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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43280 — Laparoscopy Fundoplasty

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 $10,093

Usually $4,041–$13,493 (25th–75th percentile) across 1,860 hospitals · 4,258 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43280 — 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 surgeon and anesthesia figures are estimates 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
$4,041 $10,093 typical $13,493

The middle 50% of negotiated facility rates for this procedure, measured across 1,860 hospitals. Surgeon & anesthesia 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. $10,093
Surgeon (professional fee) Estimate national typical Medicare PFS $1,012 × 1.22 commercial. $1,235
Likely subtotal $11,328
Surgical episode (typical) ~$11,328

Your recovery plan — adjust to what your surgeon told you

After surgery, 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) ~$15,113
How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Surgeon (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

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
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 2026-02-28 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient Aetna AetnaCommercial $1.00 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient Aetna AetnaCommercial $1.00 $17,219.25 2024-12-08 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Aetna AetnaExistingBusiness $1.00 2025-01-31 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient Aetna AetnaCommercial $1.00 2024-12-08 MRF ↗
Harper University Hospital Outpatient Aetna AetnaExistingBusiness $1.00 2025-01-31 MRF ↗
Rehabilitation Institute Of Michigan Outpatient Aetna AetnaExistingBusiness $1.00 2025-01-31 MRF ↗
METROWEST MEDICAL CENTER Outpatient Aetna AetnaNarrowNetwork $1.00 2025-01-31 MRF ↗
MERCYONE NORTH IOWA MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $2.88 $63,064.05 2026-03-31 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient UNITED HEALTH [40002] CHA HB MEDICARE MANAGED CARE - UHC $8.41 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient AARP [40001] CHA HB MEDICARE MANAGED CARE - UHC $8.41 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CHRIST HOSPITAL Outpatient UHC COMMUNITY MEDICAID [2175] HB XR UHC INDIANA PATHWAYS MEDICAID $8.71 $40,540.05 $24,865.72 2025-12-19 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Oscar Health Exchange $8.98 $50.00 $17.50 2026-05-08 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient CIGNA [50005] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient ELDER SERVICE PLAN [65002] CHA HB ELDER SERVICE PLAN $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient COMMONWEALTH CARE ALLIANCE [65001] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BCBS - MA [10001] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS GENERAL BRIGHAM [50021] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER TUFTS HEALTH PUBLIC PLAN [75002] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient SENIOR WHOLE HEALTH [65003] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MEDICARE [60001] CHA HB MEDICARE $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HPHC [20001] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BCBS - OUT OF STATE [10002] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HEALTH SAFETY NET [80001] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HUMANA [50008] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TUFTS HEALTH PLAN [30001] CHA HB Tufts Health Plan Medicare Preferred $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TUFTS HEALTH PLAN [30001] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BOSTON MEDICAL CENTER - WELLSENSE [50003] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient AETNA [50001] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient RR MEDICARE [60002] CHA HB MEDICARE $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER COMMERCIAL PAYOR [50015] CHA HB MEDICARE MANAGED CARE 100 PCT $9.34 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS GENERAL BRIGHAM [50021] CHA HB MEDICAID-STANDARD $11.42 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER TUFTS HEALTH PUBLIC PLAN [75002] CHA HB MEDICAID-STANDARD $11.42 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient UNITED HEALTH [40002] CHA HB MEDICAID-STANDARD $11.42 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TUFTS TOGETHER W CHA [75001] CHA HB MEDICAID-STANDARD $11.42 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BOSTON MEDICAL CENTER - WELLSENSE [50003] CHA HB MEDICAID-STANDARD $11.42 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient FALLON [50006] CHA HB MEDICAID-STANDARD $11.42 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS HEALTH [70001] CHA HB MEDICAID-STANDARD $11.42 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OOS MEDICAID [70002] CHA HB MEDICAID-STANDARD $11.42 $13,305.60 $13,305.60 2026-03-20 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Devoted Healthcare Medicare $12.47 $50.00 $17.50 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Blue Cross Blue Shield Medicare $12.47 $50.00 $17.50 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both United Healthcare Medicare $12.47 $50.00 $17.50 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Essential Health Partners Medicare $12.47 $50.00 $17.50 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Essential Health Partners Hmo $12.47 $50.00 $17.50 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Aetna Medicare $12.47 $50.00 $17.50 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Humana Medicare $12.47 $50.00 $17.50 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Cigna Medicare $12.72 $50.00 $17.50 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Meridian Medicare (Wellcare) $12.84 $50.00 $17.50 2026-05-08 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TRICARE [85002] CHA HB TRICARE $12.94 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient CHAMPVA [85001] CHA HB TRICARE $12.94 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient HEALTH SAFETY NET [80001] CHA HB HEALTH SAFETY NET $12.94 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient FALLON [50006] CHA HB FALLON $12.94 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER GOV'T PAYOR [85003] CHA HB TRICARE $12.94 $13,305.60 $13,305.60 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient FALLON [50006] CHA HB FALLON CAREPLUS $12.94 $13,305.60 $13,305.60 2026-03-20 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Meridian Exchange (Ambetter) $14.96 $50.00 $17.50 2026-05-08 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $17.64 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $17.95 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $17.98 $91,631.25 $18,326.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $17.98 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $17.98 $91,631.25 $18,326.25 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $17.98 $91,631.25 $18,326.25 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $17.98 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $17.98 $91,631.25 $18,326.25 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $17.98 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $17.98 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $17.98 $91,631.25 $18,326.25 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $17.98 $91,631.25 $18,326.25 2026-03-26 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Aetna Commercial $20.20 $50.00 $17.50 2026-05-08 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER TUFTS HEALTH PUBLIC PLAN [75002] CHA HB TUFTS HEALTH PUBLIC PLANS QHP NON-SUBSIDIZED $20.89 $13,305.60 $13,305.60 2026-03-20 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Hst Technologies Epo, Ppo $23.94 $50.00 $17.50 2026-05-08 MRF ↗
LOURDES MEDICAL CENTER Outpatient UNITEDHEALTHCARE OF WASHINGTON INC HMO $24.59 $89.28 $35.71 2025-09-24 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both United Healthcare Navigate, Core, Charter, Aco Tiered $28.06 $50.00 $17.50 2026-05-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 $17,219.25 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 $17,219.25 2024-12-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both United Healthcare All Other Plans $31.18 $50.00 $17.50 2026-05-08 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $31.48 $2,619.00 $497.61 2026-01-25 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Cigna Hmo, Ppo, Pos $32.60 $50.00 $17.50 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Cigna Local Plus $32.60 $50.00 $17.50 2026-05-08 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 BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $36.58 $20,320.00 $9,977.13 2024-12-31 MRF ↗
ORCHARD HOSPITAL Outpatient MEDI-CAL MEDI-CAL $40.00 $2,030.22 $1,218.13 2025-09-13 MRF ↗
ORCHARD HOSPITAL Outpatient CA HEALTH AND WELLNESS-ALL PLANS CA HEALTH AND WELLNESS-ALL PLANS $40.00 $2,030.22 $1,218.13 2025-09-13 MRF ↗
Tyler Memorial Hospital OutpatientFacility None 2026-01-01 MRF ↗
ORCHARD HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $40.40 $2,030.22 $1,218.13 2025-09-13 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 $17,219.25 2024-12-08 MRF ↗
S E LACKEY MEMORIAL HOSPITAL Outpatient CIGNA COMM - ALL PLANS CIGNA COMM - ALL PLANS $50.00 $2,930.00 $2,930.00 2026-02-10 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
SKYLINE HOSPITAL Outpatient REGENCE BS CARE REGENCE BS CARE $51.00 $6,396.00 $4,605.12 2026-05-04 MRF ↗
SKYLINE HOSPITAL Outpatient REGENCE BS PPO/POS - ALL OTHER PLANS REGENCE BS PPO/POS - ALL OTHER PLANS $51.00 $6,396.00 $4,605.12 2026-05-04 MRF ↗
SKYLINE HOSPITAL Outpatient REGENCE BS PAR REGENCE BS PAR $51.00 $6,396.00 $4,605.12 2026-05-04 MRF ↗
HURLEY MEDICAL CENTER Inpatient MERIDIAN HEALTH PLAN [9007] MERIDIAN MICHILD [900702] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL MCLAREN CAID [300601] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MERIDIAN HEALTH PLAN [9007] MERIDIAN HEALTH PLAN [900701] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MICHIGAN COMPLETE HEALTH MEDICAID [9019] MICHIGAN COMPLETE HEALTH MEDICAID [901901] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] OUT OF COUNTY CMH [901001] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient PACE MEDICAID HMO [9020] GENESYS PACE [902001] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient UPPER PENINSULA HEALTH PLAN MEDICAID [9015] UPPER PENINSULA HEALTH [901501] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL OMNICARE CAID [300608] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient AETNA BETTER HEALTH PLAN [9018] AETNA BETTER HEALTH PLAN [901801] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF STATE MEDICAID [3004] OUT OF STATE MEDICAID GENERIC [300402] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF STATE MEDICAID [3004] OUT OF STATE MEDICAID [300401] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient BLUE CROSS COMPLETE [9001] BLUE CROSS COMPLETE [900102] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient PRIORITY HEALTH PLAN MEDICAID [9013] PRIORITY HEALTH PLAN MEDICAID [901301] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN MEDICAID [9012] HAP CARESOURCE [901202] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL BLUE CROSS COMPLETE [300610] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient COVENTRY CARES MEDICAID [9009] OMNICARE HEALTH PLAN MEDICAID [900901] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] UNITED HEALTH CARE MEDICAID [900401] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] PLAN FIRST FAMILY PLANNING [300003] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MEDICAID [300001] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] EMERGENCY MEDICAID [300004] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL UNITED HEALTHCARE CARE [300609] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MEDICAID TEMPORARY PRESUMPTIVE [300005] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH SAGINAW COUNTY [901002] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID HEALTHY MICHIGAN [3007] MEDICAID HEALTHY MICHIGAN [300701] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] BCCCP/WISEWOMAN [300006] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH PARTNERS MEDICAID [9017] HEALTH PARTNERS MEDICAID [901701] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MEDICAID QMB [300007] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MEDICAID MICHILD [300008] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient ABW COVERAGE NO HMO LISTED [3003] ABW COVERAGE NO HMO LISTED [300301] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MOLINA [1071] MOLINA MICHILD [107101] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient GENESEE COUNTY CMH [9003] GENESEE COUNTY CMH [900301] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL TOTAL HEALTHCARE [300606] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL PRIORITY HEALTH CAID [300611] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID DEDUCTIBLE/SPENDDOWN [3001] MEDICAID DEDUCTIBLE/SPENDDOWN [300101] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL MOLINA CAID [300603] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH SHIAWASSEE COUNTY [901003] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL HAP EMPOWERED [300613] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH CLINTON EATON & INGHAM COUNTY [901006] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH LAPEER COUNTY [901004] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MOLINA HEALTH CARE [9008] MOLINA HEALTH CARE [900801] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH OAKLAND COUNTY [901005] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL MIDWEST HEALTH CAID [300607] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL MERIDIAN CAID [300605] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL AETNA BETTER HEALTH MEDICAID [300612] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient GENERIC MEDICAID HMO [9000] GENERIC MEDICAID HMO [900001] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL GREAT LAKES [300602] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HARBOR HEALTH PLAN [9016] HARBOR HEALTH PLAN [901601] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL HEALTH PLUS CAID [300604] $55.36 $2,039.00 $2,039.00 2026-03-23 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Sunflower Medicaid $3,369.00 $2,526.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Ks Commercial $59.26 $3,369.00 $2,526.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Aetna Commercial $3,369.00 $2,526.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Phcs/Multiplan Commercial $3,369.00 $2,526.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Hpk (Incl. Cigna) Commercial $3,369.00 $2,526.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Wppa/Providrscare Commercial $3,369.00 $2,526.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Healthy Blue Medicaid $3,369.00 $2,526.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient United Healthcare Commercial $3,369.00 $2,526.75 2026-05-18 MRF ↗
HURLEY MEDICAL CENTER Outpatient COUNTY HEALTH PLAN B [1022] COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] $60.90 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient COUNTY HEALTH PLAN B [1022] GENESEE HEALTH PLAN B [102204] $60.90 $2,039.00 $2,039.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient KEY BENEFIT ADMINISTRATORS [1089] KEY BENEFIT ADMINISTRATORS [108901] $60.90 $2,039.00 $2,039.00 2026-03-23 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility POINT C CONTRACTED [320238] HB JOPL S & H FARMS $64.16 $30,919.44 $20,097.64 2026-03-13 MRF ↗
KERN VALLEY HEALTHCARE DISTRICT Outpatient HEALTHNET (AIM) HEALTHNET (AIM) $65.00 $4,686.00 $988.99 2026-02-25 MRF ↗
KERN VALLEY HEALTHCARE DISTRICT Outpatient MEDI-CAL MEDI-CAL $65.00 $4,686.00 $988.99 2026-02-25 MRF ↗
KERN VALLEY HEALTHCARE DISTRICT Outpatient HEALTHNET MCAL HEALTHNET MCAL $65.00 $4,686.00 $988.99 2026-02-25 MRF ↗
HURLEY MEDICAL CENTER Both PACE MEDICARE HMO [7023] GENESYS PACE MEDICARE HMO [702301] $65.30 $2,039.00 $2,039.00 2026-03-23 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB SPRG JOPL SEKS DEC ASI New 1.1.24 $67.71 $30,919.44 $20,097.64 2026-03-13 MRF ↗
GOODALL WITCHER HOSPITAL Inpatient BCBS Blue Advantage Blue Advantage $69.92 $1,093.00 $765.10 2026-01-13 MRF ↗
FAIRCHILD MEDICAL CENTER Outpatient MEDI-CAL MEDI-CAL $70.00 $3,022.00 $3,022.00 2025-12-03 MRF ↗
GOODALL WITCHER HOSPITAL Outpatient UHC Commercial PPO $74.50 $1,093.00 $765.10 2026-01-13 MRF ↗
CLAY COUNTY MEDICAL CENTER Outpatient HEALTH PARTNERS - ALL PLANS HEALTH PARTNERS - ALL PLANS $75.00 $2,180.35 $2,180.35 2026-04-24 MRF ↗
GOODALL WITCHER HOSPITAL Outpatient Baylor Scott And White Commercial UNKNOWN $75.00 $1,093.00 $765.10 2026-01-13 MRF ↗
GOODALL WITCHER HOSPITAL Inpatient BCBS HMO HMO $76.00 $1,093.00 $765.10 2026-01-13 MRF ↗
St Anthony Regional Hospital & Nursing Home Outpatient MIDLANDS CHOICE - ALL PLANS MIDLANDS CHOICE - ALL PLANS $76.98 $3,004.00 $3,004.00 2026-02-09 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $77.94 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $77.94 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $77.94 2026-04-14 MRF ↗

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