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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45398 — Colonoscopy W/band Ligation

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 $1,637

Usually $1,099–$3,016 (25th–75th percentile) across 1,994 hospitals · 5,248 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 45398 — 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
$1,099 $1,637 typical $3,016

The middle 50% of negotiated facility rates for this procedure, measured across 1,994 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. $1,637
Surgeon (professional fee) Estimate national typical Medicare PFS $209 × 1.22 commercial. $255
Likely subtotal $1,893
Surgical episode (typical) ~$1,893

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) ~$5,678
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
CANYON VISTA MEDICAL CENTER Outpatient BLUE CROSS AND BLUE SHIELD OF ARIZONA, INC. PPO $0.33 $2,390.30 $956.12 2025-07-01 MRF ↗
CANYON VISTA MEDICAL CENTER Outpatient BLUECROSS BLUESHIELD OF ARIZONA, INC HMO $0.64 $2,390.30 $956.12 2025-07-01 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 2026-02-28 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $6.83 $577.00 $109.63 2026-01-25 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $7.10 $3,946.00 $1,188.95 2024-12-31 MRF ↗
MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility LONGEVITY HEALTH PLAN [10477] HB OKLC MANAGED MEDICARE $8.45 $4,729.53 $3,074.19 2026-03-12 MRF ↗
GROSSMONT HOSPITAL Outpatient Aetna Aetna Whole Health $11.53 $4,314.00 $3,235.50 2026-04-01 MRF ↗
TAHOE FOREST HOSPITAL Outpatient MEDI-CAL MEDI-CAL $15.00 $833.00 $833.00 2025-10-04 MRF ↗
MAYERS MEMORIAL HOSPITAL Outpatient MEDI-CAL MEDI-CAL $15.00 $1,801.00 $1,801.00 2026-05-12 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $15.00 $833.00 $833.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient PARTNERSHIP HEALTH PLAN- ALL PLANS PARTNERSHIP HEALTH PLAN- ALL PLANS $19.50 $833.00 $833.00 2025-10-04 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $19.97 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $20.10 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $20.10 2026-03-18 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Troy Medicare Advantage $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Carolina Complete Health Managed Medicaid $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient First Carolina Care Medicare Advantage $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Commercial $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Multiplan Commercial $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Tricare $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Managed Medicaid $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Medicare Advantage $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Healthy Blue Managed Medicaid $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Onenet Ppo $21.66 $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient New Hanover Medicare Advantage $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Managed Medicaid $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Nc State Health Plan Commercial $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Medicare Advantage $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Commercial $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Longevity Medicare Advantage $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Compass $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Commercial $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Medcost Commercial $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Medicare Advantage $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Blue Cross Blue Shield Of Nc Commercial $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Cigna Commercial $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Medicare Advantage $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Blue Medicare Partner Health Plan Medicare $2,381.00 $1,428.60 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Liberty Advantage Medicare Advantage $2,381.00 $1,428.60 2026-05-23 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $22.89 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $23.03 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $23.03 2026-03-18 MRF ↗
GROSSMONT HOSPITAL Outpatient Epic Americas AXA Assistance $23.06 $4,314.00 $3,235.50 2026-04-01 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $24.92 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $25.08 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $25.08 2026-03-18 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 $2,627.44 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 $2,627.44 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $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 ↗
MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient AMERIGROUP MCAID-ALL PLANS AMERIGROUP MCAID-ALL PLANS $37.28 $1,923.00 $1,153.80 2026-01-09 MRF ↗
MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient IOWA TOTAL CARE-ALL PLANS IOWA TOTAL CARE-ALL PLANS $38.03 $1,923.00 $1,153.80 2026-01-09 MRF ↗
GREAT PLAINS OF SABETHA Outpatient AETNA COVENTRY AETNA COVENTRY $41.62 $733.00 $659.70 2026-03-10 MRF ↗
GREAT PLAINS OF SABETHA Outpatient AETNA FIRST HEALTH-ALL OTHER PLANS AETNA FIRST HEALTH-ALL OTHER PLANS $41.62 $733.00 $659.70 2026-03-10 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS [200041] EXCELLUS HEALTHY NY EPO [20004107] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS HMO MEDICAID APG [35008201] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS ESSENTIAL PLAN [35008102] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS ESSENTIAL PLAN [35008102] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS CHILD HEALTH PLUS [35008101] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS HMO MEDICAID [35008103] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS CHILD HEALTH PLUS APG [35008203] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS CHILD HEALTH PLUS APG [35008203] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS CHILD HEALTH PLUS [35008101] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS MEDICAID [350081] EXCELLUS HMO MEDICAID [35008103] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS ESSENTIAL PLAN APG [35008202] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS ESSENTIAL PLAN APG [35008202] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient BLUE CROSS NY EXCELLUS [200041] EXCELLUS HEALTHY NY EPO [20004107] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient EXCELLUS HMO MEDICAID APG [350082] EXCELLUS HMO MEDICAID APG [35008201] $43.62 $4,844.26 $2,906.56 2025-01-17 MRF ↗
HAMMOND HENRY HOSPITAL Outpatient QUAD CITY COMMUNITY HC-ALL PLANS QUAD CITY COMMUNITY HC-ALL PLANS $48.00 $1,606.00 $1,445.40 2026-01-22 MRF ↗
PROWERS MEDICAL CENTER Both Standard_Charged|Medicare|Negotiated_Percentage $49.00 $2,067.00 $1,240.20 2026-05-18 MRF ↗
PROWERS MEDICAL CENTER Both Standard_Charged|Medicare|Negotiated_Percentage $49.00 $2,067.00 $1,240.20 2026-05-21 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 $2,627.44 2024-12-08 MRF ↗
SKYLINE HOSPITAL Outpatient REGENCE BS PAR REGENCE BS PAR $51.00 $2,708.50 $1,950.12 2026-05-04 MRF ↗
SKYLINE HOSPITAL Outpatient REGENCE BS PPO/POS - ALL OTHER PLANS REGENCE BS PPO/POS - ALL OTHER PLANS $51.00 $2,708.50 $1,950.12 2026-05-04 MRF ↗
SKYLINE HOSPITAL Outpatient REGENCE BS CARE REGENCE BS CARE $51.00 $2,708.50 $1,950.12 2026-05-04 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $56.14 $1,604.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $56.14 $1,604.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $56.14 $1,604.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $56.14 $1,604.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $56.14 $1,604.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $56.14 $1,604.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $56.14 $1,604.00 2026-03-31 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility UHC CHIP $66.88 $2,939.00 $1,183.54 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility UHC Managed Medicaid $66.88 $2,939.00 $1,183.54 2025-12-02 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 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 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 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 CARMEL Both ANTHEM PATHWAY X 9231_ANTHEM PATHWAY X VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 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 Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL 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 RANDOLPH Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 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 MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM PPO PREFERRED 9232_ANTHEM PREFERRED VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 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 RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM TRADITIONAL 9233_ANTHEM TRADITIONAL VCIN 20250101 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 CARMEL Both ANTHEM HEALTHSYNC HMO 9227_ANTHEM HEALTHSYNC HMO 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 Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 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 RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM PATHWAY 9230_ANTHEM PATHWAY VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Inpatient SMARTHEALTH PPO 8842_SMARTHEALTH PPO 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK 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 CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 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 ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $68.60 2026-01-01 MRF ↗
GOODALL WITCHER HOSPITAL Inpatient BCBS Blue Advantage Blue Advantage $69.92 $2,171.96 $1,520.37 2026-01-13 MRF ↗
MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient HUMANA/CHOICECARE COMM-ALL OTHER PLANS HUMANA/CHOICECARE COMM-ALL OTHER PLANS $70.00 $1,923.00 $1,153.80 2026-01-09 MRF ↗
IOWA SPECIALTY HOSPITAL - CLARION Outpatient MIDLANDS CHOICE-ALL PLANS MIDLANDS CHOICE-ALL PLANS $71.22 $2,306.00 $1,383.60 2026-04-22 MRF ↗
WAVERLY HEALTH CENTER Outpatient MIDLANDS CHOICE-ALL OTHER PLANS MIDLANDS CHOICE-ALL OTHER PLANS $71.93 $1,158.00 $602.16 2026-03-03 MRF ↗
GOODALL WITCHER HOSPITAL Outpatient UHC Commercial PPO $74.50 $2,171.96 $1,520.37 2026-01-13 MRF ↗
GOODALL WITCHER HOSPITAL Outpatient Baylor Scott And White Commercial UNKNOWN $75.00 $2,171.96 $1,520.37 2026-01-13 MRF ↗
GOODALL WITCHER HOSPITAL Inpatient BCBS HMO HMO $76.00 $2,171.96 $1,520.37 2026-01-13 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Prime Health All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Humana Medicare Advantage $76.66 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 $76.66 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility VA Health All $76.66 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Coventry All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Tricare All $76.66 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Blue Cross Blue Shield Medicare Advantage $76.66 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Pacific Source All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Interwest Health All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility First Health Network All 2026-03-28 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC DUAL COMPLETE $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP|CIGNA|GWH CIGNA|NALC CIGNA $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 3&4 $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP GOLD HMO $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP GOLD PPO $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient GENERIC MEDICARE HMO [125] HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|CDPHP MEDICARE HMO $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE MEDICARE HMO $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK ESSENTIALS $8,227.63 $5,347.96 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 $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED BEHAVORIAL HEALTH [120] UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE DUAL $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC MEDICARE COMPLETE $8,227.63 $5,347.96 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 $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 1&2 $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient HIGHMARK [114] HIGHMARK MEDICARE $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC DUAL COMPLETE $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS MEDICARE [176] FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA $8,227.63 $5,347.96 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 $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE DUAL $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient HIGHMARK [114] HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient AETNA [100] AETNA MEDICARE ADVANTAGE $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MH OPTUM [170] MH OPTUM COMMUNITY $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient AETNA [100] AETNA MEDICARE ADVANTAGE $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EMBLEM GHI [113] EMBLEM GHI $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $8,227.63 $5,347.96 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 $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 3&4 $8,227.63 $5,347.96 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) $8,227.63 $5,347.96 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 $8,227.63 $5,347.96 2024-12-30 MRF ↗

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