43239 — Biopsy Of Esophagus; Stomach; And/or Upper Small Bowel Using A Flexible Endoscope
Cite this view
HANK Price Transparency. (n.d.). BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE (OTHER 43239) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43239?code_type=OTHER
“BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE (OTHER 43239) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43239?code_type=OTHER. Accessed .
“BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE (OTHER 43239) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43239?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $552–$1,320 (25th–75th percentile) across 87 hospitals · 383 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 43239 — 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 |
|---|---|---|---|---|---|---|---|
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | United Healthcare | All Plans | — | $3,798.66 | $3,418.79 | 2026-05-09 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Hmo, Ppo, Traditional | — | $5,539.00 | $3,600.35 | 2026-05-24 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | St Alphonsus Alliance Coordinated Care Plan For Micron | — | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | Qualified Health Plan And Qualified Employee Plan | — | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | St Lukes Health Partners Carepoint | — | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Estimated_Amount |Oregon|Medicaid | — | $0.75 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | Commercial | — | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | Connected Care | — | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Estimated_Amount |Moda|Medicaid_Replacement | — | $0.75 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | First Choice Of The Midwest | Ppo | — | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Estimated_Amount |Tricare_West|Healthnet | — | $0.75 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | St Alphonsus Health Alliance Connected Care | — | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Independent Physician'S Network | Commercial | — | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | St Lukes Health Partners Coordinated Care Plan For Micron | — | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Standard_Charge |Regence_Blue_Shield_Of_Idaho|Medicare_Advantage_And_Hmo |Negotiated_Dollar | — | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Multiplan Complimentary And Value Point | Commerical | — | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | First Choice Of The Midwest | Ppo | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Moda | Medicaid Replacement | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Standard_Charge |Regence_Blue_Shield_Of_Idaho|Traditional_And_Ppo |Negotiated_Dollar | — | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Estimated_Amount |Aetna |Medicare_Advantage | — | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Oregon | Medicaid | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Standard_Charge |Tricare_West|Healthnet |Negotiated_Dollar | — | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Molina | Medicare Replacement | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Cigna | Commercial | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Standard_Charge |Providence|Commercial|Negotiated_Dollar | — | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Multiplan Primary Phcs Network Phcs Savility Healtheos-Network | Commerical | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Multiplan Primary Phcs Network Phcs Savility Healtheos-Network | Commerical | — | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | First Choice Of The Midwest | Ppo | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Estimated_Amount |Aetna|Commercial | — | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Estimated_Amount |Cigna|Commercial | — | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Molina | Medicare Medicaid Dual | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Molina | Marketplace | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Multiplan Complimentary And Value Point | Commerical | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Galaxy Health | Commercial | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Molina | Medicare Replacement | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Moda | Commercial | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Regence Blue Shield Of Idaho | Medicare Advantage And Hmo | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Aetna | Commercial | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Standard_Charge |Providence|Brightpath|Negotiated_Dollar | — | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Regence Blue Shield Of Idaho Blue Medadvantage | Medicare Replacement Ppo | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | St Alphonsus Health Alliance Connected Care | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Select Health Med Network | Commercial | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | St Lukes Health Partners Coordinated Care Plan For Micron | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Mountain Health Co Op | Commercial | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Regence Blue Shield Of Idaho | Traditional And Ppo | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | St Lukes Health Partners Carepoint | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | St Lukes Health Partners Coordinated Care Plan For Micron | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | St Lukes Health Partners Carepoint | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | United Healthcare | Commercial | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | Connected Care | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | St Alphonsus Health Alliance Connected Care | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross | Idaho | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Moda | Commercial | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Tricare West | Healthnet | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Moda | Medicaid Replacement | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | Qualified Health Plan And Qualified Employee Plan | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Americas Choice Provider Network | Commercial | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Estimated_Amount |Regence_Blue_Shield_Of_Idaho|Traditional_And_Ppo | — | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Aetna | Medicare Advantage | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Medincrease | Commercial | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Ipn Umbrella Plan | Commercial | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | Qualified Health Plan And Qualified Employee Plan | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Providence | Brightpath | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Estimated_Amount |Blue_Cross_Idaho|Medicare_Replacement | — | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Molina | Marketplace | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | St Alphonsus Alliance Coordinated Care Plan For Micron | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Pacificsource | Commercial | — | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | Commercial | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Independent Physician'S Network | Commercial | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Molina | Medicare Medicaid Dual | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Pacificsource | Commercial | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Fortified Provider Network | Commercial | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Estimated_Amount |Regence_Blue_Shield_Of_Idaho|Medicare_Advantage_And_Hmo | — | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | Connected Care | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | Medicare Replacement | $1.00 | $1.00 | $1.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | St Alphonsus Alliance Coordinated Care Plan For Micron | $1.00 | $1.00 | — | 2026-05-09 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE | Hcra | — | $41.06 | $490.92 | $294.55 | 2026-07-30 | MRF ↗ |
| CEDAR COUNTY MEMORIAL HOSPITAL Outpatient | Wps (Wisconsin Physicians Service) | Medicare Adv | — | $1,312.00 | $787.20 | 2026-05-13 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Blue Adv | — | $70.89 | $111.71 | $55.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Aetna Commercial | — | $74.84 | $111.71 | $55.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Humana Commercial | — | $78.20 | $111.71 | $55.85 | 2026-07-30 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $79.29 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $79.29 | — | — | 2026-05-24 | MRF ↗ |
| San Angelo Community Medical Center | Cigna Commercial | — | $80.43 | $111.71 | $55.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Hmo | — | $81.80 | $111.71 | $55.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Ppo/Pos | — | $81.80 | $111.71 | $55.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Indemnity | — | $81.80 | $111.71 | $55.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | First Health | — | $83.79 | $111.71 | $55.85 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $86.48 | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $86.48 | $268.00 | $134.00 | 2026-05-08 | MRF ↗ |
| San Angelo Community Medical Center | United Healthcare Commercial | — | $87.14 | $111.71 | $55.85 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $87.33 | $735.00 | $367.50 | 2026-05-09 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $3,549.65 | $3,549.65 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Hmo|Medicare_Advantage|Negotiated_Percentage | — | $90.00 | $3,549.65 | $3,549.65 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Ppo|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $3,549.65 | $3,549.65 | 2026-05-17 | MRF ↗ |
| San Angelo Community Medical Center | Healthsmart | — | $99.42 | $111.71 | $55.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Ebpa Multiplan | — | $100.54 | $111.71 | $55.85 | 2026-07-30 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $101.00 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $101.00 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $101.00 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $101.00 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicaid | $101.00 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $101.00 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $101.00 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $101.00 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $101.00 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $101.00 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $101.00 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $101.00 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $101.00 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $101.00 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicaid | $101.00 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $101.00 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 5 And 6 | $110.13 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 1 And 2 | $110.13 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 3 And 4 | $110.13 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 5 And 6 | $110.13 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 3 And 4 | $110.13 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 1 And 2 | $110.13 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $120.85 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $120.85 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $120.85 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $120.85 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $122.13 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $122.13 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $122.62 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $122.62 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $122.62 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $122.62 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $127.04 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $127.04 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $127.04 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $127.04 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $127.04 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $127.04 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $127.04 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $127.04 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $127.04 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $127.04 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $127.04 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $127.04 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $127.70 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $127.70 | — | — | 2026-05-23 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Emblemhealth | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Nascentia | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Medicaid Hmo | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Medicare | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Nascentia | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicare Advantage And Medicaid Advantage Plus | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Emblemhealth | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicare | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Martins Point | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Humana Choice Care | Commercial | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Humana Choice Care | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Humana Choice Care | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Cdphp | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Medicare | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Medicare | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Martins Point | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Essential Plans 1 -4 | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Humana Choice Care | Commercial | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Exchange | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Medicare | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Medicaid Hmo | $127.76 | $271.00 | $271.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicare Advantage And Medicaid Advantage Plus | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Cdphp | Medicare Advantage | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Exchange | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Essential Plans 1 -4 | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicare | $127.76 | $271.00 | $271.00 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $127.89 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $127.89 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $128.56 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $128.56 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $128.56 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $128.56 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $128.56 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $128.56 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $128.56 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $128.56 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $128.56 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $128.56 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $128.56 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $128.56 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $128.56 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $128.56 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicare | Professional | $129.89 | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicare | Professional | $129.89 | $268.00 | $134.00 | 2026-05-08 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Hmo | $131.11 | $2,317.00 | $1,621.90 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Ppo | $131.11 | $2,317.00 | $1,621.90 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Ppo | $131.11 | $2,317.00 | $1,621.90 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Hmo | $131.11 | $2,317.00 | $1,621.90 | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $131.13 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $131.13 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $131.13 | — | — | 2026-05-23 | 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.