4441947_1 — Room & Board - Private (one Bed) - General Classification
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION (CDM 4441947_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4441947_1?code_type=CDM
MLA (9th ed.)
“ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION (CDM 4441947_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4441947_1?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION (CDM 4441947_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4441947_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $706–$1,284 (25th–75th percentile) across 12 hospitals · 74 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4441947_1 — 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 |
|---|---|---|---|---|---|---|---|
| ASHLAND HEALTH CENTER Inpatient | BCBS-ALL PLANS | BCBS-ALL PLANS | $385.25 | $1,150.00 | $920.00 | 2026-03-02 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | DIRECT BENEFIT-ALL PLANS | DIRECT BENEFIT-ALL PLANS | $408.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | DIRECT BENEFIT-ALL PLANS | DIRECT BENEFIT-ALL PLANS | $408.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | UHC KANCARE | UHC KANCARE | $493.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | UHC KANCARE | UHC KANCARE | $493.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Inpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $503.72 | $1,028.00 | $873.80 | 2026-03-11 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $510.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $510.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| MORRIS COUNTY HOSPITAL Inpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $542.55 | $750.00 | $450.00 | 2026-03-11 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Inpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $543.91 | $1,028.00 | $873.80 | 2026-03-11 | MRF ↗ |
| MORRIS COUNTY HOSPITAL Inpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $571.50 | $750.00 | $450.00 | 2026-03-11 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | BCBS BLUE CHOICE-ALL OTHER PLANS | BCBS BLUE CHOICE-ALL OTHER PLANS | $595.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | BCBS BLUE CHOICE-ALL OTHER PLANS | BCBS BLUE CHOICE-ALL OTHER PLANS | $595.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| MORRIS COUNTY HOSPITAL Inpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $600.00 | $750.00 | $450.00 | 2026-03-11 | MRF ↗ |
| MINNEOLA DISTRICT HOSPITAL Inpatient | PROVIDRS CARE NETWORK-ALL PLANS | PROVIDRS CARE NETWORK-ALL PLANS | $628.15 | $739.00 | $517.30 | 2026-03-05 | MRF ↗ |
| MINNEOLA DISTRICT HOSPITAL Inpatient | CORPORATE PLAN MANAGEMENT-ALL PLANS | CORPORATE PLAN MANAGEMENT-ALL PLANS | $628.15 | $739.00 | $517.30 | 2026-03-05 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $630.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $630.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $630.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $630.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $665.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $665.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $665.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | CIGNA/HPK-ALL PLANS | CIGNA/HPK-ALL PLANS | $665.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $665.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | CIGNA/HPK-ALL PLANS | CIGNA/HPK-ALL PLANS | $665.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| MINNEOLA DISTRICT HOSPITAL Inpatient | TRIWEST-ALL PLANS | TRIWEST-ALL PLANS | $665.10 | $739.00 | $517.30 | 2026-03-05 | MRF ↗ |
| MINNEOLA DISTRICT HOSPITAL Inpatient | PREFERRED HEALTH CARE (COVENTRY)-ALL OTHER PLANS | PREFERRED HEALTH CARE (COVENTRY)-ALL OTHER PLANS | $665.10 | $739.00 | $517.30 | 2026-03-05 | MRF ↗ |
| MORRIS COUNTY HOSPITAL Inpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $672.00 | $750.00 | $450.00 | 2026-03-11 | MRF ↗ |
| MORRIS COUNTY HOSPITAL Inpatient | COVENTRY COMM-ALL OTHER PLANS | COVENTRY COMM-ALL OTHER PLANS | $675.00 | $750.00 | $450.00 | 2026-03-11 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | BERKLEY NET-ALL PLANS | BERKLEY NET-ALL PLANS | $680.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | BERKLEY NET-ALL PLANS | BERKLEY NET-ALL PLANS | $680.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $700.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | UHC MCAID/CHIP | UHC MCAID/CHIP | $700.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | HEALTHY BLUE MCAID- ALL OTHER PLANS | HEALTHY BLUE MCAID- ALL OTHER PLANS | $700.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $700.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | COVENTRY MCAID-ALL PLANS | COVENTRY MCAID-ALL PLANS | $700.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | SUNFLOWER MCAID - ALL PLANS | SUNFLOWER MCAID - ALL PLANS | $700.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | SUNFLOWER MCAID - ALL PLANS | SUNFLOWER MCAID - ALL PLANS | $700.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | COVENTRY MCAID-ALL PLANS | COVENTRY MCAID-ALL PLANS | $700.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | HEALTHY BLUE MCAID- ALL OTHER PLANS | HEALTHY BLUE MCAID- ALL OTHER PLANS | $700.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Inpatient | UHC MCAID/CHIP | UHC MCAID/CHIP | $700.00 | $700.00 | $700.00 | 2026-03-03 | MRF ↗ |
| MINNEOLA DISTRICT HOSPITAL Inpatient | HEALTH PARTNERS OF KANSAS-ALL PLANS | HEALTH PARTNERS OF KANSAS-ALL PLANS | $702.05 | $739.00 | $517.30 | 2026-03-05 | MRF ↗ |
| MINNEOLA DISTRICT HOSPITAL Inpatient | PHC (COVENTRY) LEASED NETWORK | PHC (COVENTRY) LEASED NETWORK | $702.05 | $739.00 | $517.30 | 2026-03-05 | MRF ↗ |
| MINNEOLA DISTRICT HOSPITAL Inpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $702.05 | $739.00 | $517.30 | 2026-03-05 | MRF ↗ |
| MINNEOLA DISTRICT HOSPITAL Inpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $702.05 | $739.00 | $517.30 | 2026-03-05 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $710.50 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| MINNEOLA DISTRICT HOSPITAL Inpatient | AETNA BETTER HEALTH (KANCARE) | AETNA BETTER HEALTH (KANCARE) | $739.00 | $739.00 | $517.30 | 2026-03-05 | MRF ↗ |
| MINNEOLA DISTRICT HOSPITAL Inpatient | UHC KANCARE | UHC KANCARE | $739.00 | $739.00 | $517.30 | 2026-03-05 | MRF ↗ |
| MINNEOLA DISTRICT HOSPITAL Inpatient | SUNFLOWER (KANCARE)-ALL PLANS | SUNFLOWER (KANCARE)-ALL PLANS | $739.00 | $739.00 | $517.30 | 2026-03-05 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | TRUSTMARK HEALTH BENEFITS-ALL PLANS | TRUSTMARK HEALTH BENEFITS-ALL PLANS | $748.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | TRUSTMARK HEALTH BENEFITS-ALL PLANS | TRUSTMARK HEALTH BENEFITS-ALL PLANS | $748.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $748.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $748.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| MORRIS COUNTY HOSPITAL Inpatient | UHC MCAID CHIP | UHC MCAID CHIP | $750.00 | $750.00 | $450.00 | 2026-03-11 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | MERITAIN HEALTH-ALL PLANS | MERITAIN HEALTH-ALL PLANS | $765.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | MERITAIN HEALTH-ALL PLANS | MERITAIN HEALTH-ALL PLANS | $765.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| GRISELL MEMORIAL HOSPITAL Inpatient | UHC ALL PAYER-ALL PLANS | UHC ALL PAYER-ALL PLANS | $803.52 | $1,080.00 | $1,026.00 | 2026-03-03 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | FIRSTGUARD - ALL PLANS | FIRSTGUARD - ALL PLANS | $812.00 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | AMBETTER - ALL PLANS | AMBETTER - ALL PLANS | $816.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | AMBETTER - ALL PLANS | AMBETTER - ALL PLANS | $816.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Inpatient | RURAL CARRIERS-ALL PLANS | RURAL CARRIERS-ALL PLANS | $850.00 | $1,000.00 | $750.00 | 2026-03-10 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Inpatient | UHC COMM - ALL OTHER PLANS | UHC COMM - ALL OTHER PLANS | $873.80 | $1,028.00 | $873.80 | 2026-03-11 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Inpatient | UMR - ALL PLANS | UMR - ALL PLANS | $873.80 | $1,028.00 | $873.80 | 2026-03-11 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Inpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $900.00 | $1,000.00 | $750.00 | 2026-03-10 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Inpatient | MERITAIN-ALL PLANS | MERITAIN-ALL PLANS | $900.00 | $1,000.00 | $750.00 | 2026-03-10 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | WPPA - ALL PLANS | WPPA - ALL PLANS | $913.50 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| ASHLAND HEALTH CENTER Inpatient | COMPALLIANCE-ALL PLANS | COMPALLIANCE-ALL PLANS | $920.00 | $1,150.00 | $920.00 | 2026-03-02 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Inpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $925.20 | $1,028.00 | $873.80 | 2026-03-11 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | AXA EQUITABLE - ALL PLANS | AXA EQUITABLE - ALL PLANS | $935.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | AXA EQUITABLE - ALL PLANS | AXA EQUITABLE - ALL PLANS | $935.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Inpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $950.00 | $1,000.00 | $750.00 | 2026-03-10 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Inpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $950.00 | $1,000.00 | $750.00 | 2026-03-10 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Inpatient | UHC-ALL PLANS | UHC-ALL PLANS | $950.00 | $1,000.00 | $750.00 | 2026-03-10 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Inpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $950.00 | $1,000.00 | $750.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | PINNACOL-ALL PLANS | PINNACOL-ALL PLANS | $952.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | PINNACOL-ALL PLANS | PINNACOL-ALL PLANS | $952.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | CPM - ALL PLANS | CPM - ALL PLANS | $964.25 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | PREFERRED HC - ALL PLANS | PREFERRED HC - ALL PLANS | $964.25 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | AETNA COVENTRY - ALL OTHER PLANS | AETNA COVENTRY - ALL OTHER PLANS | $964.25 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | MEDI-SHARE-ALL PLANS | MEDI-SHARE-ALL PLANS | $969.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | MEDI-SHARE-ALL PLANS | MEDI-SHARE-ALL PLANS | $969.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Inpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $976.60 | $1,028.00 | $873.80 | 2026-03-11 | MRF ↗ |
| ASHLAND HEALTH CENTER Inpatient | HEALTH PARTNERS OF KANSAS-ALL PLANS | HEALTH PARTNERS OF KANSAS-ALL PLANS | $977.50 | $1,150.00 | $920.00 | 2026-03-02 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $984.55 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $994.70 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | UNICARE - ALL PLANS | UNICARE - ALL PLANS | $994.70 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | PPO NEXT - ALL PLANS | PPO NEXT - ALL PLANS | $994.70 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | INTEGRATED HP - ALL PLANS | INTEGRATED HP - ALL PLANS | $994.70 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | HEALTHY BLUE MCAID - ALL OTHER PLANS | HEALTHY BLUE MCAID - ALL OTHER PLANS | $1,015.00 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | HEALTHWAVE MCAID - ALL PLANS | HEALTHWAVE MCAID - ALL PLANS | $1,015.00 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | CHILDRENS MERCY - ALL PLANS | CHILDRENS MERCY - ALL PLANS | $1,015.00 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Inpatient | UHC MEDICAID & CHIP | UHC MEDICAID & CHIP | $1,015.00 | $1,015.00 | $862.75 | 2026-03-02 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $1,020.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $1,020.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Inpatient | UHC MCAID | UHC MCAID | $1,028.00 | $1,028.00 | $873.80 | 2026-03-11 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Inpatient | HEALTHY BLUE MCAID - ALL PLANS | HEALTHY BLUE MCAID - ALL PLANS | $1,028.00 | $1,028.00 | $873.80 | 2026-03-11 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Inpatient | SUNFLOWER MCAID - ALL OTHER PLANS | SUNFLOWER MCAID - ALL OTHER PLANS | $1,028.00 | $1,028.00 | $873.80 | 2026-03-11 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | PRESBYTERIAN-ALL PLANS | PRESBYTERIAN-ALL PLANS | $1,037.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | PRESBYTERIAN-ALL PLANS | PRESBYTERIAN-ALL PLANS | $1,037.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| GRISELL MEMORIAL HOSPITAL Inpatient | SUNFLOWER MCAID-ALL PLANS | SUNFLOWER MCAID-ALL PLANS | $1,080.00 | $1,080.00 | $1,026.00 | 2026-03-03 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | KASB WORK COMP - ALL PLANS | KASB WORK COMP - ALL PLANS | $1,088.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | KASB WORK COMP - ALL PLANS | KASB WORK COMP - ALL PLANS | $1,088.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| ASHLAND HEALTH CENTER Inpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1,127.00 | $1,150.00 | $920.00 | 2026-03-02 | MRF ↗ |
| ASHLAND HEALTH CENTER Inpatient | HEALTHY BLUE MEDICAID | HEALTHY BLUE MEDICAID | $1,150.00 | $1,150.00 | $920.00 | 2026-03-02 | MRF ↗ |
| ASHLAND HEALTH CENTER Inpatient | AETNA BETTER HEALTH OF KS - ALL PLANS | AETNA BETTER HEALTH OF KS - ALL PLANS | $1,150.00 | $1,150.00 | $920.00 | 2026-03-02 | MRF ↗ |
| ASHLAND HEALTH CENTER Inpatient | CARESOURCE MEDICAID | CARESOURCE MEDICAID | $1,150.00 | $1,150.00 | $920.00 | 2026-03-02 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | AETNA EBMS | AETNA EBMS | $1,156.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | AETNA EBMS | AETNA EBMS | $1,156.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | THE KEMPTON GROUP ADMIN-ALL PLANS | THE KEMPTON GROUP ADMIN-ALL PLANS | $1,173.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | THE KEMPTON GROUP ADMIN-ALL PLANS | THE KEMPTON GROUP ADMIN-ALL PLANS | $1,173.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | AUXIANT - ALL PLANS | AUXIANT - ALL PLANS | $1,190.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | AUXIANT - ALL PLANS | AUXIANT - ALL PLANS | $1,190.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | GPHA(WPPA)-ALL OTHER PLANS | GPHA(WPPA)-ALL OTHER PLANS | $1,190.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | GPHA(WPPA)-ALL OTHER PLANS | GPHA(WPPA)-ALL OTHER PLANS | $1,190.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | WPPA- ALL PLANS | WPPA- ALL PLANS | $1,207.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | WPPA- ALL PLANS | WPPA- ALL PLANS | $1,207.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $1,224.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $1,224.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | SISCO-ALL PLANS | SISCO-ALL PLANS | $1,224.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | UMR-ALL PLANS | UMR-ALL PLANS | $1,224.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | PROVIDERS CARE NETWORK- ALL PLANS | PROVIDERS CARE NETWORK- ALL PLANS | $1,224.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | EMC-ALL PLANS | EMC-ALL PLANS | $1,224.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | EMC-ALL PLANS | EMC-ALL PLANS | $1,224.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | SISCO-ALL PLANS | SISCO-ALL PLANS | $1,224.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | UMR-ALL PLANS | UMR-ALL PLANS | $1,224.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | PROVIDERS CARE NETWORK- ALL PLANS | PROVIDERS CARE NETWORK- ALL PLANS | $1,224.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| MEDICINE LODGE MEMORIAL HOSPITAL Inpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $1,225.63 | $1,325.00 | $1,325.00 | 2026-03-04 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | GPHA EMPLOYEE BENEFIT PLAN | GPHA EMPLOYEE BENEFIT PLAN | $1,241.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | GPHA EMPLOYEE BENEFIT PLAN | GPHA EMPLOYEE BENEFIT PLAN | $1,241.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| MEDICINE LODGE MEMORIAL HOSPITAL Inpatient | UHC-ALL PLANS | UHC-ALL PLANS | $1,258.75 | $1,325.00 | $1,325.00 | 2026-03-04 | MRF ↗ |
| MEDICINE LODGE MEMORIAL HOSPITAL Inpatient | HPK-ALL PLANS | HPK-ALL PLANS | $1,258.75 | $1,325.00 | $1,325.00 | 2026-03-04 | MRF ↗ |
| MEDICINE LODGE MEMORIAL HOSPITAL Inpatient | AETNA/FIRST HEALTH NETWORK | AETNA/FIRST HEALTH NETWORK | $1,258.75 | $1,325.00 | $1,325.00 | 2026-03-04 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | EMPLOYEE BENEFIT-ALL PLANS | EMPLOYEE BENEFIT-ALL PLANS | $1,275.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | REGIONAL CARE(WPPA)-ALL PLANS | REGIONAL CARE(WPPA)-ALL PLANS | $1,275.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | REGIONAL CARE(WPPA)-ALL PLANS | REGIONAL CARE(WPPA)-ALL PLANS | $1,275.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | EMPLOYEE BENEFIT-ALL PLANS | EMPLOYEE BENEFIT-ALL PLANS | $1,275.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | FIRST HEALTH -ALL PLANS | FIRST HEALTH -ALL PLANS | $1,292.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | TRIANGLE-ALL PLANS | TRIANGLE-ALL PLANS | $1,292.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | FIRST HEALTH -ALL PLANS | FIRST HEALTH -ALL PLANS | $1,292.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | TRIANGLE-ALL PLANS | TRIANGLE-ALL PLANS | $1,292.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | ONE CALL PHYSICIAN-ALL PLANS | ONE CALL PHYSICIAN-ALL PLANS | $1,309.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | ONE CALL PHYSICIAN-ALL PLANS | ONE CALL PHYSICIAN-ALL PLANS | $1,309.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| MEDICINE LODGE MEMORIAL HOSPITAL Inpatient | AETNA BETTER HEALTH MCAID CHIP | AETNA BETTER HEALTH MCAID CHIP | $1,325.00 | $1,325.00 | $1,325.00 | 2026-03-04 | MRF ↗ |
| MEDICINE LODGE MEMORIAL HOSPITAL Inpatient | SUNFLOWER MCAID-ALL PLANS | SUNFLOWER MCAID-ALL PLANS | $1,325.00 | $1,325.00 | $1,325.00 | 2026-03-04 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | BCBS OF KANSAS - ALL PLANS | BCBS OF KANSAS - ALL PLANS | $1,343.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | BCBS OF KANSAS - ALL PLANS | BCBS OF KANSAS - ALL PLANS | $1,343.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $1,360.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | CHRISTIAN HOSPITAL AID - ALL PLANS | CHRISTIAN HOSPITAL AID - ALL PLANS | $1,360.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $1,360.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | CHRISTIAN HOSPITAL AID - ALL PLANS | CHRISTIAN HOSPITAL AID - ALL PLANS | $1,360.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $1,462.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $1,462.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | GOLDEN RULE (UHC) | GOLDEN RULE (UHC) | $1,479.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | GOLDEN RULE (UHC) | GOLDEN RULE (UHC) | $1,479.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | LUMINARE HEALTH- ALL PLANS | LUMINARE HEALTH- ALL PLANS | $1,496.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | LUMINARE HEALTH- ALL PLANS | LUMINARE HEALTH- ALL PLANS | $1,496.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $1,496.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $1,496.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | CORESOURCE-ALL PLANS | CORESOURCE-ALL PLANS | $1,530.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | CORESOURCE-ALL PLANS | CORESOURCE-ALL PLANS | $1,530.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | DESERET MUTUAL(UHIS)-ALL PLANS | DESERET MUTUAL(UHIS)-ALL PLANS | $1,530.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | DESERET MUTUAL(UHIS)-ALL PLANS | DESERET MUTUAL(UHIS)-ALL PLANS | $1,530.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | VACCN-ALL PLANS | VACCN-ALL PLANS | $1,564.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | VACCN-ALL PLANS | VACCN-ALL PLANS | $1,564.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | HMA LLC-ALL PLANS | HMA LLC-ALL PLANS | $1,615.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | WPS VAPC-ALL PLANS | WPS VAPC-ALL PLANS | $1,615.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | RESERVE NATIONAL-ALL PLANS | RESERVE NATIONAL-ALL PLANS | $1,615.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | RESERVE NATIONAL-ALL PLANS | RESERVE NATIONAL-ALL PLANS | $1,615.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | HMA LLC-ALL PLANS | HMA LLC-ALL PLANS | $1,615.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | WPS VAPC-ALL PLANS | WPS VAPC-ALL PLANS | $1,615.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | UHC MCAID | UHC MCAID | $1,700.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | UHC MCAID | UHC MCAID | $1,700.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | SUNFLOWER MCAID-ALL PLANS | SUNFLOWER MCAID-ALL PLANS | $1,700.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Inpatient | SUNFLOWER MCAID-ALL PLANS | SUNFLOWER MCAID-ALL PLANS | $1,700.00 | $1,700.00 | $1,530.00 | 2026-03-10 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Inpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $1,750.00 | $2,500.00 | $2,500.00 | 2026-03-09 | MRF ↗ |
| OSMOND GENERAL HOSPITAL Inpatient | MEDICA-ALL OTHER PLANS | MEDICA-ALL OTHER PLANS | $1,848.00 | $2,100.00 | $2,100.00 | 2026-03-09 | MRF ↗ |
| OSMOND GENERAL HOSPITAL Inpatient | UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $1,938.30 | $2,100.00 | $2,100.00 | 2026-03-09 | MRF ↗ |
| OSMOND GENERAL HOSPITAL Inpatient | COVENTRY FIRST HEALTH | COVENTRY FIRST HEALTH | $1,974.00 | $2,100.00 | $2,100.00 | 2026-03-09 | MRF ↗ |
| OSMOND GENERAL HOSPITAL Inpatient | COVENTRY PPO/HMO/POS/ASO - ALL OTHER PLANS | COVENTRY PPO/HMO/POS/ASO - ALL OTHER PLANS | $1,974.00 | $2,100.00 | $2,100.00 | 2026-03-09 | MRF ↗ |
| OSMOND GENERAL HOSPITAL Inpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $2,016.00 | $2,100.00 | $2,100.00 | 2026-03-09 | MRF ↗ |
| OSMOND GENERAL HOSPITAL Inpatient | BCBS COMM - ALL OTHER PLANS | BCBS COMM - ALL OTHER PLANS | $2,016.00 | $2,100.00 | $2,100.00 | 2026-03-09 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Inpatient | HEALTHY BLUE MCAID | HEALTHY BLUE MCAID | $2,500.00 | $2,500.00 | $2,500.00 | 2026-03-09 | MRF ↗ |