48133903 — Hc Perq P-art Revsc 1 Abnor Bi
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC PERQ P-ART REVSC 1 ABNOR BI (CDM 48133903) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/48133903?code_type=CDM
MLA (9th ed.)
“HC PERQ P-ART REVSC 1 ABNOR BI (CDM 48133903) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/48133903?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC PERQ P-ART REVSC 1 ABNOR BI (CDM 48133903) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/48133903?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $22,186–$44,218 (25th–75th percentile) across 16 hospitals · 80 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 48133903 — 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 | $3,659.69 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNE002 JNE003 Commercial Exchange | $4,546.20 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | UPMC Medicare Advantage | JNE002_JNE003 Medicare | $6,819.30 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JAB002 Commercial Exchange | $7,421.10 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $7,421.10 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid CHIP | $7,439.65 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid MCO | $7,439.65 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid CHIP | $7,439.65 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CHORUS COMMUNITY HEALTH | CHORUS COMMUNITY HEALTH[585] | $8,386.31 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | JNE PPO_Indemnity | $9,187.87 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | Commercial HMO | $9,187.87 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Highmark | JNE002_JNE003 ACA | $10,324.42 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid MCO | $10,504.00 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid CHIP | $10,504.00 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB002 Medicare | $11,131.65 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $11,131.65 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB001 Medicare | $11,131.65 | — | — | 2026-03-18 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | QUARTZ | QUARTZ[44] | $11,203.93 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Innovage | JNE002_JNE003 Medicare | $11,365.50 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna Better Health | JNE001_JNE002_JNE003 CHIP | $11,365.50 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS Casualty | JNE001 WC | $11,683.73 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | United Healthcare | JNE001_JNE002_JNE003 Commercial | $12,092.89 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Highmark | JNE002_JNE003 Commercial | $12,147.45 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STANDARD and WPS SELECT PLUS | WPS STANDARD and WPS SELECT PLUS[137] | $13,273.88 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ALLIANCE | ALLIANCE[23] | $13,415.87 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | St Agnes | Medicare | $13,936.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | St Agnes | Medicare | $13,936.50 | — | — | 2026-03-18 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO VALUE | CENTIVO VALUE[588] | $13,977.18 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC | UHC[57] | $14,043.74 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $14,068.53 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $14,068.53 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $14,068.53 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $14,068.53 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | First Health Network | JNE001_JNE002_JNE003 Commercial | $14,206.88 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC ACA | UHC ACA[893] | $14,243.41 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JMR001 Commercial Exchange | $14,670.00 | $73,350.00 | $13,859.58 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $14,670.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $14,670.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna | JNE001_JNE002_JNE003 PEBTF | $14,752.42 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 Managed | $15,024.02 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $15,024.02 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO MEDIAN | CENTIVO MEDIAN[587] | $15,086.48 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | TRILOGY | TRILOGY[47] | $15,308.34 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna | JNE001_JNE002_JNE003 Commercial | $15,979.89 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $16,283.70 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $16,283.70 | — | — | 2026-03-18 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS | HPS SOLUTIONS[36] | $16,417.64 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CIGNA ALT NETWORK | CIGNA ALT NETWORK[788] | $16,619.53 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Highmark | JAB002 ACA | $16,819.92 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 Managed | $16,857.03 | — | — | 2026-03-18 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STATEWIDE | WPS STATEWIDE[31] | $17,061.03 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS PLUS ADV | HPS SOLUTIONS PLUS ADV[882] | $17,216.34 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO BROAD | CENTIVO BROAD[586] | $17,305.08 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Highmark | JAB001 ACA | $17,339.40 | — | — | 2026-03-18 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HEALTHEOS | HEALTHEOS[18] | $17,748.80 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA W PLAN | AETNA W PLAN[39] | $17,748.80 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | COVENTRY | COVENTRY[13] | $17,837.54 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Humana | Commercial | $18,184.80 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Intergroup | Commercial PA | $18,184.80 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Multiplan | JNE001_JNE002_JNE003 Commercial | $18,184.80 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Devon | Commercial | $18,184.80 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Provider Network of America | PPO_WC | $18,184.80 | $22,731.00 | $13,639.04 | 2026-09-15 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS | HPS[37] | $18,192.52 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $18,228.82 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Innovage | JAB001 Medicare | $18,552.75 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Aetna Better Health | JAB002 CHIP | $18,552.75 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Innovage | JAB002 Medicare | $18,552.75 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Aetna Better Health | JAB001 CHIP | $18,552.75 | — | — | 2026-03-18 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | FIRST HEALTH | FIRST HEALTH[16] | $18,724.98 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | IHG | IHG[22] | $18,858.10 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA | AETNA[27] | $18,858.10 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $19,127.16 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $19,127.16 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $19,604.58 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | United Healthcare | Commercial | $19,740.13 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | United Healthcare | JAB001_JAB002 Commercial | $19,740.13 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Highmark | JAB002 Commercial | $19,788.36 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $20,108.04 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $20,108.04 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ALLIANCE | 885_ALLIANCE MEWI SEWI 20221001 | $20,292.46 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Highmark | JAB001 Commercial | $20,396.89 | — | — | 2026-03-18 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CIGNA | CIGNA[41] | $20,490.99 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | PHCS (PRIVATE HEALTH CARE SYSTEMS) | PHCS (PRIVATE HEALTH CARE SYSTEMS)[21] | $20,522.05 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL[140] | $21,964.14 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $22,005.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $22,005.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Optum Health Transplant | Commercial | $22,005.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $22,005.00 | — | — | 2026-03-18 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | COMMUNITY CARE | COMMUNITY CARE[115] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | VA CCN | VA CCN[275] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE HUMANA | MEDICARE HUMANA[100] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID ANTHEM | MEDICAID ANTHEM[83] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | DEAN HEALTH | DEAN HEALTH[116] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE UHC | MEDICARE UHC[99] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM PREFERRED HMO | ANTHEM PREFERRED HMO[56] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID ICARE | MEDICAID ICARE[75] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID MANAGED HEALTH SERVICESS (MHS) | MEDICAID MANAGED HEALTH SERVICESS (MHS)[79] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM PATHWAY ACA | ANTHEM PATHWAY ACA[779] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID UHC | MEDICAID UHC[85] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE | MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE[97] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM BLUE PRIORITY | ANTHEM BLUE PRIORITY[139] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE | MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE[97] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | DEAN HEALTH ACA | DEAN HEALTH ACA[811] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID TRILOGY | MEDICAID TRILOGY[128] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM ACCESS PPO | ANTHEM ACCESS PPO[55] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE | MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE[97] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID CHORUS COMMUNITY HEALTH PLANS | MEDICAID CHORUS COMMUNITY HEALTH PLANS[78] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE | MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE[97] | $22,186.00 | $22,186.00 | $12,202.30 | 2025-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $22,396.14 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $22,396.14 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $22,396.14 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $22,396.14 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $22,396.14 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $22,396.14 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $22,396.14 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $23,043.98 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | SEHN | 895_SEHN MEWI SEWI 20221001 | $23,043.98 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | First Health Network | JAB001_JAB002 Commercial | $23,190.94 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $23,387.92 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $24,075.80 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $24,075.80 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $24,075.80 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $24,075.80 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $24,763.68 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $25,502.88 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $25,502.88 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SEHN C89 | 1128_SEHN 20221001 | $25,993.32 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SEHN C89 | 1128_SEHN 20221001 | $25,993.32 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $26,215.29 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $26,215.29 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $26,215.29 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $26,215.29 | — | — | 2026-03-18 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $26,483.76 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $26,483.76 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $27,515.20 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $27,515.20 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Private Healthcare Services | JAB001 JAB002 PPO EPO POS | $27,829.13 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Multiplan | JAB001 Commercial | $27,829.13 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Private Healthcare Services | JAB001 JAB002 PPO EPO POS | $27,829.13 | — | — | 2026-03-18 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $27,859.14 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $28,445.52 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $28,445.52 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $28,547.02 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | SEHN | 1171_SEHN 20241001 | $28,713.00 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $28,713.00 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $28,713.00 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | SEHN | 1171_SEHN 20241001 | $28,713.00 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $28,713.00 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $28,713.00 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $28,713.00 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA PPP | 204_WEA PPP 20160101 | $28,935.96 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $28,935.96 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA PPP | 204_WEA PPP 20160101 | $28,935.96 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $28,935.96 | $49,044.00 | $25,993.32 | 2026-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Humana | Commercial | $29,684.40 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Humana Commercial | Commercial | $29,684.40 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Provider Network of America | PPO_WC | $29,684.40 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Devon | Commercial | $29,684.40 | $37,105.50 | $13,311.08 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Devon | Commercial | $29,684.40 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Provider Network of America | PPO_WC | $29,684.40 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | First Health Network | JAB001_JAB002 Commercial | $29,684.40 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Intergroup | Commercial | $29,684.40 | — | — | 2026-03-18 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $30,266.72 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $30,266.72 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $30,435.78 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $30,610.66 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $30,610.66 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $30,954.60 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $30,954.60 | $34,394.00 | $19,604.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $31,010.04 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $31,010.04 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $31,010.04 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $31,010.04 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $31,010.04 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $31,010.04 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $31,010.04 | $57,426.00 | $30,435.78 | 2026-01-01 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Commercial | $31,027.05 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Commercial | $31,027.05 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Highmark | JCC001_JCC002 ACA | $31,173.75 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Highmark | JCC001_JCC002 ACA | $31,173.75 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Highmark | JMR001 ACA | $31,173.75 | $73,350.00 | $13,859.58 | 2026-09-15 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CIGNA | 1004_CIGNA 20230701 | $31,642.48 | $34,394.00 | $19,604.58 | 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.