49329 — Unlstd Laps Px Abd Pertm&omn
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Unlstd laps px abd pertm&omn (OTHER 49329) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/49329?code_type=OTHER
MLA (9th ed.)
“Unlstd laps px abd pertm&omn (OTHER 49329) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/49329?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Unlstd laps px abd pertm&omn (OTHER 49329) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/49329?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,469–$9,823 (25th–75th percentile) across 258 hospitals · 704 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 49329 — 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 |
|---|---|---|---|---|---|---|---|
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | — | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Cross | Epo Hmo | $39.60 | — | — | 2026-05-08 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-05-14 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-05-09 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-05-09 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-05-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-05-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-05-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-05-14 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-05-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-05-22 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Cross | Ppo | $44.00 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $50.00 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $50.00 | — | — | 2026-05-23 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hhw | — | — | — | 2026-05-14 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Uhc | Pathways For Aging | — | — | — | 2026-05-14 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hip | — | — | — | 2026-05-14 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Humana | Pathways For Aging | — | — | — | 2026-05-14 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Caresource | In Medicaid Hip | — | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hip | — | — | — | 2026-05-14 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hhw | — | — | — | 2026-05-14 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hip | — | — | — | 2026-05-14 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Caresource | In Medicaid Hip | — | — | — | 2026-05-14 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hcc | — | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hcc | — | — | — | 2026-05-14 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | Exchange | — | — | — | 2026-05-14 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | Exchange | — | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Humana | Pathways For Aging | — | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hip | — | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hip | — | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Uhc | Pathways For Aging | — | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hip | — | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hhw | — | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hhw | — | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Individual | $76.92 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Individual | $76.92 | — | — | 2026-05-14 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-05-27 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $136.10 | $383.00 | $268.10 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $136.10 | $383.00 | $268.10 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $136.10 | $383.00 | $268.10 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $136.10 | $383.00 | $268.10 | 2026-05-22 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $141.40 | $372.00 | $109.03 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $152.15 | $372.00 | $109.03 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $166.40 | $372.00 | $109.03 | 2026-05-31 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $6,649.66 | $3,324.83 | 2026-05-13 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Ppo | $191.50 | $383.00 | $268.10 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Hmo | $191.50 | $383.00 | $268.10 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Hmo | $191.50 | $383.00 | $268.10 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Ppo | $191.50 | $383.00 | $268.10 | 2026-05-14 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $193.07 | $372.00 | $109.03 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $193.07 | $372.00 | $109.03 | 2026-05-31 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Sr.Careplus | Managedmedicare | $199.00 | $1,241.00 | $496.00 | 2026-05-06 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cigna | — | $223.20 | $372.00 | $109.03 | 2026-05-31 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Humanahcp | Managedmedicare | $228.00 | $1,241.00 | $496.00 | 2026-05-06 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Comm | — | $246.23 | $372.00 | $109.03 | 2026-05-31 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Bcbs | Ppo | $248.95 | $383.00 | $268.10 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Hmo | $248.95 | $383.00 | $268.10 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Hmo | $248.95 | $383.00 | $268.10 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Bcbs | Ppo | $248.95 | $383.00 | $268.10 | 2026-05-22 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Comm | — | $249.24 | $372.00 | $109.03 | 2026-05-31 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $1.00 | $0.70 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $1.00 | $0.70 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $30,073.00 | $21,051.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $30,073.00 | $21,051.10 | 2026-05-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Humana | Humanamedicaid | $265.44 | — | — | 2026-05-27 | MRF ↗ |
| MCLAREN FLINT | Medicaid - Psych | — | $275.00 | $13,656.90 | $6,828.45 | 2026-05-06 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Comm | — | $279.00 | $372.00 | $109.03 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Wellspan | — | $293.88 | $372.00 | $109.03 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Multiplan | — | $297.60 | $372.00 | $109.03 | 2026-05-31 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Bcbs | Hmo | $306.40 | $383.00 | $268.10 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Bcbs | Hmo | $306.40 | $383.00 | $268.10 | 2026-05-22 | MRF ↗ |
| EMERSON HOSPITAL - Both | Mgb | Masshealth | $309.88 | $17,055.35 | $12,791.51 | 2026-05-08 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Ambetter | Commercial | $348.00 | $1,241.00 | $496.00 | 2026-05-06 | MRF ↗ |
| EMERSON HOSPITAL - Both | Mgb | Commercial Qhp | $352.00 | $17,055.35 | $12,791.51 | 2026-05-08 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | State Products | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Hmo | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Ppo | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Essential Aliessa | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Self Funded | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Hmo/Ppo/Pos | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicaid | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Univera | Medicaid | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicare Advantage | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Univera | Medicare Managed Care | $376.00 | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Health Benefit Exchange | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Medicare Adv | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Aetna | Medicare | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Amerigroup | Commercial | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Humana | Commercial | — | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Univera | Commercial | $391.00 | $1,521.00 | $1,064.70 | 2026-05-14 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Hpn | Commercial | $396.00 | $1,241.00 | $496.00 | 2026-05-06 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Optumcare | Commercial | $396.00 | $1,241.00 | $496.00 | 2026-05-06 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Sierra | Commercial | $396.00 | $1,241.00 | $496.00 | 2026-05-06 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Default | — | $818.13 | $654.50 | 2026-05-09 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Blue Cross Blue Shield Of Me Anthem | Medicare Advantage | — | $818.13 | $654.50 | 2026-05-09 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Aetna | Medicare Advantage | $400.88 | $818.13 | $654.50 | 2026-05-09 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | United Healthcare | Medicare Advantage | — | $818.13 | $654.50 | 2026-05-09 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Medicare A Me Jk | Default | — | $818.13 | $654.50 | 2026-05-09 | 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.