Price Transparency 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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49591 — Rpr Aa Hrn 1st < 3 Cm Rdc

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 $3,788

Usually $2,308–$5,987 (25th–75th percentile) across 2,146 hospitals · 5,288 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 49591 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What the whole episode might cost

Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$2,308 $3,788 typical $5,987

The middle 50% of negotiated facility rates for this procedure, measured across 2,146 hospitals. The the surgeon's fee are modeled estimates added on top.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $3,788
Surgeon (professional fee) Estimate national typical Medicare $316 × 1.22 commercial. $385
Likely subtotal $4,173
Surgical episode (typical) ~$4,173
How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Surgeon (professional fee) (estimate)
rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

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
MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $0.36 $28,434.55 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $0.36 $17,859.06 2026-03-31 MRF ↗
MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility LONGEVITY HEALTH PLAN [10477] HB OKLC MANAGED MEDICARE $0.45 $13,269.11 $8,624.92 2026-03-12 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Nc Commercial $7,335.00 $4,401.00 2026-05-22 MRF ↗
MORRISTOWN MEDICAL CENTER Outpatient WTC HEALTH PROGRAM [5273] MMC WTC HEALTH PROGRAM $0.94 $16,944.96 $4,709.86 2026-01-01 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $1.92 $16,133.70 2026-03-31 MRF ↗
MERCYONE NEWTON MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $1.92 $16,049.96 2026-03-31 MRF ↗
MERCYONE NEWTON MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $1.92 $16,049.96 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $1.92 $16,133.70 2026-03-31 MRF ↗
JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS Outpatient WORKERS' COMP [1024005] WORKERS' COMP-NOT OTHERWISE SPECIFIED [102400501] $2.38 $63,558.90 $28,601.50 2026-03-23 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $2.88 $2,700.00 $2,025.00 2025-03-07 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) HR [40] Plans $2.89 $13,494.59 $13,494.59 2026-04-03 MRF ↗
MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN OutpatientFacility MEDICA [91180027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] $3.80 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN OutpatientFacility MEDICA [1110027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] $3.80 2026-03-31 MRF ↗
St Elizabeth Medical Center Outpatient UNITED HEALTHCARE ALTERNATE [100260] UHC EMPIRE ALTERNATE [10026001] $3.94 $18,010.18 $10,806.11 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UNITED HEALTHCARE ALTERNATE [100260] UHC EMPIRE ALTERNATE [10026001] $3.94 $18,010.18 $10,806.11 2025-01-17 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE CONTRACTED [320213] HB JOPL KANCARE UHC MEDCAID $3.98 $28,337.60 $18,419.44 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE CONTRACTED [320213] HB JOPL AETNA BETTER HEALTH (KANCARE) $3.98 $28,337.60 $18,419.44 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE [20213] HB JOPL AETNA BETTER HEALTH (KANCARE) $3.98 $28,337.60 $18,419.44 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE [20213] HB JOPL KANCARE UHC MEDCAID $3.98 $28,337.60 $18,419.44 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE CONTRACTED [320213] HB JOPL KANCARE HEALTHY BLUE MEDICAID $3.98 $28,337.60 $18,419.44 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB JOPL KANCARE HEALTHY BLUE MEDICAID $3.98 $28,337.60 $18,419.44 2026-03-13 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL AETNA CARE [700912] $4.22 $31,199.17 $31,199.17 2026-03-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Tricare $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Medicare Advantage $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient First Carolina Care Medicare Advantage $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Troy Medicare Advantage $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Commercial $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Commercial $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Longevity Medicare Advantage $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Medicare Advantage $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Nc State Health Plan Commercial $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Managed Medicaid $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Managed Medicaid $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Healthy Blue Managed Medicaid $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Medicare Advantage $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Carolina Complete Health Managed Medicaid $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Commercial $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Compass $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Blue Medicare Partner Health Plan Medicare $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Multiplan Commercial $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Onenet Ppo $4.95 $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Medcost Commercial $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Liberty Advantage Medicare Advantage $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient New Hanover Medicare Advantage $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Cigna Commercial $4,227.00 $2,536.20 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Medicare Advantage $4,227.00 $2,536.20 2026-05-23 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $4.99 $21,734.64 $13,040.78 2026-03-24 MRF ↗
MERCYONE NORTH IOWA MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $5.46 $40,317.93 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM IN RED WING OutpatientFacility MEDICA [1110027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] $5.71 2026-03-31 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient GRANTS [20507] All TB GETCHELL [226] Plans $6.52 $17,249.20 $17,249.20 2025-12-08 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KS WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MS WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OK WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ME (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - ID (REGENCE) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FEDERAL WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MO (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL ALTERNATE WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK HMO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MT WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NH (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE DISTINCTION TRANSPLANT WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KY (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AK (PREMERA) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ID WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SC WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - CA WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NC WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - GA (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FL WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - HI WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility PRE-EMPLOYMENT WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IN (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WY WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCN DOMESTIC WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CT (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MN WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SD (WELLMARK) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (CAPITAL) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TX WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MA WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WA (PREMERA) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CARE NETWORK WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OR (REGENCE) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VT WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OH (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TN WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NE WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CA (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CO (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AR WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCBS GENERIC WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MI WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - WA (REGENCE) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility WC DOMESTIC WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - RI WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility KAISER DOMESTIC WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - LA WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NJ (HORIZON) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - UT (REGENCE) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS DOMESTIC WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AZ WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NV (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NM WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WI (ANTHEM) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AL WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ND WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $7.38 $17,859.06 2026-03-31 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans $7.46 $37,474.82 $37,474.82 2026-03-26 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MVP [109] MVP ROCHESTER|MVP|CIGNA|GWH CIGNA|NALC CIGNA $9,454.77 $6,145.60 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient EMBLEM GHI [113] EMBLEM GHI $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK MEDICARE $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient AETNA [100] AETNA|AETNA DENTAL|MERITAIN HEALTH $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS MEDICARE [176] FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient AETNA [100] AETNA MEDICARE ADVANTAGE $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK ESSENTIALS $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient EXCELLUS HMO [104] MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR|MEDICARE BLUE PPO $9,579.17 $6,226.46 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE DUAL $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS CARE NEW YORK [112] FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient GENERIC MEDICARE HMO [125] HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|CDPHP MEDICARE HMO $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE MEDICARE HMO $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC DUAL COMPLETE $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient GENERIC CARRIER [107] COMMERCIAL|HUMANA|CDPHP COMMERCIAL $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MVP [109] MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL 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|UNIVERA ESSENTIAL 1&2 $11,046.19 $7,180.02 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC MEDICARE COMPLETE $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 $9,533.32 $6,196.66 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 $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED BEHAVORIAL HEALTH [120] UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MULTIPLAN [141] MULTIPLAN $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 1&2 $9,533.32 $6,196.66 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient EXCELLUS INDEMNITY [127] BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|BLUE CROSS & BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD $9,579.17 $6,226.46 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 3&4 $9,533.32 $6,196.66 2024-12-30 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient MASSHEALTH [20302] All MASSHEALTH MH [90] Plans $7.59 $17,249.20 $17,249.22 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient INSTITUTION [10406] All WORCESTER RECOVERY MH [234] Plans $7.59 $17,249.20 $17,249.22 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO MH [202] Plans $7.59 $17,249.20 $17,249.22 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER MH [123] Plans $7.59 $17,249.20 $17,249.22 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON MCO MH [225] Plans $7.59 $17,249.20 $17,249.22 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) MH [8] Plans $7.59 $17,249.20 $17,249.22 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON ACO MH [80] Plans $7.59 $17,249.20 $17,249.22 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO MH [221] Plans $7.59 $17,249.20 $17,249.22 2025-12-08 MRF ↗
MERCY HOSPITAL CARTHAGE OutpatientFacility KANCARE CONTRACTED [320213] HB CTHG AETNA BETTER HEALTH (KANCARE) $8.46 $10,455.27 $6,795.93 2026-03-13 MRF ↗
MERCY HOSPITAL CARTHAGE OutpatientFacility KANCARE [20213] HB CTHG AETNA BETTER HEALTH (KANCARE) $8.46 $10,455.27 $6,795.93 2026-03-13 MRF ↗
MERCY HOSPITAL CARTHAGE OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB CTHG KANCARE HEALTHY BLUE MEDICAID NEW 1.1.25 $8.46 $10,455.27 $6,795.93 2026-03-13 MRF ↗
MAYO CLINIC HEALTH SYSTEM - MANKATO OutpatientFacility MEDICA [91180027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] $8.70 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM - MANKATO OutpatientFacility MEDICA [1110027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] $8.70 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE EMPIRE MEDICAID $8.90 $10,801.85 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE EMPIRE MEDICAID $8.90 $10,801.85 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE EMPIRE MEDICAID ESSENTIAL 1 2 3 4 $8.90 $10,801.85 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE EMPIRE MEDICAID ESSENTIAL 1 2 3 4 $8.90 $10,801.85 2026-03-31 MRF ↗
SARTORI MEMORIAL HOSPITAL, INC OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $9.09 $25,990.05 2026-03-31 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans $9.33 $37,474.82 $37,474.82 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) MH [256] Plans $9.49 $17,249.20 $17,249.22 2025-12-08 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - KS WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - MO (ANTHEM) WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL ALTERNATE WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - HI WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - AL WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - ID WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - OK WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK HMO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - TX WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (ANTHEM) WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - ME (ANTHEM) WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - NC WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - OH (ANTHEM) WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - LA WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - KY (ANTHEM) WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - VT WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE SHIELD - ID (REGENCE) WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - MT WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗
MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility BLUE CROSS - GA (ANTHEM) WELLMARK PPO $9.60 $16,133.70 2026-03-31 MRF ↗

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