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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43775 — Lap Sleeve Gastrectomy

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 $4,020

Usually $1,280–$11,290 (25th–75th percentile) across 1,496 hospitals · 2,521 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43775 — 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
$1,280 $4,020 typical $11,290

The middle 50% of negotiated facility rates for this procedure, measured across 1,496 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. $4,020
Surgeon (professional fee) Estimate national typical Medicare PFS $1,000 × 1.22 commercial. $1,220
Likely subtotal $5,240
Surgical episode (typical) ~$5,240

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) ~$9,025
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 ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $7.89 $4,384.00 2024-12-31 MRF ↗
MERCY MEDICAL CTR OutpatientFacility CARELON HEALTH MEDICAID CARELON MEDICAID $7.94 $16,139.45 2026-03-31 MRF ↗
MERCY MEDICAL CTR OutpatientFacility WELLSENSE HEALTH PLAN WELLSENSE SILVER $8.69 $16,139.45 2026-03-31 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB JOPL OK MEDICAID $13.83 $35,105.93 $22,818.85 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB JOPL OK MEDICAID $13.83 $35,105.93 $22,818.85 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HUMANA MEDICAID CONTRACTED [320486] HB JOPL OK MEDICAID $13.83 $35,105.93 $22,818.85 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MEDICAID [20240] HB JOPL OK MEDICAID $13.83 $35,105.93 $22,818.85 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE [20213] HB JOPL KANCARE UHC MEDCAID $16.83 $35,105.93 $22,818.85 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE CONTRACTED [320213] HB JOPL AETNA BETTER HEALTH (KANCARE) $16.83 $35,105.93 $22,818.85 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE CONTRACTED [320213] HB JOPL KANCARE UHC MEDCAID $16.83 $35,105.93 $22,818.85 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE CONTRACTED [320213] HB JOPL KANCARE HEALTHY BLUE MEDICAID $16.83 $35,105.93 $22,818.85 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE [20213] HB JOPL AETNA BETTER HEALTH (KANCARE) $16.83 $35,105.93 $22,818.85 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB JOPL KANCARE HEALTHY BLUE MEDICAID $16.83 $35,105.93 $22,818.85 2026-03-13 MRF ↗
MERCY HEALTH-ST RITA'S MEDICAL CENTER Outpatient UHC MEDICARE [1011] UNITEDHEALTHCARE DUAL COMPLETE [1011009] $28.68 2026-04-01 MRF ↗
MERCY HEALTH-ST RITA'S MEDICAL CENTER Outpatient AETNA MEDICARE [1003] AETNA MEDICARE-ADVANTAGE PPO [103002] $28.68 2026-04-01 MRF ↗
MERCY HEALTH-ST RITA'S MEDICAL CENTER Outpatient UHC MEDICARE [1011] UHC AARP MEDICARE ADVANTAGE [1011017] $28.68 2026-04-01 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
MERCY HEALTH-ST RITA'S MEDICAL CENTER Outpatient CARESOURCE MYCARE OHIO [4236] CARESOURCE MYCARE OHIO DUAL [4236001] $29.25 2026-04-01 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 2024-12-08 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $32.57 $2,640.00 $501.60 2026-01-25 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 ↗
Tyler Memorial Hospital OutpatientFacility None 2026-01-01 MRF ↗
BON SECOURS-ST FRANCIS XAVIER HOSPITAL Outpatient UHC MEDICARE [1011] UHC MEDICARE COMPLETE [44] $43.83 2026-04-01 MRF ↗
ST FRANCIS-DOWNTOWN Outpatient HUMANA MEDICARE [1010] HUMANA CHOICE-PPO MEDICARE [101003] $44.85 2026-05-06 MRF ↗
ST FRANCIS-DOWNTOWN Outpatient UHC MEDICARE [1011] UHC AARP MEDICARE ADVANTAGE [1011017] $44.85 2026-05-06 MRF ↗
ST FRANCIS-DOWNTOWN Outpatient UHC MEDICARE [1011] UNITEDHEALTHCARE DUAL COMPLETE [1011009] $44.85 2026-05-06 MRF ↗
BON SECOURS-ST FRANCIS XAVIER HOSPITAL Outpatient HUMANA MEDICARE [1010] HUMANA GOLD PLUS HMO [101001] $46.02 2026-04-01 MRF ↗
BON SECOURS-ST FRANCIS XAVIER HOSPITAL Outpatient HUMANA MEDICARE [1010] HUMANA CHOICE-PPO MEDICARE [101003] $46.02 2026-04-01 MRF ↗
EAST COOPER MEDICAL CENTER 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 ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] OUT OF COUNTY CMH [901001] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] PLAN FIRST FAMILY PLANNING [300003] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL MERIDIAN CAID [300605] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MOLINA [1071] MOLINA MICHILD [107101] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL MOLINA CAID [300603] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH SHIAWASSEE COUNTY [901003] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH SAGINAW COUNTY [901002] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient AETNA BETTER HEALTH PLAN [9018] AETNA BETTER HEALTH PLAN [901801] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL UNITED HEALTHCARE CARE [300609] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL OMNICARE CAID [300608] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] UNITED HEALTH CARE MEDICAID [900401] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HARBOR HEALTH PLAN [9016] HARBOR HEALTH PLAN [901601] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MOLINA HEALTH CARE [9008] MOLINA HEALTH CARE [900801] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID DEDUCTIBLE/SPENDDOWN [3001] MEDICAID DEDUCTIBLE/SPENDDOWN [300101] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MEDICAID QMB [300007] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF STATE MEDICAID [3004] OUT OF STATE MEDICAID [300401] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MERIDIAN HEALTH PLAN [9007] MERIDIAN HEALTH PLAN [900701] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL PRIORITY HEALTH CAID [300611] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] BCCCP/WISEWOMAN [300006] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient BLUE CROSS COMPLETE [9001] BLUE CROSS COMPLETE [900102] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient GENERIC MEDICAID HMO [9000] GENERIC MEDICAID HMO [900001] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL AETNA BETTER HEALTH MEDICAID [300612] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient COVENTRY CARES MEDICAID [9009] OMNICARE HEALTH PLAN MEDICAID [900901] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL GREAT LAKES [300602] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient UPPER PENINSULA HEALTH PLAN MEDICAID [9015] UPPER PENINSULA HEALTH [901501] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient PACE MEDICAID HMO [9020] GENESYS PACE [902001] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH LAPEER COUNTY [901004] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MEDICAID MICHILD [300008] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL HEALTH PLUS CAID [300604] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL HAP EMPOWERED [300613] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH PARTNERS MEDICAID [9017] HEALTH PARTNERS MEDICAID [901701] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MERIDIAN HEALTH PLAN [9007] MERIDIAN MICHILD [900702] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL TOTAL HEALTHCARE [300606] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH CLINTON EATON & INGHAM COUNTY [901006] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF STATE MEDICAID [3004] OUT OF STATE MEDICAID GENERIC [300402] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MEDICAID TEMPORARY PRESUMPTIVE [300005] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID HEALTHY MICHIGAN [3007] MEDICAID HEALTHY MICHIGAN [300701] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MICHIGAN COMPLETE HEALTH MEDICAID [9019] MICHIGAN COMPLETE HEALTH MEDICAID [901901] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL BLUE CROSS COMPLETE [300610] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MEDICAID [300001] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient PRIORITY HEALTH PLAN MEDICAID [9013] PRIORITY HEALTH PLAN MEDICAID [901301] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient ABW COVERAGE NO HMO LISTED [3003] ABW COVERAGE NO HMO LISTED [300301] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL MCLAREN CAID [300601] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient JVHL MEDICAID LABS [3006] JVHL MIDWEST HEALTH CAID [300607] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN MEDICAID [9012] HAP CARESOURCE [901202] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient OUT OF COUNTY CMH [9010] CMH OAKLAND COUNTY [901005] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient GENESEE COUNTY CMH [9003] GENESEE COUNTY CMH [900301] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICAID [3000] EMERGENCY MEDICAID [300004] $56.52 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient COUNTY HEALTH PLAN B [1022] GENESEE HEALTH PLAN B [102204] $62.17 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient COUNTY HEALTH PLAN B [1022] COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] $62.17 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient KEY BENEFIT ADMINISTRATORS [1089] KEY BENEFIT ADMINISTRATORS [108901] $62.17 $3,382.00 $3,382.00 2026-03-23 MRF ↗
METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient TRICARE [600001] HB TRICARE - MS CONTRACT $63.02 $29,107.68 $6,403.69 2026-03-19 MRF ↗
HURLEY MEDICAL CENTER Both PACE MEDICARE HMO [7023] GENESYS PACE MEDICARE HMO [702301] $65.34 $3,382.00 $3,382.00 2026-03-23 MRF ↗
MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility MEDICAID [20240] HB OKLC ARK MEDICAID $70.64 $30,329.62 $19,714.25 2026-03-12 MRF ↗
CLAY COUNTY MEDICAL CENTER Outpatient HEALTH PARTNERS - ALL PLANS HEALTH PARTNERS - ALL PLANS $75.00 $2,900.65 $2,900.65 2026-04-24 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient LIFETIME_BEN LIFETIME BENEFITS $75.08 $119.18 $132.07 2025-01-19 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $78.50 $22,978.57 $18,382.86 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $78.50 $22,978.57 $18,382.86 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $78.50 $22,978.57 $18,382.86 2024-12-30 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $79.59 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $79.59 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $79.59 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $79.59 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $79.59 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $79.59 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $79.59 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $79.59 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $79.59 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $79.59 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $79.59 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $79.59 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $79.59 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $79.59 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $79.59 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $79.59 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $79.59 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $79.59 2026-04-14 MRF ↗
HURLEY MEDICAL CENTER Both VA MEDICAL CENTER [1061] VA COMMUNITY CARE NETWORK [106104] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both AMBETTER [1094] AMBETTER OUT OF STATE [109402] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient AMERIHEALTH CARITAS VIP CARE PLUS [7025] AMERIHEALTH CARITAS VIP CARE PLUS [702501] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient LONGEVITY HEALTH MEDICARE [7032] LONGEVITY MI MEDICARE ADVANTAGE [703201] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both AMBETTER [1094] AMBETTER MARKETPLACE [109401] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MOLINA MEDICARE [7006] MOLINA MEDICARE COMPLETE CARE [700602] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient AETNA BETTER HEALTH PREMIER PLAN [7020] AETNA BETTER HEALTH PREMIER PLAN [702001] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MOLINA [1071] MOLINA MARKETPLACE [107102] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE PLUS BLUE/BCBS ADVANTAGE [7005] MEDICARE PLUS BLUE/BCBS ADVANTAGE [700501] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE ALT [2001] MEDICARE A&B ALT [200009] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient PACIFICARE OF ARIZONA [7013] PACIFICARE OF ARIZONA [701301] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient BLUE CARE NETWORK ADVANTAGE [7001] BCN ADVANTAGE U-M PREMIER CARE [700102] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both BLUE CARE NETWORK ADVANTAGE [7001] BLUE CARE NETWORK ADVANTAGE [700101] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient AETNA MEDICARE [7014] AETNA MEDICARE [701401] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient AMERIVANTAGE MEDICARE HMO [7018] AMERIVANTAGE MEDICARE HMO [701801] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE [2000] MEDICARE A&B [200003] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE PLUS BLUE/BCBS ADVANTAGE [7005] MEDICARE PLUS BLUE U-M RETIREE ADVANTAGE [700502] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient UPPER PENINSULA HEALTH PLAN MEDICARE [7019] UPPER PENINSULA HEALTH PLAN MEDICARE [701901] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient GENERIC MEDICARE ADVANTAGE [7000] GENERIC MEDICARE ADVANTAGE [700001] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MCLAREN ADVANTAGE [7002] MCLAREN MEDICARE INSPIRE DUALS [700204] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MICHIGAN COMPLETE HEALTH MEDICARE [7011] MICHIGAN COMPLETE HEALTH MEDICARE [701101] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient FREEDOM HEALTH CARE [7022] FREEDOM HEALTH CARE [702201] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MERIDIAN COMPLETE [7024] MERIDIAN COMPLETE [702401] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE SELF AUDIT ALT [2002] MEDICARE ALTERNATE SELF AUDIT [200201] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP HENRY FORD SELECT [700307] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MCLAREN ADVANTAGE [7002] MCLAREN MEDICARE INSPIRE [700203] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient PRIORITY HEALTH MEDICARE [7016] PRIORITY HEALTH MEDICARE [701601] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEDICARE CONNECT HMO [700301] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient WELLCARE HEALTH PLAN [7021] WELLCARE HEALTH PLAN [702104] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient INDEPENDENT CARE HEALTH PLAN [7015] INDEPENDENT CARE HEALTH PLAN [701501] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE [2000] RAIL ROAD MEDICARE [200004] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP SENIOR PLUS PPO [700305] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient RELIANCE MEDICARE ADVANTAGE [7027] RELIANCE MEDICARE ADVANTAGE [702701] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient UNIVERSITY OF MICHIGAN HEALTH MEDICARE [7031] UNIVERSITY OF MICHIGAN HEALTH MEDICARE [703101] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEDICARE DIABETES AND HEART HMO CSNP [700312] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEDICARE EXPLORE PPO [700306] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE [2000] MEDICARE A [200001] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HEALTH ALLIANCE PLAN DUALS [700302] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH PARTNERS MEDICARE HMO [7017] HEALTH PARTNERS MEDICARE HMO [701701] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEDICARE COMPLETE ASSIST DSNP [700310] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEMBER ASSIST [700309] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MSU MEDICARE PRIME [700308] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEDICARE MEDICAL ACCESS HMO [700303] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HAP MEDICARE PRIME [700304] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICARE [2000] MEDICARE B [200002] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient MEDICA HEALTHCARE PLAN, INC [7012] MEDICA HEALTHCARE PLAN [701201] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HEALTH ALLIANCE PLAN SENIOR [7003] HENRY FORD HEALTH SELECT HMO MEDICARE [700311] $80.67 $3,382.00 $3,382.00 2026-03-23 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Outpatient AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $81.48 $29,107.68 $6,403.69 2026-03-19 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Outpatient AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $81.48 $29,107.68 $6,403.69 2026-03-19 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Outpatient AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $81.48 $29,107.68 $6,403.69 2026-03-19 MRF ↗
METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $81.48 $29,107.68 $6,403.69 2026-03-19 MRF ↗
METHODIST SOUTHLAKE MEDICAL CENTER Outpatient AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $81.48 $29,107.68 $6,403.69 2026-03-19 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Outpatient AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $81.48 $29,107.68 $6,403.69 2026-03-19 MRF ↗
HURLEY MEDICAL CENTER Inpatient ZING HEALTH [7028] ZING HEALTH MEDICARE ADVANTAGE [702801] $83.50 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both VHA OFFICE OF COMMUNITY CARE [1011] CHAMPVA [101101] $86.38 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both HUMANA MILITARY [1098] HUMANA MILITARY TRICARE EAST [109801] $86.38 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both TRICARE [1056] TRICARE WEST [105601] $86.38 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both TRICARE [1056] TRICARE FOR LIFE [105602] $86.38 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Inpatient HUMANA ADVANTAGE [7008] HUMANA ADVANTAGE [700801] $86.38 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MCLAREN HEALTH ADVANTAGE [1038] MCLAREN HEALTH PLAN COMMUNITY [103802] $88.11 $3,382.00 $3,382.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MCLAREN HEALTH ADVANTAGE [1038] MCLAREN HEALTH ADVANTAGE [103801] $88.11 $3,382.00 $3,382.00 2026-03-23 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $88.44 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $88.44 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $88.44 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $88.44 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $88.44 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $88.44 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $88.44 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $88.44 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $88.44 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $88.44 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $88.44 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $88.44 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $88.44 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $88.44 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $88.44 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $88.44 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $88.44 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $88.44 2026-04-14 MRF ↗
Riverside Community Hospital Outpatient MedCare Partners MGMCR 2026-03-01 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MEDICAID [20240] HB FTSM ARK MEDICAID $90.58 $22,183.24 $14,419.11 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB FTSM ARK MEDICAID $90.58 $22,183.24 $14,419.11 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB FTSM SUMMIT $90.58 $22,183.24 $14,419.11 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB FTSM SUMMIT $90.58 $22,183.24 $14,419.11 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB FTSM ARK MEDICAID $90.58 $22,183.24 $14,419.11 2026-03-13 MRF ↗

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