Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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49568 — Hernia Repair W/mesh

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

Typical negotiated price $2,455

Usually $563–$5,600 (25th–75th percentile) across 993 hospitals · 1,228 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 49568 — 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
HARDTNER MEDICAL CENTER Both United Healthcare Default $1,604.00 $320.80 2025-01-02 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Ebs Commercial $2.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Aetna Medicare $3.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Molina Medicare $3.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Securehorizons Direct Commercial $3.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Health Partners Commercial $3.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Wellpoint Medicaid $3.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Blue Cross Medicare $3.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Uhc Medicare $3.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Aetna Commercial $3.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Health Partners Medicare $3.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Iowa Total Care Medicaid $3.00 $6.00 $5.40 2026-07-17 MRF ↗
TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS MYBLUE HEALTH $3.50 2026-04-15 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Mutual Of Omaha Medicare $4.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Midlands Commercial $4.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Physicians Mutual Commercial $4.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Geha Commercial $4.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Uhc Commercial $4.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Medico Commercial $4.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Golden Rule Commercial $4.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Trustmark Commercial $4.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Coventry Commercial $4.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Molina Medicaid $4.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Humana Commercial $4.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Phcs Nippon Life Benefits Commercial $4.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Humana Medicare $5.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Auxiant Commercial $5.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Cigna Commercial $6.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Admin Concepts Commercial $6.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Midlands Choice Commercial $6.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Meritain Commercial $6.00 $6.00 $5.40 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Blue Cross Commericial $6.00 $6.00 $5.40 2026-07-17 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED BEHAVORIAL HEALTH [120] UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 1&2 $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 3&4 $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK ESSENTIALS $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $9,976.63 $6,484.81 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC CHPS|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES $7.75 $9,976.63 $6,484.81 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient EXCELLUS HMO [104] MEDICARE BLUE CHOICE|RRH CDHP|MEDICARE BLUE DUAL|HIGHMARK MEDICARE|UNIVERA SENIOR $8.61 $9,976.63 $6,484.81 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient EXCELLUS HMO [104] BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY $8.61 $9,976.63 $6,484.81 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient CDPHP [187] CDPHP MEDICARE HMO $8.61 $9,976.63 $6,484.81 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC MEDICARE COMPLETE|UHC DUAL COMPLETE $8.61 $9,976.63 $6,484.81 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient VETERANS ADMINISTRATION [178] VA VETERAN'S CHOICE VACAA [17803] $8.61 $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $8.61 $9,976.63 $6,484.81 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient AETNA [100] AETNA MEDICARE ADVANTAGE $8.61 $9,976.63 $6,484.81 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient GENERIC MEDICARE HMO [125] HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|CDPHP MEDICARE HMO $8.61 $9,976.63 $6,484.81 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient FIDELIS MEDICARE [176] FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE $8.61 $9,976.63 $6,484.81 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $8.61 $9,976.63 $6,484.81 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $8.61 $9,976.63 $6,484.81 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient GENERIC MEDICARE HMO [125] HUMANA MEDICARE HMO $8.61 $9,976.63 $6,484.81 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE MEDICARE HMO $8.61 $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC DUAL COMPLETE $8.87 $9,976.63 $6,484.81 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC DUAL COMPLETE $8.87 $9,976.63 $6,484.81 2024-12-30 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient United United $8.96 $140.00 $119.00 2026-07-15 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS MEDICARE [176] FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE $9.04 $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE MEDICARE HMO $9.04 $9,976.63 $6,484.81 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS MEDICARE [176] FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE $9.04 $9,976.63 $6,484.81 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC MEDICARE COMPLETE $9.38 $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC MEDICARE COMPLETE $9.38 $9,976.63 $6,484.81 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE DUAL $10.76 $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE DUAL $10.76 $9,976.63 $6,484.81 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient AETNA [100] AETNA MEDICARE ADVANTAGE $11.11 $9,976.63 $6,484.81 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient AETNA [100] AETNA MEDICARE ADVANTAGE $11.11 $9,976.63 $6,484.81 2024-12-30 MRF ↗
ADAMS MEMORIAL HOSPITAL Outpatient UHC MCR ADV UHC MCR ADV $15.11 $829.00 $829.00 2026-02-25 MRF ↗
WINNMED Outpatient AETNA/FIRST HEALTH HMO AETNA/FIRST HEALTH HMO $19.59 $1,535.00 $1,074.50 2026-07-14 MRF ↗
WINNMED Outpatient AETNA/FIRST HEALTH PPO-ALL OTHER PLANS AETNA/FIRST HEALTH PPO-ALL OTHER PLANS $19.59 $1,535.00 $1,074.50 2026-07-14 MRF ↗
WINNMED Outpatient AETNA/FIRST HEALTH PHO AETNA/FIRST HEALTH PHO $19.59 $1,535.00 $1,074.50 2026-07-14 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient United United Medicare $19.76 $140.00 $119.00 2026-07-15 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Geisinger Geisinger Medicare $22.04 $140.00 $119.00 2026-07-15 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient NYSDOH_1400 NY MEDICAID CLINIC EPISODE $22.22 $709.01 $248.06 2025-01-19 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient FIDELIS_1400 FIDELIS CLINIC $22.22 $709.01 $248.06 2025-01-19 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Upmc Health Plan Upmc $22.40 $140.00 $119.00 2026-07-15 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient UNITED_1400 UNITED COMMUNITY CLINIC $23.33 $709.01 $248.06 2025-01-19 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB STLO MANAGED MEDICARE $24.15 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility INDIAN HEALTH SERVICE CONTRACTED [320198] HB STLO MANAGED MEDICARE $24.15 $22,091.06 $14,359.19 2026-06-04 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient FIDELIS_1402 FIDELIS EMERGENCY ROOM $25.44 $709.01 $248.06 2025-01-19 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient NYSDOH_1402 NY MEDICAID EMERGENCY ROOM $25.44 $709.01 $248.06 2025-01-19 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient UNITED_1402 UNITED COMMUNITY EMERGENCY ROOM $26.71 $709.01 $248.06 2025-01-19 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Highmark Highmark Mcr Freedom Blue $27.55 $140.00 $119.00 2026-07-15 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Highmark Highmark Mcr Community/Complete Blue $27.55 $140.00 $119.00 2026-07-15 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Highmark Highmark Mcr Security Blue $27.55 $140.00 $119.00 2026-07-15 MRF ↗
BAY AREA HOSPITAL Outpatient SOUTHWEST OREGON IPA - ALL PLANS SOUTHWEST OREGON IPA - ALL PLANS $28.31 $1,007.56 $755.67 2026-02-23 MRF ↗
BAY AREA HOSPITAL Outpatient SOUTHWEST OREGON IPA - ALL PLANS SOUTHWEST OREGON IPA - ALL PLANS $28.31 $1,007.56 $755.67 2026-02-23 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $36.59 $271.00 $203.25 2026-01-16 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICARE ADVANTAGE CONTRACTED [320010] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility DEPT OF VETERAN AFFAIRS CONTRACTED [320106] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility BCBS MEDICARE ADVANTAGE [20047] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] HB STLO UHC HMO PPO ALL PAYER $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility ACENTRA HEALTH CONTRACTED [320527] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] HB STLO HUMANA MEDICARE W/SEQ IP 97% OP 100% NEW 010124 $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility ELARA CARING ASPIRE HOSPICE [20433] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility KINDFUL HOSPICE [20434] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility KINDFUL HOSPICE CONTRACTED [320434] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility GLOBALHEALTH CONTRACTED [320145] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility NHC ADVANTAGE MEDICARE CONTRACTED [320282] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility QUAL CHOICE CONTRACTED [320325] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERCY HOSPICE OKC [20252] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility HALO HCR INC HOSPICE CONTRACTED [320432] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility BCBS MEDICARE ADVANTAGE CONTRACTED [320047] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility CHEROKEE NATION HEALTH SERV CONTRACTED [320066] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility CROSS TIMBERS HOSPICE [20098] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility TRICARE CONTRACTED [320380] HB STLO TRICARE - HEALTHNET WEST $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility HUMANA MEDICARE ADVANTAGE [20194] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility HALO HCR INC HOSPICE [20432] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility UNITED MEDICAL RESOURCES CONTRACTED [320454] HB STLO UHC HMO PPO ALL PAYER $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility PACE OF THE OZARKS CONTRACTED [320518] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB STLO UHC HMO PPO ALL PAYER $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB STLO UHC COMPASS/EXCHANGE $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICARE [20244] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB STLO UHC CORE NEW 100121 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility CIGNA HEALTHCARE CONTRACTED [320071] HB STLO CIGNA HMO $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICARE [20244] HB STLO MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility GENERIC MEDICARE MANAGED CARE [20137] HB STLO MANAGED MEDICARE $36.70 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] HB STLO ESSENCE MEDICARE 99% W/O SEQ 1/1/23 100% W/O SEQ $37.41 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] HB STLO CIGNA MANAGED MEDICARE 010122 103% 010123 102% W/SEQ NEW 010122 $37.43 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] HB STLO CIGNA MANAGED MEDICARE 010122 103% 010123 102% W/SEQ NEW 010122 $37.43 $22,091.06 $14,359.19 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB STLO WELLCARE HARMONY MCR 103% $37.82 $22,091.06 $14,359.19 2026-06-04 MRF ↗
BLACK HILLS SURGICAL HOSPITAL LLC Both Umr United Medical Resources Default $38.63 $1,856.00 $1,113.60 2026-07-15 MRF ↗
BLACK HILLS SURGICAL HOSPITAL LLC Both United Healthcare Default $38.63 $1,856.00 $1,113.60 2026-07-15 MRF ↗
BLACK HILLS SURGICAL HOSPITAL LLC Both United Healthcare Medicare Advantage $38.63 $1,856.00 $1,113.60 2026-07-15 MRF ↗
BLACK HILLS SURGICAL HOSPITAL LLC Both Blue Cross Blue Shield Of Sd Wellmark Medicare Advantage $39.02 $1,856.00 $1,113.60 2026-07-15 MRF ↗
INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient Ccbh - Behavioral Health Behavioral 2026-07-19 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] HB STLO PROVIDER PARTNERS 110% MCR $40.44 $22,091.06 $14,359.19 2026-06-04 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Aetna Aetna Medicare $41.66 $140.00 $119.00 2026-07-15 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Upmc Health Plan Upmc Medicare $41.66 $140.00 $119.00 2026-07-15 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Humana Humana Medicare $41.66 $140.00 $119.00 2026-07-15 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Amerihealth Caritas Amerihealth Caritas Medicare $41.66 $140.00 $119.00 2026-07-15 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Pa Health & Wellness Pa Health And Wellness- Medicare $41.66 $140.00 $119.00 2026-07-15 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Cigna Cigna $42.34 $140.00 $119.00 2026-07-15 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Highmark Highmark Wholecare Medicare $42.34 $140.00 $119.00 2026-07-15 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Va Ccn Va Ccn $42.34 $140.00 $119.00 2026-07-15 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Senior Life Senior Life- Medicare $42.34 $140.00 $119.00 2026-07-15 MRF ↗
MARY LANNING HEALTHCARE Outpatient AETNA/COVENTRY HLTH-ALL OTHER PLANS AETNA/COVENTRY HLTH-ALL OTHER PLANS $43.50 $574.00 $516.60 2026-01-23 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Aetna Aetna $44.61 $140.00 $119.00 2026-07-15 MRF ↗
ADAMS MEMORIAL HOSPITAL Outpatient FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $45.00 $829.00 $829.00 2026-02-25 MRF ↗
ADAMS MEMORIAL HOSPITAL Outpatient AETNA - ALL OTHER PLANS AETNA - ALL OTHER PLANS $45.00 $829.00 $829.00 2026-02-25 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility HEALTHSCOPE CONTRACTED [320182] HB STLO DEC ORSCHELN MCR 125% $46.76 $22,091.06 $14,359.19 2026-06-04 MRF ↗
WINNMED Outpatient UHC PREMIER - ALL PLANS UHC PREMIER - ALL PLANS $47.00 $1,535.00 $1,074.50 2026-07-14 MRF ↗
BOONE COUNTY HOSPITAL Outpatient UHC ALL PAYER-ALL OTHER PLANS UHC ALL PAYER-ALL OTHER PLANS $47.00 $554.00 $443.20 2026-05-18 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Upmc Health Plan Upmc Medicaid $47.42 $140.00 $119.00 2026-07-15 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility COOK CHILDREN HEALTH PLAN [1380] BELOW FPIL COOK CHIP PERINATE [138004] $48.12 $88,009.16 $35,203.66 2024-12-27 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility COOK CHILDREN HEALTH PLAN [1380] ABOVE FPIL COOK CHIP PERINATE [138003] $48.12 $88,009.16 $35,203.66 2024-12-27 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility PARKLAND CHIP PERINATE [1320] ABOVE FPIL CHIP PERINATE [132002] $48.12 $88,009.16 $35,203.66 2024-12-27 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility PARKLAND CHIP PERINATE [1320] BELOW FPIL CHIP PERINATE [132001] $48.12 $88,009.16 $35,203.66 2024-12-27 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility COOK CHILDREN HEALTH PLAN [1380] COOK CHILDREN CHIP PERINATE POST PARTUM [138002] $48.12 $88,009.16 $35,203.66 2024-12-27 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Simply Freedom Optimum Oncology Medicare Advantage $48.21 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Simply Freedom Optimum Oncology UPW Medicare Advantage $48.21 2026-06-30 MRF ↗
JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS Outpatient CONTRA COSTA COUNTY JAIL [1012104] CCC JAIL [101210401] $49.14 $91,134.23 $41,010.40 2026-03-23 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility MOLINA [1382] POST PARTUM VST-MOLINA CHIP [138205] $50.39 $88,009.16 $35,203.66 2024-12-27 MRF ↗
Shepherd Center Outpatient Humana Commercial $50.41 2026-05-06 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient SCHA [16032] SCHA MN CARE [1603202] $50.83 $18,591.00 $9,109.59 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient SCHA [16032] SCHA [1603201] $50.83 $18,591.00 $9,109.59 2026-01-01 MRF ↗
SKYLINE HOSPITAL Outpatient REGENCE BS PAR REGENCE BS PAR $51.00 $1,454.00 $1,046.88 2026-05-04 MRF ↗
SKYLINE HOSPITAL Outpatient REGENCE BS PPO/POS - ALL OTHER PLANS REGENCE BS PPO/POS - ALL OTHER PLANS $51.00 $1,454.00 $1,046.88 2026-05-04 MRF ↗
SKYLINE HOSPITAL Outpatient REGENCE BS CARE REGENCE BS CARE $51.00 $1,454.00 $1,046.88 2026-05-04 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility UPMC Work Partners Workers Comp $260.00 $156.00 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Capital Blue Cross Medicare Advantage $52.00 $260.00 $156.00 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Keystone Health Plan Medicare Advantage $52.00 $260.00 $156.00 2026-03-06 MRF ↗
Shepherd Center Outpatient Bcbs Ppo $52.87 2026-05-06 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient PRIME WEST MEDICAID [16029] PRIME WEST HEALTH [1602901] $53.32 $18,591.00 $9,109.59 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient PRIME WEST MEDICAID [16029] PRIME WEST MN CARE [1602902] $53.32 $18,591.00 $9,109.59 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient PRIME WEST MEDICARE [16030] PRIME WEST MSHO [1603001] $54.05 $18,591.00 $9,109.59 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient MEDICA MEDICARE [16024] MEDICA ACCESSABILITY SOLUTION ENHANCED [1602405] $55.67 $18,591.00 $9,109.59 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient MEDICA MEDICARE [16024] MEDICA COMPLETE SOLUTION [1602404] $55.67 $18,591.00 $9,109.59 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient MEDICA MEDICARE [16024] MEDICA ADVANTAGE SOLUTION [1602401] $55.67 $18,591.00 $9,109.59 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient BLUE CROSS BLUE SHIELD MEDICARE [16008] BCBS MN MEDICARE ADVANTAGE [1600801] $55.67 $18,591.00 $9,109.59 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient BLUE CROSS BLUE SHIELD MEDICARE [16008] BCBS OUT OF STATE MEDICARE [1600802] $55.67 $18,591.00 $9,109.59 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient MEDICA MEDICARE [16024] MEDICA PRIME SOLUTION [1602403] $55.67 $18,591.00 $9,109.59 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient BLUE CROSS BLUE SHIELD MEDICARE [16008] BCBS PLATINUM BLUE [1600803] $55.67 $18,591.00 $9,109.59 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient BLUE CROSS BLUE SHIELD MEDICARE [16008] BCBS BLUE PLUS SECURE BLUE [1600804] $55.67 $18,591.00 $9,109.59 2026-01-01 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Aetna Aetna Medicare $56.00 $140.00 $119.00 2026-07-15 MRF ↗
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient Pa Health & Wellness Pa Health And Wellness- Medicare $56.00 $140.00 $119.00 2026-07-15 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED AT&T-ALL PLANS UNITED AT&T-ALL PLANS $56.23 $271.00 $203.25 2026-01-16 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient AETNA MEDICARE [16004] ALLINA HEALTH AETNA MEDICARE ADV [1600402] $56.75 $18,591.00 $9,109.59 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient HEALTHPARTNERS MEDICARE [16019] HEALTHPARTNERS FREEDOM [1601901] $56.75 $18,591.00 $9,109.59 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Outpatient HEALTHPARTNERS MEDICARE [16019] HEALTHPARTNERS MEDICARE ADVANTAGE [1601902] $56.75 $18,591.00 $9,109.59 2026-01-01 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient FIDELIS-EP_1402 FIDELIS ESSENTIAL PLAN 1-2 EMERGENCY ROOM $57.24 $709.01 $248.06 2025-01-19 MRF ↗
NELL J REDFIELD MEMORIAL HOSPITAL Outpatient REGENCE BS COMM - ALL OTHER PLANS REGENCE BS COMM - ALL OTHER PLANS $57.25 $886.00 $753.10 2026-06-10 MRF ↗
WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient AETNA/FIRST HEALTH PPO - ALL OTHER PLANS AETNA/FIRST HEALTH PPO - ALL OTHER PLANS $57.93 $667.00 $500.25 2026-02-10 MRF ↗

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