49652 — Lap Vent/abd Hernia Repair
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LAP VENT/ABD HERNIA REPAIR (HCPCS 49652) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/49652?code_type=HCPCS
MLA (9th ed.)
“LAP VENT/ABD HERNIA REPAIR (HCPCS 49652) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/49652?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“LAP VENT/ABD HERNIA REPAIR (HCPCS 49652) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/49652?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,931–$9,251 (25th–75th percentile) across 942 hospitals · 1,353 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 49652 — 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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $3.46 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL | — | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | — | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS | — | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | — | $12,669.49 | $8,235.17 | 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 | — | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $3.46 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 3&4 | — | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 3&4 | $3.46 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 1&2 | — | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $3.69 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $3.93 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | HEALTH NET-NETWORK MCARE [1028127] | HEALTH NET MEDICARE ADVANTAGE-MMG [102812701] | $7.37 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $7.43 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $7.43 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | BLUE SHIELD MEDICARE [1006113] | BLUE SHIELD MEDICARE ADVANTAGE-OTHER MEDICAL GROUP [100611303] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | ESSENCE HEALTHCARE [1049128] | ESSENCE HEALTHCARE PLATINUM HMO [104912801] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | UNITED BEHAVIORAL HEALTH MEDICARE [1048113] | UBH MEDICARE BOX 30757 [104811301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | BLUE SHIELD-NETWORK MCARE [1006127] | BLUE SHIELD MEDICARE ADVANTAGE-MMG [100612701] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | SCAN-NETWORK MCARE [1043127] | SCAN MEDICARE ADVANTAGE-MMG [104312701] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | HUMANA MEDICARE [1030113] | HPMG-HUMANA MEDICARE ADVANTAGE [103011301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | ANTHEM BLUE CROSS MEDICARE [1002113] | ANTHEM BLUE CROSS MEDICARE ADVANTAGE [100211301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | JOHN MUIR MEDICARE [1039113] | JOHN MUIR MEDICARE [103911303] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | HUMANA-NETWORK MCARE [1030127] | HUMANA MEDICARE ADVANTAGE-MMG [103012701] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | BLUE CROSS BLUE SHIELD MEDICARE [1007113] | BCBS MEDICARE ADV PPO [100711305] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | MEDICARE RAILROAD [1082002] | MEDICARE RAILROAD [108200201] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | CAREMORE [1171113] | CAREMORE HEALTH PLAN [117111301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | KAISER MEDICARE [1033113] | KAISER MEDICARE ADVANTAGE [103311601] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | BLUE CROSS BLUE SHIELD MCARE [1007127] | BLUE CROSS MEDICARE ADV PPO [100712701] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | MEDICARE [1038002] | MEDICARE A AND B [103800202] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | AETNA MEDICARE [1001113] | AETNA MEDICARE ADVANTAGE HMO [100111301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | HEALTH NET MEDICARE [1028113] | HPMG-HEALTH NET MEDICARE ADVANTAGE [102811301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [1179012] | COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [117901201] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | ALIGNMENT HEALTH [1177113] | SCCIPA-ALIGNMENT HEALTH PLAN [117711302] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | MEDICARE [1038202] | MEDICARE A AND B [103820201] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | HEALTH NET MEDICARE [1028113] | HEALTH NET MEDICARE ADVANTAGE-OTHER MEDICAL GROUP [102811303] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | CONTRA COSTA HEALTH PLAN MEDICARE [1013113] | CCHP SENIOR HEALTH PLAN [101311301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | UNITED HEALTHCARE MEDICARE [1049113] | HPMG-UNITED MEDICARE ADVANTAGE [104911301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | UNITED HEALTHCARE-NETWORK MCARE [1049127] | UNITED MEDICARE ADVANTAGE-MMG [104912701] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | MEDICARE [1038002] | MEDICARE PART B ONLY [103800204] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | CARE 1ST HEALTH PLAN [1094113] | ABMG-CARE 1ST MEDICARE ADVANTAGE [109411311] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | ESSENCE HEALTHCARE [1049028] | ESSENCE HEALTHCARE PLATINUM HMO [104902801] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | GOLDEN STATE-NETWORK MCARE [1023127] | GOLDEN STATE MEDICARE ADVANTAGE-MMG [102312701] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | BLUE SHIELD MEDICARE [1006113] | HPMG-BLUE SHIELD MEDICARE ADVANTAGE [100611301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | ALT MEDICARE [1038004] | MEDICARE [103800401] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | VETERANS ADMINISTRATION [1051113] | VETERANS AFFAIRS [105111301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | ALT MEDICARE A/B REBILL [1038003] | MEDICARE A AND B [103800301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | SCAN MEDICARE [1043113] | HPMG-SCAN MEDICARE ADVANTAGE [104311301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | HOSPICE OF EAST BAY [1085104] | HOSPICE OF EAST BAY [108510401] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | MEDICARE ADV GENERIC [1020113] | MEDICARE HMO-NOT OTHERWISE SPECIFIED [102011301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | EASY CHOICE HEALTH PLAN [1083113] | HPMG-EASY CHOICE MEDICARE ADVANTAGE [108311301] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | EASY CHOICE HEALTH PLAN [1083113] | EASY CHOICE MEDICARE ADVANTAGE-OTHER MEDICAL GROUP [108311303] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | SCAN MEDICARE [1043113] | SCAN MEDICARE ADVANTAGE-OTHER MEDICAL GROUP [104311303] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | HUMANA MEDICARE [1030113] | HUMANA MEDICARE ADVANTAGE HMO-OTHER MEDICAL GROUP [103011303] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | UNITED HEALTHCARE MEDICARE [1049113] | UNITED MEDICARE ADVANTAGE HMO-OTHER MEDICAL GROUP [104911303] | $7.52 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB SPRG OK MEDICAID | $7.66 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB SPRG OK MEDICAID | $7.66 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB SPRG OK MEDICAID | $7.66 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB SPRG OK MEDICAID | $7.66 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB SPRG OK MEDICAID | $7.66 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG OK MEDICAID | $7.66 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG OK MEDICAID | $7.66 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB SPRG OK MEDICAID | $7.66 | $27,834.09 | $18,092.16 | 2026-03-12 | 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 | $7.95 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | TRICARE CONTRACTED [320380] | HB SPRG TRICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CHAMPVA [20065] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB SPRG UHC MCR 100% | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SPRG HUMANA MEDICARE 100% | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICARE [20244] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB SPRG UHC MCR 100% | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB SPRG DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SPRG HUMANA MEDICARE 100% | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | TRICARE CONTRACTED [320380] | HB SPRG TRICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB SPRG HUMANA MEDICARE 100% | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICARE [20244] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MERCY REHAB HOSPITAL CONTRACTED [320260] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CENTURION OF MISSOURI [20459] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB SPRG DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KINDFUL HOSPICE [20434] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB SPRG HUMANA MEDICARE 100% | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MERCY HOSPICE OKC [20252] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MERCY REHAB HOSPITAL CONTRACTED [320260] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MERCY HOSPICE OKC [20252] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | CENTURION OF MISSOURI [20459] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | AETNA MEDICARE ADVANTAGE [20010] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | AETNA MEDICARE ADVANTAGE [20010] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KINDFUL HOSPICE [20434] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | CHAMPVA [20065] | HB SPRG MEDICARE | $8.45 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC OPTIONS PPO | $8.61 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC ALL PAYER | $8.61 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC INDIVIDUAL EXCHANGE | $8.61 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB SPRG UHC ALL PAYER | $8.61 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB SPRG UHC ALL PAYER | $8.61 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB SPRG UHC ALL PAYER | $8.61 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB SPRG UHC ALL PAYER | $8.61 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC ALL PAYER | $8.61 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC INDIVIDUAL EXCHANGE | $8.61 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC OPTIONS PPO | $8.61 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SPRG & LEBN WELLCARE MCR 103% | $8.70 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SPRG & LEBN WELLCARE MCR 103% | $8.70 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $8.83 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | VETERANS ADMINISTRATION [178] | VA VETERAN'S CHOICE VACAA [17803] | $8.83 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO | $8.83 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|CDPHP MEDICARE HMO | $8.83 | $12,669.49 | $8,235.17 | 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 | $8.83 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $8.83 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CDPHP [187] | CDPHP MEDICARE HMO | $8.83 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|RRH CDHP|MEDICARE BLUE DUAL|HIGHMARK MEDICARE|UNIVERA SENIOR | $8.83 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO | $8.83 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE|UHC DUAL COMPLETE | $8.83 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $8.83 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $8.83 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB SPRG NHC ADVANTAGE MCR 105% | $8.88 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB SPRG NHC ADVANTAGE MCR 105% | $8.88 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | UNITED HEALTHCARE PPO [1049104] | UNITED HEALTHCARE SELECT PLUS [104910411] | $9.00 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | $9.09 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | $9.09 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $9.27 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $9.27 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO | $9.27 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB SPRG PROVIDER PARTNERS PPHP 110% MCR | $9.31 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB SPRG PROVIDER PARTNERS PPHP 110% MCR | $9.31 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | GENERIC PPO [1021104] | PPO-NOT OTHERWISE SPECIFIED [102110401] | $9.40 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | GENERIC COMMERCIAL/INDEMNITY [1017001] | COMMERCIAL-NOT OTHERWISE SPECIFIED [101700101] | $9.40 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | GENERIC HMO [1018103] | HMO-NOT OTHERWISE SPECIFIED [101810301] | $9.40 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | $9.62 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | $9.62 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HEALTHSCOPE CONTRACTED [320182] | HB SPRG DEC ORSCHELN 125% MCR | $10.60 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HEALTHSCOPE CONTRACTED [320182] | HB SPRG DEC ORSCHELN 125% MCR | $10.60 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | $11.04 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | $11.04 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $11.39 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $11.39 | $12,669.49 | $8,235.17 | 2024-12-30 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | CENTIVO CONTRACTED [320505] | HB SPRG CENTIVO 165% MEDICARE | $14.21 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CENTIVO CONTRACTED [320505] | HB SPRG CENTIVO 165% MEDICARE | $14.21 | $27,834.09 | $18,092.16 | 2026-03-12 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $15.11 | $3,024.00 | $3,024.00 | 2026-02-25 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | AETNA HMO [1001103] | HPMG-AETNA HMO [100110301] | $18.36 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | AETNA-NETWORK [1001026] | AETNA HMO-MMG [100102601] | $18.36 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | CONTRA COSTA COUNTY JAIL [1012104] | CCC JAIL [101210401] | $21.08 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $406.88 | $142.93 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $406.88 | $142.93 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $406.88 | $142.93 | 2025-01-19 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | UNITED BEHAVIORAL HEALTH [1048103] | UBH MAIN PO BOX 30755 [104810301] | $23.85 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | UNITED HEALTHCARE-NETWORK [1049026] | UNITED HEALTHCARE HMO-MMG [104902601] | $23.85 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | UNITED HEALTHCARE HMO [1049103] | UNITED HEALTHCARE HMO-OTHER MEDICAL GROUP [104910303] | $23.85 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | UNITED HEALTHCARE HMO [1049103] | HPMG-UNITED HMO [104910301] | $23.85 | $154,572.37 | $69,557.57 | 2026-03-23 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1402 | NY MEDICAID EMERGENCY ROOM | $25.44 | $406.88 | $142.93 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1402 | FIDELIS EMERGENCY ROOM | $25.44 | $406.88 | $142.93 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1402 | UNITED COMMUNITY EMERGENCY ROOM | $26.71 | $406.88 | $142.93 | 2025-01-19 | MRF ↗ |
| BAY AREA HOSPITAL Outpatient | SOUTHWEST OREGON IPA - ALL PLANS | SOUTHWEST OREGON IPA - ALL PLANS | $28.31 | $2,836.12 | $2,127.09 | 2026-02-23 | MRF ↗ |
| BAY AREA HOSPITAL Outpatient | SOUTHWEST OREGON IPA - ALL PLANS | SOUTHWEST OREGON IPA - ALL PLANS | $28.31 | $2,836.12 | $2,127.09 | 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 ↗ |
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.