO $4.05 $17,301.80 2026-03-31 MRF ↗
HURLEY MEDICAL CENTER Inpatient UPPER PENINSULA HEALTH PLAN MEDICAID [9015] UPPER PENINSULA HEALTH [901501] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MEDICAID TEMPORARY PRESUMPTIVE [300005] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MEDICAID MICHILD [300008] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient PACE MEDICAID HMO [9020] GENESYS PACE [902001] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF STATE MEDICAID [3004] OUT OF STATE MEDICAID GENERIC [300402] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] UNITED HEALTH CARE MEDICAID [900401] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF STATE MEDICAID [3004] OUT OF STATE MEDICAID [300401] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH PARTNERS MEDICAID [9017] HEALTH PARTNERS MEDICAID [901701] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient PRIORITY HEALTH PLAN MEDICAID [9013] PRIORITY HEALTH PLAN MEDICAID [901301] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL AETNA BETTER HEALTH MEDICAID [300612] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient ABW COVERAGE NO HMO LISTED [3003] ABW COVERAGE NO HMO LISTED [300301] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MOLINA HEALTH CARE [9008] MOLINA HEALTH CARE [900801] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL TOTAL HEALTHCARE [300606] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL UNITED HEALTHCARE CARE [300609] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL HEALTH PLUS CAID [300604] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient COVENTRY CARES MEDICAID [9009] OMNICARE HEALTH PLAN MEDICAID [900901] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] BCCCP/WISEWOMAN [300006] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL MERIDIAN CAID [300605] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MICHIGAN COMPLETE HEALTH MEDICAID [9019] MICHIGAN COMPLETE HEALTH MEDICAID [901901] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MEDICAID QMB [300007] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL PRIORITY HEALTH CAID [300611] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] EMERGENCY MEDICAID [300004] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient BLUE CROSS COMPLETE [9001] BLUE CROSS COMPLETE [900102] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL OMNICARE CAID [300608] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL MIDWEST HEALTH CAID [300607] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL BLUE CROSS COMPLETE [300610] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID HEALTHY MICHIGAN [3007] MEDICAID HEALTHY MICHIGAN [300701] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HARBOR HEALTH PLAN [9016] HARBOR HEALTH PLAN [901601] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL MOLINA CAID [300603] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient GENESEE COUNTY CMH [9003] GENESEE COUNTY CMH [900301] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] OUT OF COUNTY CMH [901001] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MEDICAID [300001] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL GREAT LAKES [300602] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH OAKLAND COUNTY [901005] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient AETNA BETTER HEALTH PLAN [9018] AETNA BETTER HEALTH PLAN [901801] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH LAPEER COUNTY [901004] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH SAGINAW COUNTY [901002] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MERIDIAN HEALTH PLAN [9007] MERIDIAN MICHILD [900702] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MERIDIAN HEALTH PLAN [9007] MERIDIAN HEALTH PLAN [900701] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL MCLAREN CAID [300601] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH CLINTON EATON & INGHAM COUNTY [901006] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH SHIAWASSEE COUNTY [901003] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient GENERIC MEDICAID HMO [9000] GENERIC MEDICAID HMO [900001] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MOLINA [1071] MOLINA MICHILD [107101] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL HAP EMPOWERED [300613] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] PLAN FIRST FAMILY PLANNING [300003] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID DEDUCTIBLE/SPENDDOWN [3001] MEDICAID DEDUCTIBLE/SPENDDOWN [300101] $5.21 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN MEDICAID [9012] HAP CARESOURCE [901202] $5.74 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] $5.74 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] GENESEE HEALTH PLAN B [102204] $5.74 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both KEY BENEFIT ADMINISTRATORS [1089] KEY BENEFIT ADMINISTRATORS [108901] $5.74 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both PACE MEDICARE HMO [7023] GENESYS PACE MEDICARE HMO [702301] $5.93 $224.00 $224.00 2026-03-23 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $6.26 $3,480.00 $1,912.13 2024-12-31 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICA HEALTHCARE PLAN, INC [7012] MEDICA HEALTHCARE PLAN [701201] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient PRIORITY HEALTH MEDICARE [7016] PRIORITY HEALTH MEDICARE [701601] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient GENERIC MEDICARE ADVANTAGE [7000] GENERIC MEDICARE ADVANTAGE [700001] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEDICARE EXPLORE PPO [700306] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MICHIGAN COMPLETE HEALTH MEDICARE [7011] MICHIGAN COMPLETE HEALTH MEDICARE [701101] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEDICARE CONNECT HMO [700301] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEDICARE DIABETES AND HEART HMO CSNP [700312] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEDICARE MEDICAL ACCESS HMO [700303] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEDICARE COMPLETE ASSIST DSNP [700310] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient WELLCARE HEALTH PLAN [7021] WELLCARE HEALTH PLAN [702104] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both AMBETTER [1094] AMBETTER MARKETPLACE [109401] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MERIDIAN COMPLETE [7024] MERIDIAN COMPLETE [702401] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both AMBETTER [1094] AMBETTER OUT OF STATE [109402] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MCLAREN ADVANTAGE [7002] MCLAREN MEDICARE INSPIRE DUALS [700204] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient INDEPENDENT CARE HEALTH PLAN [7015] INDEPENDENT CARE HEALTH PLAN [701501] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MOLINA MEDICARE [7006] MOLINA MEDICARE COMPLETE CARE [700602] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient RELIANCE MEDICARE ADVANTAGE [7027] RELIANCE MEDICARE ADVANTAGE [702701] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both VA MEDICAL CENTER [1061] VA COMMUNITY CARE NETWORK [106104] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HENRY FORD HEALTH SELECT HMO MEDICARE [700311] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MCLAREN ADVANTAGE [7002] MCLAREN MEDICARE INSPIRE [700203] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH PARTNERS MEDICARE HMO [7017] HEALTH PARTNERS MEDICARE HMO [701701] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient BLUE CARE NETWORK ADVANTAGE [7001] BCN ADVANTAGE U-M PREMIER CARE [700102] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE SELF AUDIT ALT [2002] MEDICARE ALTERNATE SELF AUDIT [200201] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE ALT [2001] MEDICARE A&B ALT [200009] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE PLUS BLUE/BCBS ADVANTAGE [7005] MEDICARE PLUS BLUE U-M RETIREE ADVANTAGE [700502] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient FREEDOM HEALTH CARE [7022] FREEDOM HEALTH CARE [702201] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both BLUE CARE NETWORK ADVANTAGE [7001] BLUE CARE NETWORK ADVANTAGE [700101] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient UPPER PENINSULA HEALTH PLAN MEDICARE [7019] UPPER PENINSULA HEALTH PLAN MEDICARE [701901] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient PACIFICARE OF ARIZONA [7013] PACIFICARE OF ARIZONA [701301] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient UNIVERSITY OF MICHIGAN HEALTH MEDICARE [7031] UNIVERSITY OF MICHIGAN HEALTH MEDICARE [703101] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MOLINA [1071] MOLINA MARKETPLACE [107102] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE PLUS BLUE/BCBS ADVANTAGE [7005] MEDICARE PLUS BLUE/BCBS ADVANTAGE [700501] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient AMERIHEALTH CARITAS VIP CARE PLUS [7025] AMERIHEALTH CARITAS VIP CARE PLUS [702501] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE [2000] MEDICARE A [200001] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient AETNA MEDICARE [7014] AETNA MEDICARE [701401] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE [2000] MEDICARE A&B [200003] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient AMERIVANTAGE MEDICARE HMO [7018] AMERIVANTAGE MEDICARE HMO [701801] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE [2000] MEDICARE B [200002] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient LONGEVITY HEALTH MEDICARE [7032] LONGEVITY MI MEDICARE ADVANTAGE [703201] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HEALTH ALLIANCE PLAN DUALS [700302] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MSU MEDICARE PRIME [700308] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP HENRY FORD SELECT [700307] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEDICARE PRIME [700304] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP SENIOR PLUS PPO [700305] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient AETNA BETTER HEALTH PREMIER PLAN [7020] AETNA BETTER HEALTH PREMIER PLAN [702001] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE [2000] RAIL ROAD MEDICARE [200004] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEMBER ASSIST [700309] $7.32 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient ZING HEALTH [7028] ZING HEALTH MEDICARE ADVANTAGE [702801] $7.57 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both VHA OFFICE OF COMMUNITY CARE [1011] CHAMPVA [101101] $7.76 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HUMANA ADVANTAGE [7008] HUMANA ADVANTAGE [700801] $7.76 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both TRICARE [1056] TRICARE WEST [105601] $7.76 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both HUMANA MILITARY [1098] HUMANA MILITARY TRICARE EAST [109801] $7.76 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both TRICARE [1056] TRICARE FOR LIFE [105602] $7.76 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MCLAREN HEALTH ADVANTAGE [1038] MCLAREN HEALTH PLAN COMMUNITY [103802] $7.91 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MCLAREN HEALTH ADVANTAGE [1038] MCLAREN HEALTH ADVANTAGE [103801] $7.91 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient UNITED HEALTH CARE COMMUNITY PLAN MEDICARE [7007] UHC AARP MEDICARE ADVANTAGE [700705] $8.30 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient UNITED HEALTH CARE COMMUNITY PLAN MEDICARE [7007] UNITED HEALTH CARE COMMUNITY DUAL [700704] $8.30 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient UNITED HEALTH CARE COMMUNITY PLAN MEDICARE [7007] UNITED HEALTH CARE MEDICARE 31362 [700702] $8.30 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient UNITED HEALTH CARE COMMUNITY PLAN MEDICARE [7007] UNITED HEALTH CARE MEDICARE 30436 [700703] $8.30 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient UNITED HEALTH CARE COMMUNITY PLAN MEDICARE [7007] UNITED HEALTH CARE MEDICARE 30991 [700701] $8.30 $224.00 $224.00 2026-03-23 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $9.00 $450.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $9.00 $450.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $9.00 $450.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $9.00 $450.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $9.00 $450.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $9.00 $450.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $9.00 $450.00 2026-03-31 MRF ↗
HURLEY MEDICAL CENTER Both UNITED HEALTH CARE [1058] UNITED HEALTHCARE MARKETPLACE [105810] $10.29 $224.00 $224.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both ALLIED BENEFIT SYSTEMS [1005] COFINITY ALLIED BENEFIT SYSTEMS [100502] $10.40 $224.00 $224.00 2026-03-23 MRF ↗

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