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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43242 — Egd US Fine Needle Bx/aspir

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 $2,363

Usually $1,680–$3,623 (25th–75th percentile) across 1,824 hospitals · 4,813 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43242 — 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
SHARP CHULA VISTA MEDICAL CENTER Outpatient Community Health Group Community Health Group - Cal Mediconnect $0.12 $7,586.00 $5,689.50 2026-04-01 MRF ↗
SHARP CHULA VISTA MEDICAL CENTER Outpatient Blue Shield Blue Shield - Promise $0.12 $7,586.00 $5,689.50 2026-04-01 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Oscar Health Exchange $3.43 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Essential Health Partners Hmo $4.76 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Essential Health Partners Medicare $4.76 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Aetna Medicare $4.76 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both United Healthcare Medicare $4.76 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Blue Cross Blue Shield Medicare $4.76 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Humana Medicare $4.76 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Devoted Healthcare Medicare $4.76 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Cigna Medicare $4.86 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Meridian Medicare (Wellcare) $4.90 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Meridian Exchange (Ambetter) $5.71 $20.00 $7.00 2026-05-08 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $6.93 $3,850.00 $1,912.13 2024-12-31 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $7.58 $649.00 $123.31 2026-01-25 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Aetna Commercial $7.72 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Hst Technologies Epo, Ppo $9.14 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both United Healthcare Navigate, Core, Charter, Aco Tiered $11.50 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both United Healthcare All Other Plans $12.78 $20.00 $7.00 2026-05-08 MRF ↗
SHARP CHULA VISTA MEDICAL CENTER Outpatient Interplan Interplan $12.95 $7,586.00 $5,689.50 2026-04-01 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Cigna Hmo, Ppo, Pos $13.05 $20.00 $7.00 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Cigna Local Plus $13.05 $20.00 $7.00 2026-05-08 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $19.91 $20,885.84 $4,177.17 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $19.91 $20,885.84 $4,177.17 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $19.91 $20,894.62 $4,178.92 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $19.91 $20,894.62 $4,178.92 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $19.91 $20,894.62 $4,178.92 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $19.91 $20,894.62 $4,178.92 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $19.91 $20,894.62 $4,178.92 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $19.91 $20,885.84 $4,177.17 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $19.91 $20,894.62 $4,178.92 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $19.91 $20,894.62 $4,178.92 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $19.91 $20,894.62 $4,178.92 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $19.91 $20,894.62 $4,178.92 2026-03-26 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $20.00 $1,185.00 $1,185.00 2025-10-04 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $20.26 $20,894.62 $4,178.92 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $20.26 $20,894.62 $4,178.92 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $20.26 $20,894.62 $4,178.92 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $20.26 $20,894.62 $4,178.92 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $20.26 $20,885.84 $4,177.17 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $20.26 $20,894.62 $4,178.92 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $20.26 $20,885.84 $4,177.17 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $20.26 $20,894.62 $4,178.92 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $20.26 $20,885.84 $4,177.17 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $20.26 $20,894.62 $4,178.92 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $20.26 $20,894.62 $4,178.92 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $20.26 $20,894.62 $4,178.92 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $20.29 $20,894.62 $4,178.92 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $20.29 $20,885.84 $4,177.17 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $20.29 $20,885.84 $4,177.17 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $20.29 $20,894.62 $4,178.92 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $20.29 $20,894.62 $4,178.92 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $20.29 $20,894.62 $4,178.92 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $20.29 $20,894.62 $4,178.92 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $20.29 $20,894.62 $4,178.92 2026-03-26 MRF ↗
TAHOE FOREST HOSPITAL Outpatient CA HEALTH AND WELLNESS-ALL PLANS CA HEALTH AND WELLNESS-ALL PLANS $20.40 $1,185.00 $1,185.00 2025-10-04 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $22.39 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $22.53 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $22.53 2026-03-18 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $25.26 $24,501.53 $4,900.31 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $25.26 $24,501.53 $4,900.31 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $25.26 $24,501.53 $4,900.31 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $25.26 $24,501.53 $4,900.31 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $25.26 $24,501.53 $4,900.31 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $25.26 $24,501.53 $4,900.31 2026-03-26 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $25.66 2026-03-18 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $25.71 $24,501.53 $4,900.31 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $25.71 $24,501.53 $4,900.31 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $25.71 $24,501.53 $4,900.31 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $25.71 $24,501.53 $4,900.31 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $25.71 $24,501.53 $4,900.31 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $25.71 $24,501.53 $4,900.31 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $25.74 $24,501.53 $4,900.31 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $25.74 $24,501.53 $4,900.31 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $25.74 $24,501.53 $4,900.31 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $25.74 $24,501.53 $4,900.31 2026-03-26 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $25.82 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $25.82 2026-03-18 MRF ↗
TAHOE FOREST HOSPITAL Outpatient PARTNERSHIP HEALTH PLAN- ALL PLANS PARTNERSHIP HEALTH PLAN- ALL PLANS $26.00 $1,185.00 $1,185.00 2025-10-04 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $27.94 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $28.11 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $28.11 2026-03-18 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 ↗
MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $31.45 $6,376.75 2026-03-31 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 ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $38.48 $285.00 $213.75 2026-01-16 MRF ↗
Tyler Memorial Hospital OutpatientFacility None 2026-01-01 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED AT&T-ALL PLANS UNITED AT&T-ALL PLANS $59.14 $285.00 $213.75 2026-01-16 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS CHILD HEALTH PLUS [35008101] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS [200041] EXCELLUS HEALTHY NY EPO [20004107] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS CHILD HEALTH PLUS APG [35008203] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS ESSENTIAL PLAN APG [35008202] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS HMO MEDICAID [35008103] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS HMO MEDICAID [35008103] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS CHILD HEALTH PLUS APG [35008203] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS [200041] EXCELLUS HEALTHY NY EPO [20004107] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS HMO MEDICAID APG [35008201] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS ESSENTIAL PLAN APG [35008202] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS CHILD HEALTH PLUS [35008101] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS ESSENTIAL PLAN [35008102] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS ESSENTIAL PLAN [35008102] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS HMO MEDICAID APG [35008201] $61.50 $13,728.81 $8,237.29 2025-01-17 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP GOLD HMO $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient HIGHMARK [114] HIGHMARK MEDICARE $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP|CIGNA|GWH CIGNA|NALC CIGNA $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MH OPTUM [170] MH OPTUM COMMUNITY $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient HIGHMARK [114] HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EMBLEM GHI [113] EMBLEM GHI $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS MEDICARE [176] FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EXCELLUS INDEMNITY [127] BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|EMPIRE BLUE CROSS (NYC)|BLUE CROSS & BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient AETNA [100] AETNA MEDICARE ADVANTAGE $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient GENERIC MEDICARE HMO [125] HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|CDPHP MEDICARE HMO $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] YOURCARE BEACON MEDICAID|MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient GENERIC CARRIER [107] COMMERCIAL|HUMANA|CDPHP COMMERCIAL $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC CHPS|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS CARE NEW YORK [112] FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient VETERANS ADMINISTRATION [178] VA VETERAN'S CHOICE VACAA [17803] $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE DUAL $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 3&4 $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC MEDICARE COMPLETE $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP GOLD PPO $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EXCELLUS HMO [104] BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EXCELLUS HMO [104] MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR|MEDICARE BLUE PPO $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC DUAL COMPLETE $7,528.60 $4,893.59 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE MEDICARE HMO $7,528.60 $4,893.59 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $78.67 $7,445.92 $5,956.74 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $78.67 $7,445.92 $5,956.74 2024-12-30 MRF ↗
HURLEY MEDICAL CENTER Both UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] UNITED HEALTH CARE MEDICAID [900401] $82.54 $801.00 $801.00 2026-03-23 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $84.04 $7,445.92 $5,956.74 2024-12-30 MRF ↗
NORTH VALLEY HEALTH CENTER Outpatient BCBS MHCP BCBS MHCP $85.70 $515.00 $515.00 2025-09-15 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Interwest Health All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility VA Health All $87.98 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Pacific Source All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Montana Health CoOp All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility UHC Medicare Advantage $87.98 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility First Health Network All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Blue Cross Blue Shield Medicare Advantage $87.98 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Coventry All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Prime Health All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Humana Medicare Advantage $87.98 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Tricare All $87.98 2026-03-28 MRF ↗
HURLEY MEDICAL CENTER Both KEY BENEFIT ADMINISTRATORS [1089] KEY BENEFIT ADMINISTRATORS [108901] $90.80 $801.00 $801.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] GENESEE HEALTH PLAN B [102204] $90.80 $801.00 $801.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] $90.80 $801.00 $801.00 2026-03-23 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Hap HAPHMO $93.00 2025-01-31 MRF ↗
Harper University Hospital Outpatient Hap HAPHMO $93.00 2025-01-31 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED BEHAVORIAL HEALTH [120] UNITED BEHAVORIAL HEALTH [12001] $461.10 $461.10 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient HIGHMARK [114] HIGHMARK MEDICARE [11402] $461.10 $461.10 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK ESSENTIALS [11404] $461.10 $461.10 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient EMBLEM GHI [113] EMBLEM GHI [11301] $461.10 $461.10 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK [11401] $461.10 $461.10 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE [10301] $461.10 $461.10 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient MULTIPLAN [141] MULTIPLAN [14101] $461.10 $461.10 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN [10104] $97.80 $461.10 $461.10 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient GENERIC MEDICARE HMO [125] GENERIC MEDICARE HMO [12505] $461.10 $461.10 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient GENERIC CARRIER [107] COMMERCIAL [10701] $461.10 $461.10 2024-12-30 MRF ↗
ASCENSION ST VINCENT ANDERSON Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient UNIFIED GROUP SERVICES 8813_ANTHEM UNIFIED GROUPS VKIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM PPO PREFERRED 9232_ANTHEM PREFERRED VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM SHORT TERM LIMITED DURATION 9361_ANTHEM SHORT TERM LIMITED DURATION VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM PATHWAY X 9231_ANTHEM PATHWAY X VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM HEALTHSYNC HMO 9227_ANTHEM HEALTHSYNC HMO VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM HEALTHSYNC POS 9228_ANTHEM HEALTHSYNC POS VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM HMO/POS 9229_ANTHEM HMO POS VCIN 20250101 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $99.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM PATHWAY 9230_ANTHEM PATHWAY VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $99.62 2026-01-01 MRF ↗

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