Price Transparencybeta 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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47 — Level Ii Arthroplasty

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $8,160

Usually $5,271–$14,645 (25th–75th percentile) across 86 hospitals · 96 payers.

“Negotiated” is the hospital’s negotiated facility rate for this EAPG 47 — 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
SAUK PRAIRIE HOSPITAL OutpatientFacility Humana Managed Medicaid $1,822.99 — — 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility Anthem BCBS Managed Medicaid $1,822.99 — — 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility Dean Health Plan Managed Medicaid $1,822.99 — — 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility United Healthcare Managed Medicaid $1,822.99 — — 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility GHC Managed Medicaid $1,822.99 — — 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility Quartz Managed Medicaid $1,822.99 — — 2026-01-29 MRF ↗
SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient Cdphp Essential Plan 1 & 2 $2,705.90 — — 2026-07-15 MRF ↗
SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient Mvp Essential Plan 1,2,5,6 $2,705.90 — — 2026-07-15 MRF ↗
SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient Cdphp Essential Plan 3 & 4 $2,705.90 — — 2026-07-15 MRF ↗
SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient Mvp Medicaid $2,705.90 — — 2026-07-15 MRF ↗
SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient Uhc Medicaid $2,705.90 — — 2026-07-15 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility MVP Health Care Managed Medicaid $2,788.60 — — 2025-08-07 MRF ↗
ST JAMES HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $2,888.27 — — 2026-01-01 MRF ↗
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility United Healthcare Managed Medicaid $3,098.44 — — 2025-08-07 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility United Healthcare Managed Medicaid $3,098.44 — — 2025-08-07 MRF ↗
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility Fidelis Managed Medicaid $3,098.44 — — 2025-08-07 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility Excellus Blue Choice Options Managed Medicaid $3,098.44 — — 2025-08-07 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility Aetna Managed Medicaid $3,098.44 — — 2025-08-07 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $3,228.07 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $3,228.07 — — 2026-01-01 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility Galaxy Health Workers Comp $3,340.00 — — 2026-05-22 MRF ↗
F F THOMPSON HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $3,397.97 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $3,397.97 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 $3,397.97 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $3,397.97 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $3,397.97 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $3,397.97 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $3,397.97 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $3,397.97 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $3,397.97 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $3,397.97 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNIVERA HEALTHCARE 1706 UNIVERA MEDICAID 170607, UNIVERA ESSENTIAL 3-4 170605, UNIVERA ESSENTIAL 1-2 200-250 2201, UNIVERA CHILD HEALTH PLUS 220118, UNIVERA HLTHY NY 220112 $3,397.97 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $3,397.97 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNIVERA HEALTHCARE 1706 UNIVERA MEDICAID 170607, UNIVERA ESSENTIAL 3-4 170605, UNIVERA ESSENTIAL 1-2 200-250 2201, UNIVERA CHILD HEALTH PLUS 220118, UNIVERA HLTHY NY 220112 $3,397.97 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $3,397.97 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $3,397.97 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 $3,397.97 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $3,397.97 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $3,397.97 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $3,397.97 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $3,397.97 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $3,397.97 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $3,397.97 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 $3,397.97 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $3,397.97 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $3,397.97 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $3,397.97 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $3,397.97 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $3,397.97 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $3,397.97 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $3,397.97 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $3,397.97 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $3,397.97 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $3,397.97 — — 2026-01-01 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility EmblemHealth Essential Plan 3/Essential Plan 4 $3,408.25 — — 2026-05-22 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility Hamaspik Choice Medicaid $3,408.25 — — 2026-05-22 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility EmblemHealth Medicaid $3,408.25 — — 2026-05-22 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility United Healthcare CHIP/Family Health Plus/Medicaid $3,408.25 — — 2026-05-22 MRF ↗
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility Fidelis Medicare Advantage $3,408.28 — — 2025-08-07 MRF ↗
HIGHLAND HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID [1716] UNITED HEALTHCARE MEDICAID [171601] $3,412.20 — — 2026-04-01 MRF ↗
HIGHLAND HOSPITAL Outpatient FIDELIS MEDICAID [1708] FIDELIS MEDICAID [170801], FIDELIS CHILD HEALTH PLUS [515502] $3,412.20 — — 2026-04-01 MRF ↗
HIGHLAND HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA, EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] BLUE CHOICE OPTION MEDICAID [170601],EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] $3,412.20 — — 2026-04-01 MRF ↗
HIGHLAND HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] AMERIGROUP (BSWNY ALTERNATE) [172001] $3,412.20 — — 2026-04-01 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility WellCare Child Health Plus/Family Health Plus/Medicaid $3,578.69 — — 2026-05-22 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid $3,578.69 — — 2026-05-22 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility Fidelis Managed Medicaid $3,718.13 — — 2025-08-07 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $3,737.77 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $3,737.77 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $3,737.77 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $3,907.67 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $3,907.67 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $3,907.67 — — 2026-01-01 MRF ↗
HIGHLAND HOSPITAL Outpatient UNITED HEALTHCARE [5158] UNITED HEALTHCARE ESSENTIAL PQ 1 AND 2 [515812] $3,924.03 — — 2026-04-01 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility My Choice Wisconsin WI MEDICAID MYCHOICE WI-CARE WI $3,981.76 — — 2026-03-24 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $4,043.58 — — 2026-01-01 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility Chorus Community Health Plan WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) $4,061.40 — — 2026-03-24 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $4,077.56 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $4,077.56 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $4,077.56 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $4,077.56 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $4,077.56 — — 2026-01-01 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility EmblemHealth Essential Plan 1/Essential Plan 2 $4,089.82 — — 2026-05-22 MRF ↗
HIGHLAND HOSPITAL Outpatient MVP MEDICAID [1712] MVP OPTION MEDICAID [171201], MVP CHILD HEALTH PLUS [290004] $4,094.64 — — 2026-04-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $4,247.46 — — 2026-01-01 MRF ↗
HIGHLAND HOSPITAL Outpatient MOLINA HEALTHCARE [1723], MOLINA HEALTHCARE [5189] MOLINA HEALTHCARE [172301], MOLINA CHILD HEALTH PLUS [518901] $4,265.25 — — 2026-04-01 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility Managed Health Services WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH $4,340.12 — — 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility Molina Healthcare of Wisconsin WI MEDICAID MOLINA HEALTHCARE $4,340.12 — — 2026-03-24 MRF ↗
NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility EmblemHealth Managed Medicaid $4,412.22 — — 2025-10-28 MRF ↗
NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility Molina Healthcare (FKA Affinity) Essential Plan 3 & 4 $4,412.22 — — 2025-10-28 MRF ↗
NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility Anthem Blue Cross and Blue Shield (FKA Empire) Managed Medicaid $4,412.22 — — 2025-10-28 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility My Choice Wisconsin WI MEDICAID TRILOGY $4,459.57 — — 2026-03-24 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Mercy Care Medicaid Mco Mercycare $4,485.32 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Icare Medicaid Mco Icare $4,485.32 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Managed Health Services Medicaid Mco Managed Health/Network Health Plans $4,485.32 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Meridian Medicaid Mco Meridian Health Plan Il $4,485.32 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Molina Healthcare Of Wi Medicaid Mco Molina Healthcare Of Wi $4,485.32 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Molina Healthcare Of Il Medicaid Mco Molina Il $4,485.32 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient My Choice Medicaid Mco Hmo My Choice $4,485.32 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Anthem Medicaid Mco Anthem $4,485.32 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Ghc Eau Claire Medicaid Mco Ghc Eau Claire $4,485.32 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Dean Health Plan Medicaid Mco Deancare $4,485.32 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Community Care Medicaid Mco Community Care Family Care $4,485.32 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Aetna Better Health Medicaid Mco Aetna Better Health Il $4,485.32 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Chorus Community Health Plan Medicaid Mco Chorus Community Health Plan $4,485.32 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient United Healthcare Medicaid Mco United Healthcare $4,485.32 — — 2026-07-15 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility Anthem Blue Cross Blue Shield WI MEDICAID ANTHEM $4,579.03 — — 2026-03-24 MRF ↗
NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility United Healthcare Managed Medicaid $4,853.44 — — 2025-10-28 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility United Healthcare Insurance Company WI MEDICAID UHC COMMUNITY PLAN $4,871.20 — — 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility My Choice Wisconsin WI MEDICAID MYCHOICE WI-CARE WI $4,871.20 — — 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility Chorus Community Health Plan WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) $4,968.62 — — 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility ICare WI Medicaid I Care - CFV $4,977.20 — — 2026-03-24 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOC MEDICAID 1710 INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 $5,096.96 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOC MEDICAID 1710 INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 $5,266.85 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOC MEDICAID 1710 INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 $5,266.85 — — 2026-01-01 MRF ↗
LAWRENCE GENERAL HOSPITAL Outpatient Mgb Health Plan Hmo/Ppo/Qhp (Unsubsidized) $5,274.67 — — 2026-11-02 MRF ↗
NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility Molina Healthcare (FKA Affinity) Essential Plan 1 & 2 $5,294.66 — — 2025-10-28 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility Managed Health Services WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH $5,309.61 — — 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility Molina Healthcare of Wisconsin WI MEDICAID MOLINA HEALTHCARE $5,455.74 — — 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility My Choice Wisconsin WI MEDICAID MY CHOICE $5,455.74 — — 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility Anthem Blue Cross Blue Shield WI MEDICAID ANTHEM $5,601.88 — — 2026-03-23 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient Clear Health Alliance Medicaid $5,957.97 — — 2026-11-02 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient Humana Medicaid $5,957.97 — — 2026-11-02 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient Wellcare Medicaid $5,957.97 — — 2026-11-02 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient Sunshine State Health Medicaid $5,957.97 — — 2026-11-02 MRF ↗
MANATEE MEMORIAL HOSPITAL Outpatient United Healthcare Medicaid $6,052.96 — — 2026-07-15 MRF ↗
LAKEWOOD RANCH MEDICAL CENTER Outpatient United Healthcare Medicaid $6,053.00 — — 2026-07-15 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility ICare WI MEDICAID I CARE $6,089.00 — — 2026-03-23 MRF ↗
STURDY MEMORIAL HOSPITAL Outpatient Mass Health Medicaid $6,117.43 — — 2026-07-15 MRF ↗
STURDY MEMORIAL HOSPITAL Outpatient Boston Medical Center /Wellsense- Non-Metals (Baco) $6,117.43 — — 2026-07-15 MRF ↗
MILFORD REGIONAL MEDICAL CENTER Outpatient Tufts Health Together Medicaid $6,160.71 — — 2026-07-15 MRF ↗
MILFORD REGIONAL MEDICAL CENTER Outpatient Fallon 365 / Wellforce Medicaid $6,160.71 — — 2026-07-15 MRF ↗
MILFORD REGIONAL MEDICAL CENTER Outpatient Masshealth — $6,160.71 — — 2026-07-15 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient United Health Care Medicaid $6,196.29 — — 2026-11-02 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility Fidelis Commercial $6,196.88 — — 2025-08-07 MRF ↗
THE WOMEN'S HOSPITAL OutpatientFacility Meridian Health IL Managed Medicaid $6,230.72 — — 2026-02-13 MRF ↗
THE WOMEN'S HOSPITAL OutpatientFacility Aetna Better Health IL Managed Medicaid $6,230.72 — — 2026-02-13 MRF ↗
THE WOMEN'S HOSPITAL OutpatientFacility Molina IL Managed Medicaid $6,230.72 — — 2026-02-13 MRF ↗
THE WOMEN'S HOSPITAL OutpatientFacility Blue Cross Blue Shield of Illinois Managed Medicaid $6,230.72 — — 2026-02-13 MRF ↗
GIBSON GENERAL HOSPITAL OutpatientFacility Blue Cross Blue Shield of Illinois Managed Medicaid $6,230.72 — — 2026-02-11 MRF ↗
GIBSON GENERAL HOSPITAL OutpatientFacility Wellcare (IL) Medicaid Managed Medicaid $6,230.72 — — 2026-02-11 MRF ↗
GIBSON GENERAL HOSPITAL OutpatientFacility MeridianHealth (IL) Managed Medicaid $6,230.72 — — 2026-02-11 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient Blue Cross Blue Shield Medicaid- Aca, Fhp, Icp $6,230.72 — — 2026-09-20 MRF ↗
SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient Bmc Healthnet Plan $6,345.95 — — 2026-07-15 MRF ↗
SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient Hne Medicaid $6,345.95 — — 2026-07-15 MRF ↗
MANATEE MEMORIAL HOSPITAL Outpatient Humana Medicaid $6,355.60 — — 2026-07-15 MRF ↗
MANATEE MEMORIAL HOSPITAL Outpatient Staywell Wellcare Medicaid $6,355.60 — — 2026-07-15 MRF ↗
LAKEWOOD RANCH MEDICAL CENTER Outpatient Staywell Wellcare Medicaid $6,356.00 — — 2026-07-15 MRF ↗
LAKEWOOD RANCH MEDICAL CENTER Outpatient Humana Medicaid $6,356.00 — — 2026-07-15 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient Meridian Medicaid $6,417.64 — — 2026-09-20 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient Aetna Medicaid $6,434.60 — — 2026-11-02 MRF ↗
LAWRENCE GENERAL HOSPITAL Outpatient Wellsense Mass Health $6,449.94 — — 2026-11-02 MRF ↗
MANATEE MEMORIAL HOSPITAL Outpatient Vivada Medicaid $6,476.66 — — 2026-07-15 MRF ↗
LAKEWOOD RANCH MEDICAL CENTER Outpatient Vivada Medicaid $6,477.00 — — 2026-07-15 MRF ↗
MANATEE MEMORIAL HOSPITAL Outpatient Aetna Medicaid $6,537.19 — — 2026-07-15 MRF ↗
LAKEWOOD RANCH MEDICAL CENTER Outpatient Aetna Medicaid $6,537.19 — — 2026-07-15 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient Molina Medicaid $6,553.76 — — 2026-11-02 MRF ↗
LAKEWOOD RANCH MEDICAL CENTER Outpatient Sunshine State Health Medicaid $6,658.00 — — 2026-07-15 MRF ↗
MANATEE MEMORIAL HOSPITAL Outpatient Sunshine State Health Medicaid $6,658.25 — — 2026-07-15 MRF ↗
LAWRENCE GENERAL HOSPITAL Outpatient Tufts Health Plan Masshealth $6,681.68 — — 2026-11-02 MRF ↗
LAWRENCE GENERAL HOSPITAL Outpatient Mgb Health Plan Mass Health Aco $6,681.68 — — 2026-11-02 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient Community Care Plan Medicaid $6,851.66 — — 2026-11-02 MRF ↗
ST MARY'S REGIONAL MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Ok Advantage $6,929.69 — — 2026-11-02 MRF ↗
ST MARY'S REGIONAL MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Ok Blue Lines Hmo $6,929.69 — — 2026-11-02 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP ESSENTIAL 3-4 171204, MVP ESSENTIAL 1-2 200-250 2900 $6,965.84 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP ESSENTIAL 3-4 171204, MVP ESSENTIAL 1-2 200-250 2900 $6,965.84 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP ESSENTIAL 3-4 171204, MVP ESSENTIAL 1-2 200-250 2900 $6,965.84 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient MVP MEDICAID 1712 MVP ESSENTIAL 3-4 171204, MVP ESSENTIAL 1-2 200-250 2900 $6,965.84 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient MVP MEDICAID 1712 MVP ESSENTIAL 3-4 171204, MVP ESSENTIAL 1-2 200-250 2900 $6,965.84 — — 2026-01-01 MRF ↗
HIGHLAND HOSPITAL Outpatient MVP [2900], MVP MEDICAID [1712] MVP ESSENTIAL (NO MEDICAID) [290005], MVP ESSENTIAL (W/ MEDICAID) [171204] $6,995.01 — — 2026-04-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient Molina Apple Health MOLINA AH $7,020.14 $7,020.14 — 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient Molina Apple Health MOLINA BEHAVIORAL HEALTH ONLY $7,020.14 $7,020.14 — 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient Molina Apple Health MOLINA AH BLIND_DISABLED $7,020.14 $7,020.14 — 2024-07-01 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient Prestige Health Medicaid $7,149.56 — — 2026-11-02 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient UHC Apple Health NORTHWEST PHYSICIAN NETWORK $7,208.18 $7,208.18 — 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient UHC Apple Health UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY $7,208.18 $7,208.18 — 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient UHC Apple Health UNITED HEALTH CARE AH $7,208.18 $7,208.18 — 2024-07-01 MRF ↗
MANATEE MEMORIAL HOSPITAL Outpatient Amerigroup Medicaid $7,263.55 — — 2026-07-15 MRF ↗
MANATEE MEMORIAL HOSPITAL Outpatient Simply Medicaid $7,263.55 — — 2026-07-15 MRF ↗
LAKEWOOD RANCH MEDICAL CENTER Outpatient Amerigroup Medicaid $7,264.00 — — 2026-07-15 MRF ↗
LAKEWOOD RANCH MEDICAL CENTER Outpatient Simply Medicaid $7,264.00 — — 2026-07-15 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility MVP Health Care of NY Essential Plan 1&2 $7,327.82 — — 2026-05-22 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility MVP Health Care of NY Essential Plan 3&4 $7,327.82 — — 2026-05-22 MRF ↗
STURDY MEMORIAL HOSPITAL Outpatient Boston Medical Center /Wellsense Silver $7,340.92 — — 2026-07-15 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient CHPW Apple Health CHP WASHINGTON HEALTH $7,615.60 $7,615.60 — 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient CHPW Apple Health CHP AH $7,615.60 $7,615.60 — 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient CHPW Apple Health CHP-BEHAVIORAL HEALTH ONLY $7,615.60 $7,615.60 — 2024-07-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 5155 $7,645.43 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 5155 $7,645.43 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 5189 $7,645.43 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $7,645.43 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $7,645.43 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 5155 $7,645.43 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 5189 $7,645.43 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $7,645.43 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 5155 $7,645.43 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 5189 $7,645.43 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 5189 $7,645.43 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 5155 $7,645.43 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $7,645.43 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 5189 $7,645.43 — — 2026-01-01 MRF ↗

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