48133902 — Hc Perq P-art Revsc 1 Abnor Uni
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC PERQ P-ART REVSC 1 ABNOR UNI (CDM 48133902) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/48133902?code_type=CDM
MLA (9th ed.)
“HC PERQ P-ART REVSC 1 ABNOR UNI (CDM 48133902) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/48133902?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC PERQ P-ART REVSC 1 ABNOR UNI (CDM 48133902) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/48133902?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19,189–$36,094 (25th–75th percentile) across 16 hospitals · 80 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 48133902 — 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 | $5,922.06 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $7,205.22 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JAB002 Commercial Exchange | $7,205.22 | $36,026.10 | $21,137.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid MCO | $7,223.23 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid CHIP | $7,223.23 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid CHIP | $7,223.23 | $36,026.10 | $21,137.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid MCO | $7,223.23 | $36,026.10 | $21,137.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNE002 JNE003 Commercial Exchange | $7,356.60 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CHORUS COMMUNITY HEALTH | CHORUS COMMUNITY HEALTH[585] | $10,607.06 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB002 Medicare | $10,807.83 | $36,026.10 | $21,137.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $10,807.83 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB001 Medicare | $10,807.83 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | UPMC Medicare Advantage | JNE002_JNE003 Medicare | $11,034.90 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $11,198.07 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $11,198.07 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $11,198.07 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $11,198.07 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $11,198.07 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $11,198.07 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $11,198.07 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | St Agnes | Medicare | $11,613.75 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | St Agnes | Medicare | $11,613.75 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $11,723.77 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $11,723.77 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $11,723.77 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $11,723.77 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JMR001 Commercial Exchange | $12,225.00 | $61,125.00 | $22,008.39 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $12,225.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $12,225.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $13,569.75 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $13,569.75 | — | — | 2026-03-18 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | QUARTZ | QUARTZ[44] | $14,170.81 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $14,356.50 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $14,356.50 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $14,356.50 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | SEHN | 1171_SEHN 20241001 | $14,356.50 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $14,356.50 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | SEHN | 1171_SEHN 20241001 | $14,356.50 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $14,356.50 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $14,586.97 | $36,026.10 | $21,137.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 Managed | $14,586.97 | $36,026.10 | $21,137.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | Commercial HMO | $14,867.69 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | JNE PPO_Indemnity | $14,867.69 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $15,217.89 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $15,505.02 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $15,505.02 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $15,505.02 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $15,505.02 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $15,505.02 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $15,505.02 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $15,505.02 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Highmark | JAB002 ACA | $16,330.63 | $36,026.10 | $21,137.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 Managed | $16,366.66 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $16,366.66 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Highmark | JNE002_JNE003 ACA | $16,706.84 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STANDARD and WPS SELECT PLUS | WPS STANDARD and WPS SELECT PLUS[137] | $16,788.90 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Highmark | JAB001 ACA | $16,835.00 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $16,940.67 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $16,940.67 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1161_MOLINA MARKETPLACE ASWI 20241001 | $16,940.67 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $16,940.67 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $16,940.67 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $16,940.67 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1161_MOLINA MARKETPLACE ASWI 20241001 | $16,940.67 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $16,940.67 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $16,940.67 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ALLIANCE | ALLIANCE[23] | $16,968.49 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid MCO | $16,997.42 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid CHIP | $16,997.42 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO VALUE | CENTIVO VALUE[588] | $17,678.43 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC | UHC[57] | $17,762.61 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Optum Health Transplant | Commercial | $18,013.05 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Innovage | JAB001 Medicare | $18,013.05 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Innovage | JAB002 Medicare | $18,013.05 | $36,026.10 | $21,137.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Aetna Better Health | JAB002 CHIP | $18,013.05 | $36,026.10 | $21,137.39 | 2026-09-15 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC ACA | UHC ACA[893] | $18,015.16 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $18,337.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $18,337.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $18,337.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Optum Health Transplant | Commercial | $18,337.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna Better Health | JNE001_JNE002_JNE003 CHIP | $18,391.50 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Innovage | JNE002_JNE003 Medicare | $18,391.50 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS Casualty | JNE001 WC | $18,906.46 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO MEDIAN | CENTIVO MEDIAN[587] | $19,081.48 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | United Healthcare | JAB001_JAB002 Commercial | $19,165.89 | $36,026.10 | $21,137.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Highmark | JAB002 Commercial | $19,212.72 | $36,026.10 | $21,137.39 | 2026-09-15 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | TRILOGY | TRILOGY[47] | $19,362.09 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | United Healthcare | JNE001_JNE002_JNE003 Commercial | $19,568.56 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Highmark | JNE002_JNE003 Commercial | $19,656.84 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Highmark | JAB001 Commercial | $19,803.55 | — | — | 2026-03-18 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Both | TRILOGY | 1271_TRILOGY 20250701 | $19,811.97 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Both | TRILOGY | 1271_TRILOGY 20250701 | $19,811.97 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Both | TRILOGY | 1271_TRILOGY 20250701 | $19,811.97 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Both | TRILOGY | 1271_TRILOGY 20250701 | $19,811.97 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Both | TRILOGY | 1271_TRILOGY 20250701 | $19,811.97 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Both | TRILOGY | 1271_TRILOGY 20250701 | $19,811.97 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Both | TRILOGY | 1271_TRILOGY 20250701 | $19,811.97 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $20,099.10 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS | HPS SOLUTIONS[36] | $20,765.14 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1159_HEALTH PAYMENT SYSTEMS SOLUTIONS ASWI 20241001 | $20,960.49 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1159_HEALTH PAYMENT SYSTEMS SOLUTIONS ASWI 20241001 | $20,960.49 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CIGNA ALT NETWORK | CIGNA ALT NETWORK[788] | $21,020.50 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $21,534.75 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 432_WEA TRUST SELECT POS ASWI 20180201 | $21,534.75 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $21,534.75 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $21,534.75 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $21,534.75 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1163_WEA TRUST PPO ASWI 20241001 | $21,534.75 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $21,534.75 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $21,534.75 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 432_WEA TRUST SELECT POS ASWI 20180201 | $21,534.75 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1163_WEA TRUST PPO ASWI 20241001 | $21,534.75 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $21,534.75 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STATEWIDE | WPS STATEWIDE[31] | $21,578.91 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS PLUS ADV | HPS SOLUTIONS PLUS ADV[882] | $21,775.34 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $21,846.08 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $21,846.08 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $21,846.08 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $21,846.08 | — | — | 2026-03-18 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO BROAD | CENTIVO BROAD[586] | $21,887.58 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $22,109.01 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $22,109.01 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $22,109.01 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $22,109.01 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | AETNA | 1279_AETNA MIL 20250701 | $22,109.01 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | AETNA | 1279_AETNA MIL 20250701 | $22,109.01 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $22,109.01 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | CIGNA | 1273_CIGNA 20250701 | $22,396.14 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | CIGNA | 1273_CIGNA 20250701 | $22,396.14 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | CIGNA | 1273_CIGNA 20250701 | $22,396.14 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | CIGNA | 1273_CIGNA 20250701 | $22,396.14 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | CIGNA | 1273_CIGNA 20250701 | $22,396.14 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | CIGNA | 1273_CIGNA 20250701 | $22,396.14 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | CIGNA | 1273_CIGNA 20250701 | $22,396.14 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA W PLAN | AETNA W PLAN[39] | $22,448.80 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HEALTHEOS | HEALTHEOS[18] | $22,448.80 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | First Health Network | JAB001_JAB002 Commercial | $22,516.31 | $36,026.10 | $21,137.39 | 2026-09-15 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | COVENTRY | COVENTRY[13] | $22,561.04 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | First Health Network | JNE001_JNE002_JNE003 Commercial | $22,989.38 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS | HPS[37] | $23,010.02 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $23,544.66 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $23,544.66 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $23,544.66 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $23,544.66 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1292_FIRST HEALTH 20240101 SFWI | $23,544.66 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $23,544.66 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $23,544.66 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | FIRST HEALTH NETWORK | 1291_FIRST HEALTH 20240101 EMWI | $23,544.66 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $23,544.66 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | FIRST HEALTH | FIRST HEALTH[16] | $23,683.48 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | IHG | IHG[22] | $23,851.85 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA | AETNA[27] | $23,851.85 | $28,061.00 | $15,433.55 | 2025-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna | JNE001_JNE002_JNE003 PEBTF | $23,872.17 | $36,783.00 | $21,658.18 | 2026-09-15 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 433_WEA PROVIDER AND POS ASWI 20180201 | $24,406.05 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 433_WEA PROVIDER AND POS ASWI 20180201 | $24,406.05 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1278_AETNA ASWI 20250701 | $24,693.18 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1281_FIRST HEALTH 20240101 ASWI | $24,693.18 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1278_AETNA ASWI 20250701 | $24,693.18 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1281_FIRST HEALTH 20240101 ASWI | $24,693.18 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $24,980.31 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $24,980.31 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $24,980.31 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $24,980.31 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $24,980.31 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $24,980.31 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $24,980.31 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $25,554.57 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $25,554.57 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $25,554.57 | $28,713.00 | $15,217.89 | 2026-01-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.