48133361 — Hc Tavr Perq W Prosthetic Valve
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC TAVR PERQ W PROSTHETIC VALVE (CDM 48133361) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/48133361?code_type=CDM
MLA (9th ed.)
“HC TAVR PERQ W PROSTHETIC VALVE (CDM 48133361) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/48133361?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC TAVR PERQ W PROSTHETIC VALVE (CDM 48133361) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/48133361?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,802–$17,198 (25th–75th percentile) across 11 hospitals · 83 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 48133361 — 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 |
|---|---|---|---|---|---|---|---|
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon Medicare Blue | JNE002_JNE003 Medicare | $1,207.50 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | St Agnes | Medicare | $1,425.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | St Agnes | Medicare | $1,425.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $1,438.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $1,438.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $1,438.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $1,438.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $1,500.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNE002 JNE003 Commercial Exchange | $1,500.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JMR001 Commercial Exchange | $1,500.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JAB002 Commercial Exchange | $1,500.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $1,500.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $1,500.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid MCO | $1,503.75 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid CHIP | $1,503.75 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid CHIP | $1,503.75 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid MCO | $1,503.75 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $1,665.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $1,665.00 | — | — | 2026-03-18 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $1,975.62 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HEALTHY BLUE MCAID - ALL OTHER PLANS | HEALTHY BLUE MCAID - ALL OTHER PLANS | $1,975.62 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AMERIHEALTH CARITAS MCAID - ALL PLANS | AMERIHEALTH CARITAS MCAID - ALL PLANS | $1,975.62 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | MAGELLAN BEHAV MCAID - ALL PLANS | MAGELLAN BEHAV MCAID - ALL PLANS | $1,975.62 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HUMANA HLTHY HORIZ MCAID | HUMANA HLTHY HORIZ MCAID | $1,975.62 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | UHC COMMUNITY MCAID | UHC COMMUNITY MCAID | $1,975.62 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | LHC MEDICAID | LHC MEDICAID | $1,975.62 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB002 Medicare | $2,250.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Optum Health Transplant | Commercial | $2,250.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | UPMC Medicare Advantage | JNE002_JNE003 Medicare | $2,250.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $2,250.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $2,250.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB001 Medicare | $2,250.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $2,250.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $2,250.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $2,680.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $2,680.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $2,680.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $2,680.50 | — | — | 2026-03-18 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AETNA MCR ADV | AETNA MCR ADV | $2,773.79 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | Commercial HMO | $3,031.50 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | JNE PPO_Indemnity | $3,031.50 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 Managed | $3,036.75 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $3,036.75 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Commercial | $3,172.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Commercial | $3,172.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Highmark | JCC001_JCC002 ACA | $3,187.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Highmark | JCC001_JCC002 ACA | $3,187.50 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Highmark | JMR001 ACA | $3,187.50 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Highmark | JAB002 ACA | $3,399.75 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Highmark | JNE002_JNE003 ACA | $3,406.50 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $3,407.25 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Commercial | $3,465.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | United Healthcare | Commercial | $3,465.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid MCO | $3,465.75 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid CHIP | $3,465.75 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Other Comm | $3,480.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Other Comm | $3,480.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Highmark | JAB001 ACA | $3,504.75 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Innovage | JAB002 Medicare | $3,750.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna Better Health | JNE001_JNE002_JNE003 CHIP | $3,750.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | QualCare JCC | Workers Compensation | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Innovage | JNE002_JNE003 Medicare | $3,750.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Optum Health Transplant | Commercial | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Innovage | JCC001_JCC002 Medicare | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | QualCare JCC | Commercial | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna Better Health | JCC001_JCC002 CHIP | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Complex Medical Services | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Innovage | JAB001 Medicare | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Innovage | JCC001_JCC002 Medicare | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Optum Health Transplant | Commercial | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Complex Medical Services | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Innovage | JMR001 Medicare | $3,750.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Aetna Better Health | JCC001_JCC002 CHIP | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Optum Health Transplant | Commercial | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Aetna Better Health | JAB002 CHIP | $3,750.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | QualCare JCC | Workers Compensation | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | QualCare JCC | Commercial | $3,750.00 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Highmark | JMR001 Commercial | $3,750.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Other Comm | $3,802.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | United Healthcare | Other Comm | $3,802.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS Casualty | JNE001 WC | $3,855.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Highmark | JCC001_JCC002 Commercial | $3,942.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Highmark | JCC001_JCC002 Commercial | $3,942.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | United Healthcare | JNE001_JNE002_JNE003 Commercial | $3,990.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | United Healthcare | JAB001_JAB002 Commercial | $3,990.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Highmark | JAB002 Commercial | $3,999.75 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Highmark | JNE002_JNE003 Commercial | $4,008.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Highmark | JAB001 Commercial | $4,122.75 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Cigna Lifesource | JCC Commercial | $4,125.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Cigna Lifesource | JCC Commercial | $4,125.00 | — | — | 2026-03-18 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $4,314.57 | $11,661.00 | $5,830.50 | 2026-01-17 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon BCBS of NJ | JCC001_ JCC002 Indemnity | $4,328.25 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon BCBS of NJ | Commercial HMO | $4,328.25 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon BCBS of NJ | JCC001_JCC002 PPO | $4,328.25 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JCC001_ JCC002 Indemnity | $4,328.25 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon BCBS of NJ | Commercial HMO | $4,328.25 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JCC001_JCC002 PPO | $4,328.25 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Aetna | Commercial PEBTF | $4,357.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Commercial PEBTF | $4,357.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Evernorth_Cigna Behavioral Health | JCC Commercial | $4,500.00 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Qualcare JMR | Commercial | $4,500.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Evernorth_Cigna Behavioral Health | JCC Commercial | $4,500.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | First Health Network | JAB001_JAB002 Commercial | $4,687.50 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Horizon BCBS Casualty | Workers Compensation | $4,687.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Horizon BCBS Casualty | Workers Compensation | $4,687.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | First Health Network | JNE001_JNE002_JNE003 Commercial | $4,687.50 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna | JNE001_JNE002_JNE003 PEBTF | $4,867.50 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Humana National Transplant Network | JCC Commercial | $4,875.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Humana National Transplant Network | JCC Commercial | $4,875.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Aetna | Commercial | $5,152.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Commercial | $5,152.50 | — | — | 2026-03-18 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $5,247.45 | $11,661.00 | $5,830.50 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | MPCN - ALL PLANS | MPCN - ALL PLANS | $5,247.45 | $11,661.00 | $5,830.50 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | CIGNA - ALL OTHER PLANS | CIGNA - ALL OTHER PLANS | $5,247.45 | $11,661.00 | $5,830.50 | 2026-01-17 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Interlink | Commercial | $5,250.00 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Qualcare JMR | Workers Compensation | $5,250.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Interlink | Commercial | $5,250.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna | JNE001_JNE002_JNE003 Commercial | $5,272.50 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | IBC | JCC001 Indem_Trad | $5,541.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Multiplan | JAB Commercial | $5,625.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Private Healthcare Services | JAB001 JAB002 PPO EPO POS | $5,625.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Multiplan | JAB001 Commercial | $5,625.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Private Healthcare Services | JAB001 JAB002 PPO EPO POS | $5,625.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | CIGNA BEHAV HLTH | CIGNA BEHAV HLTH | $5,830.50 | $11,661.00 | $5,830.50 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $5,830.50 | $11,661.00 | $5,830.50 | 2026-01-17 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | IBC | JCC002 Indem_Trad | $5,861.25 | — | — | 2026-03-18 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $5,943.84 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Evernorth_Cigna Behavioral Health | JCC Medicare | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | First Health Network | JAB001_JAB002 Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Humana Commercial | Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Provider Network of America | PPO_WC | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Intergroup | Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Devon | Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Multiplan | JCC Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | First Health Network | JCC001_JCC002 Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Humana Commercial | Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Mental Health Consultants | Behavioral Health Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital BothFacility | Provider Network of America | PPO_WC | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Intergroup | Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital BothFacility | Devon | Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Evernorth_Cigna Behavioral Health | JCC Medicare | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Private Healthcare Services | JCC001 JCC002 PPO EPO POS | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Private Healthcare Services | JCC001 JCC002 PPO EPO POS | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Multiplan | JCC Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | First Health Network | JCC001_JCC002 Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Humana Commercial | Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Mental Health Consultants | Behavioral Health Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Provider Network of America | PPO_WC | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Intergroup | Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Devon | Commercial | $6,000.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Humana | Commercial | $6,000.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Provider Network of America | PPO_WC | $6,000.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Devon | Commercial | $6,000.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Multiplan | JNE001_JNE002_JNE003 Commercial | $6,000.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Humana | Commercial | $6,000.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST BothFacility | Provider Network of America | PPO_WC | $6,000.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Intergroup | Commercial PA | $6,000.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST BothFacility | Devon | Commercial | $6,000.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | Multiplan | JMR001_JMR002 Commercial | $6,000.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Magee Provider Network of America | Commercial | $6,000.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital BothFacility | Magee PHCS | Commercial | $6,000.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | VA_Champus_Tricare | JMR001 Military | $6,000.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Berkshire Health Plan | Commercial | $6,375.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | QualCare JCC | Commercial | $6,750.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | QualCare JCC | Workers Compensation | $6,750.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Complex Medical Services | $6,750.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | QualCare JCC | Workers Compensation | $6,750.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | QualCare JCC | Commercial | $6,750.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Complex Medical Services | $6,750.00 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | Qualcare JMR | Commercial | $6,750.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HUMANA HLTHY HORIZONS MCAID | HUMANA HLTHY HORIZONS MCAID | $7,048.82 | $24,629.00 | $12,314.50 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | MAGELLAN MCAID | MAGELLAN MCAID | $7,048.82 | $24,629.00 | $12,314.50 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HEALTHY BLUE MCAID | HEALTHY BLUE MCAID | $7,048.82 | $24,629.00 | $12,314.50 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AMERIHLTH CARITAS MCAID - ALL PLANS | AMERIHLTH CARITAS MCAID - ALL PLANS | $7,048.82 | $24,629.00 | $12,314.50 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $7,048.82 | $24,629.00 | $12,314.50 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LHC MCAID | LHC MCAID | $7,048.82 | $24,629.00 | $12,314.50 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HEALTHY BLUE MCAID | HEALTHY BLUE MCAID | $7,048.82 | $24,629.00 | $12,314.50 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $7,048.82 | $24,629.00 | $12,314.50 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AMERIHLTH CARITAS MCAID - ALL PLANS | AMERIHLTH CARITAS MCAID - ALL PLANS | $7,048.82 | $24,629.00 | $12,314.50 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HUMANA HLTHY HORIZONS MCAID | HUMANA HLTHY HORIZONS MCAID | $7,048.82 | $24,629.00 | $12,314.50 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | MAGELLAN MCAID | MAGELLAN MCAID | $7,048.82 | $24,629.00 | $12,314.50 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LHC MCAID | LHC MCAID | $7,048.82 | $24,629.00 | $12,314.50 | 2026-10-13 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | BCBS MCR ADV | BCBS MCR ADV | $7,076.00 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | BCBS FMOLHS EMPLOYEE GRP | BCBS FMOLHS EMPLOYEE GRP | $7,076.00 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | BCBS PRECISION/SIG BLUE | BCBS PRECISION/SIG BLUE | $7,076.00 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | BCBS HMO - ALL OTHER PLANS | BCBS HMO - ALL OTHER PLANS | $7,076.00 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Devon Health Rehab | JMR001 Commercial | $7,125.00 | $7,500.00 | — | 2026-09-15 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $7,125.17 | $24,629.00 | $12,314.50 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $7,125.17 | $24,629.00 | $12,314.50 | 2026-10-02 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | BCBS AHS/EMPLOYEE | BCBS AHS/EMPLOYEE | $8,745.75 | $11,661.00 | $5,830.50 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | BCBS FMP - ALL OTHER PLANS | BCBS FMP - ALL OTHER PLANS | $8,745.75 | $11,661.00 | $5,830.50 | 2026-01-17 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BRC EMPLOYEES WEBTPA - ALL PLANS | BRC EMPLOYEES WEBTPA - ALL PLANS | $9,043.77 | $24,629.00 | $12,314.50 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BRC EMPLOYEES WEBTPA - ALL PLANS | BRC EMPLOYEES WEBTPA - ALL PLANS | $9,043.77 | $24,629.00 | $12,314.50 | 2026-10-02 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HST - ALL PLANS | HST - ALL PLANS | $9,198.80 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $9,605.31 | $24,629.00 | $12,314.50 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $9,605.31 | $24,629.00 | $12,314.50 | 2026-10-02 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $9,651.66 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LSU FIRST CHOICE (WEBTPA) - ALL PLANS | LSU FIRST CHOICE (WEBTPA) - ALL PLANS | $9,661.96 | $24,629.00 | $12,314.50 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LSU FIRST CHOICE (WEBTPA) - ALL PLANS | LSU FIRST CHOICE (WEBTPA) - ALL PLANS | $9,661.96 | $24,629.00 | $12,314.50 | 2026-10-13 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $10,231.90 | $14,152.00 | $7,076.00 | 2026-01-17 | MRF ↗ |
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