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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49595 — Rpr Aa Hrn 1st > 10 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 $6,069

Usually $2,614–$7,947 (25th–75th percentile) across 2,231 hospitals · 4,794 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 49595 — 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
$2,614 $6,069 typical $7,947

The middle 50% of negotiated facility rates for this procedure, measured across 2,231 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. $6,069
Surgeon (professional fee) Estimate national typical Medicare $704 × 1.22 commercial. $859
Likely subtotal $6,928
Surgical episode (typical) ~$6,928

Not included in this estimate:

  • Rehab, physical therapy, and other post-acute care after discharge
  • Complications, revisions, or readmissions
  • Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)

The biggest swing: which insurer's rate applies — negotiated prices here run $2,614–$7,947.

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
HURON VALLEY-SINAI HOSPITAL OutpatientFacility HEALTHSMART HEALTHSMART WORKERS COMP $0.17 — — 2026-05-20 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility AETNA AETNA WORKERS COMPENSATION $0.20 — — 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility HEALTHSMART HEALTHSMART WORKERS COMP $0.22 — — 2026-09-02 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN OF SC $0.29 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS PREFERRED BLUE PPO $0.29 — — 2026-09-01 MRF ↗
MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility LONGEVITY HEALTH PLAN [10477] HB OKLC MANAGED MEDICARE $0.30 $27,167.88 $17,659.12 2026-03-12 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.49 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN STATE EMPLOYEE $0.60 — — 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-09-02 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW BUSINESS $1.00 — — 2026-09-02 MRF ↗
METROWEST MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $1.00 — — 2026-06-05 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE COMMERCIAL $1.00 — — 2026-09-02 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility CARE1ST MEDICARE ADVANTAGE CARE1ST MEDICARE ADVANTAGE $1.00 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-05-20 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS PPO $1.00 — — 2026-09-01 MRF ↗
PRINCETON BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanHMO $1.00 — — 2024-12-11 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility SCOTT AND WHITE HEALTH PLAN SCOTT AND WHITE HEALTH PLAN MEDICAID STAR $1.00 — — 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility SCOTT AND WHITE HEALTH PLAN SCOTT AND WHITE HEALTH PLAN MEDICAID STAR PLUS $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS PREFERRED BLUE PPO $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $1.00 — — 2026-05-20 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID NON UHRIP $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility SCOTT AND WHITE HEALTH PLAN SCOTT AND WHITE HEALTH PLAN MEDICAID $1.00 — — 2026-09-01 MRF ↗
CITIZENS BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanPPO $1.00 — — 2024-12-11 MRF ↗
CITIZENS BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanHMO $1.00 — — 2024-12-11 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 — — 2026-05-20 MRF ↗
PRINCETON BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanPPO $1.00 — — 2024-12-11 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA HMO $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD $1.00 — — 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS PPO $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility AETNA AETNA WORKERS COMPENSATION $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-05-20 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN OF SC $1.00 — — 2026-09-01 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.00 — — 2026-09-02 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR KIDS $1.00 — — 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE - OPTIONS $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECHOICE - MEDICAID $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR PLUS $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-09-02 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NON OPTIONS PPO $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR $1.00 — — 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE CHARTER $1.00 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA PPO $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW BUSINESS $1.00 — — 2026-05-20 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE SHIELD PROMISE MEDICARE $1.00 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-09-02 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA EXCHANGE $1.00 — — 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA HMO $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility SCOTT AND WHITE HEALTH PLAN SCOTT AND WHITE HEALTH PLAN MEDICAID STAR KIDS $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM NON UHRIP $1.00 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA EXCHANGE $1.00 — — 2026-09-01 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE SHIELD - MANTECA SURGERY CENTER MEDICARE ADVANTAGE $1.00 — — 2026-09-02 MRF ↗
SHELBY BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanHMO $1.00 — — 2024-12-11 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR PLUS $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 — — 2026-09-02 MRF ↗
SHELBY BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanPPO $1.00 — — 2024-12-11 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 — — 2026-05-20 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE - OPTIONS $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 — — 2026-05-20 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility AETNA AETNA WORKERS COMPENSATION $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR KIDS $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NON OPTIONS $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE CHARTER $1.00 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA PPO $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN STATE EMPLOYEE $1.00 — — 2026-09-01 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility CARE1ST MEDICARE ADVANTAGE CARE1ST MEDICARE ADVANTAGE $1.00 — — 2026-09-02 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility HUMANA HUMANA MEDICAID $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $1.00 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 — — 2026-05-20 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE SHIELD PROMISE MEDICARE $1.00 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE COMMERCIAL $1.00 — — 2026-05-20 MRF ↗
METROWEST MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 — — 2026-06-05 MRF ↗
HI-DESERT MEDICAL CENTER OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.06 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility AETNA AETNA WORKERS COMPENSATION $1.30 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility AETNA AETNA WORKERS COMPENSATION $1.30 — — 2026-09-01 MRF ↗
VALLEY MEDICAL CENTER Outpatient GREAT WEST [190102] CIGNA.COMMERCIAL.FACILITY.VMC $1.80 $68,582.48 $48,007.74 2026-03-12 MRF ↗
MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $2.88 — $41,917.21 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE EMPIRE MEDICAID ESSENTIAL 1 2 3 4 $3.31 — $19,995.49 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE EMPIRE MEDICAID $3.31 — $19,995.49 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE EMPIRE MEDICAID $3.31 — $19,995.49 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE EMPIRE MEDICAID ESSENTIAL 1 2 3 4 $3.31 — $19,995.49 2026-03-31 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL UNITED HEALTHCARE LABS [106809] $4.44 $53,000.96 $53,000.96 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL UNITED HEALTHCARE CARE [700909] $4.44 $53,000.96 $53,000.96 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL UNITED HEALTHCARE CARE [300609] $4.44 $53,000.96 $53,000.96 2026-03-23 MRF ↗
MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN OutpatientFacility MEDICA [1110027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] $4.52 — — 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN OutpatientFacility MEDICA [91180027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] $4.52 — — 2026-03-31 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB SPRG KANCARE HEALTHY BLUE MEDICAID $4.76 $37,130.33 $24,134.71 2026-06-04 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $4.88 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $4.88 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $4.88 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $4.88 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $4.88 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $4.88 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $4.88 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $4.88 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $4.88 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $4.88 — — 2026-05-20 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL AETNA BETTER HEALTH MEDICAID [300612] $4.98 $53,000.96 $53,000.96 2026-03-23 MRF ↗
JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS Outpatient WORKERS' COMP [1024005] WORKERS' COMP-NOT OTHERWISE SPECIFIED [102400501] $5.60 $197,770.88 $88,996.90 2026-03-23 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $5.63 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $5.63 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $5.63 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $5.63 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $5.63 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $5.63 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $5.63 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $5.63 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $5.63 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $5.63 — — 2026-09-02 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL PRIORITY HEALTH PLAN [106814] $5.81 $53,000.96 $53,000.96 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL CIGNA PRIORITY HEALTH [106826] $5.81 $53,000.96 $53,000.96 2026-03-23 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $6.20 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $6.20 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $6.20 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $6.20 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $6.20 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $6.20 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $6.20 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $6.20 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $6.20 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $6.20 — — 2026-09-02 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL HUMANA CARE LABS [700905] $6.34 $53,000.96 $53,000.96 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL HUMANA LABS [106813] $6.34 $53,000.96 $53,000.96 2026-03-23 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $6.58 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $6.58 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $6.58 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $6.58 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $6.58 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $6.58 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $6.58 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $6.58 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $6.58 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $6.58 — — 2026-09-02 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL MERIDIAN CAID [300605] $6.90 $53,000.96 $53,000.96 2026-03-23 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $7.14 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $7.14 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $7.14 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $7.14 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $7.14 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $7.14 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $7.14 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $7.14 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $7.14 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $7.14 — — 2026-05-20 MRF ↗
TITUSVILLE AREA HOSPITAL Outpatient United Healthcare Medicare Medicare Advantage $7.21 $1,130.00 $678.00 2026-02-12 MRF ↗
TITUSVILLE AREA HOSPITAL Outpatient United Healthcare Medicare Medicare Advantage $7.21 $1,130.00 $678.00 2026-02-12 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $7.44 $27,641.63 $17,967.06 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $7.44 $27,641.63 $17,967.06 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 3&4 $7.44 $27,641.63 $17,967.06 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $7.95 $27,641.63 $17,967.06 2024-12-30 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL BLUE CROSS COMPLETE [300610] $8.30 $53,000.96 $53,000.96 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL WELLCARE CARE [700920] $8.45 $53,000.96 $53,000.96 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL MERIDIAN HEALTH ADVANTAGE [700910] $8.45 $53,000.96 $53,000.96 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL MED PLUS BLUE CARE [700903] $8.45 $53,000.96 $53,000.96 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL HAP EMPOWERED [300613] $8.48 $53,000.96 $53,000.96 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL MIDWEST HEALTH CAID [300607] $8.48 $53,000.96 $53,000.96 2026-03-23 MRF ↗
CHRIST HOSPITAL Outpatient UHC COMMUNITY MEDICAID [2175] HB XR UHC INDIANA PATHWAYS MEDICAID $8.94 $56,814.72 $35,314.07 2025-12-19 MRF ↗
JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS Outpatient UNITED HEALTHCARE PPO [1049104] UNITED HEALTHCARE SELECT PLUS [104910411] $9.00 $197,770.88 $88,996.90 2026-03-23 MRF ↗
WYNN HOSPITAL Outpatient UNITED HEALTHCARE ALTERNATE [100260] UHC EMPIRE ALTERNATE [10026001] $9.02 $24,271.66 $14,563.00 2025-01-17 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL AETNA CARE [700912] $9.14 $53,000.96 $53,000.96 2026-03-23 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $9.19 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $9.19 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $9.19 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $9.19 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $9.19 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $9.19 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $9.19 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $9.19 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $9.19 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $9.19 — — 2026-09-02 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (CAPITAL) WELLMARK PPO $9.63 — $24,508.69 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NJ (HORIZON) WELLMARK PPO $9.63 — $24,508.69 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WY WELLMARK PPO $9.63 — $24,508.69 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NE WELLMARK PPO $9.63 — $24,508.69 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $9.63 — $24,508.69 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility WC DOMESTIC WELLMARK PPO $9.63 — $24,508.69 2026-03-31 MRF ↗

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