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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50590 — Fragmenting Of Kidney Stone

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 $3,608

Usually $1,390–$6,548 (25th–75th percentile) across 269 hospitals · 902 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER 50590 — 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
NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient Univera Medicare Managed Care $1.00 $1.00 $0.70 2026-05-14 MRF ↗
NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient Blue Cross Blue Shield Indemnity $1.00 $1.00 $0.70 2026-05-14 MRF ↗
NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient Blue Cross Blue Shield Medicare Advantage $1.00 $1.00 $0.70 2026-05-14 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient Aetna Medicare Advantage $4.75 2026-05-27 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient Aetna Medicare Advantage Ppo $8.08 2026-05-27 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient Confluence Health Medicare Advantage $8.20 2026-05-27 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient Aetna Medicare Advantage Hmo $14.09 2026-05-27 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient First Choice Commercial $21.94 2026-05-27 MRF ↗
FISHER-TITUS HOSPITAL Both Galaxy Galaxy 2026-05-27 MRF ↗
FISHER-TITUS HOSPITAL Both Claim Doc Claimdoc 2026-05-27 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Arkansas Total Care Medicaid $158.53 2026-05-09 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Caresource Medicaid $164.87 2026-05-09 MRF ↗
UNIONTOWN HOSPITAL Outpatient University Of Pittsburgh Medical Ctr Health Plan University Of Pittsburgh Medical Ctr Health Plan $171.55 $6,899.00 $3,449.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient University Of Pittsburgh Medical Ctr Health Plan University Of Pittsburgh Medical Ctr Health Plan $171.55 $6,599.00 $3,299.50 2026-05-13 MRF ↗
RANDOLPH HOSPITAL Both Mcd Healthy Blue $176.73 $2,055.00 $411.00 2026-05-06 MRF ↗
RANDOLPH HOSPITAL Both Mcd $176.73 $2,055.00 $411.00 2026-05-06 MRF ↗
RANDOLPH HOSPITAL Both Mcd Amerihealth Caritas $176.73 $2,055.00 $411.00 2026-05-06 MRF ↗
RANDOLPH HOSPITAL Both Mcd Wellcare- Centene $176.73 $2,055.00 $411.00 2026-05-06 MRF ↗
RANDOLPH HOSPITAL Both Mcd Cchn-Centene $180.26 $2,055.00 $411.00 2026-05-06 MRF ↗
CABELL HUNTINGTON HOSPITAL, INC Outpatient Caresource Wv Marketplace 2026-05-14 MRF ↗
CABELL HUNTINGTON HOSPITAL, INC Outpatient Caresource Wv Marketplace 2026-05-24 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Blue Cross Blue Shield Ppo Blue Cross Blue Shield Ppo $27,425.00 $13,712.50 2026-05-13 MRF ↗
CAMDEN CLARK MEDICAL CENTER Outpatient Wellpoint West Virginia Mgd Mcaid $205.80 $9,555.34 $4,777.67 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient The Health Plan The Health Plan $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Cigna Cigna $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Multiplan Multiplan $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Humana Managed Medicaid $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Caresource Oh Managed Medicaid $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Buckeye Oh Managed Medicaid $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient United Healthcare United Healthcare $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Blue Cross Blue Shield Traditional Blue Cross Blue Shield Traditional $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient 4Most Zelis Stratose 4Most Zelis Stratose $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Blue Cross Blue Shield Steel Blue Cross Blue Shield Steel $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Molina Oh Managed Medicaid $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Geisinger Pennsylvania Mgd Medicaid $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Anthem Pathway Exchange Anthem Pathway Exchange $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Highmark Health Options West Va Mgd Mcaid $205.80 $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Anthem Oh Medicaid Anthem Oh Medicaid $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Caresource Caresource $27,425.00 $13,712.50 2026-05-13 MRF ↗
CAMDEN CLARK MEDICAL CENTER Outpatient Highmark Health Options West Va Mgd Mcaid $205.80 $9,555.34 $4,777.67 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Aetna Aetna $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Aetna Rental Aetna Rental $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Wellpoint West Virginia Mgd $205.80 $27,425.00 $13,712.50 2026-05-13 MRF ↗
CAMDEN CLARK MEDICAL CENTER Outpatient The Health Plan Wv Mgd Mcaid $208.74 $9,555.34 $4,777.67 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient The Health Plan Wv Mgd Mcaid $208.74 $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Aetna Better Health Mgd Medicaid $209.72 $27,425.00 $13,712.50 2026-05-13 MRF ↗
CAMDEN CLARK MEDICAL CENTER Outpatient Aetna Better Health Mgd Medicaid $209.72 $9,555.34 $4,777.67 2026-05-13 MRF ↗
MARY WASHINGTON HOSPITAL Both Sentara Comm. $239.00 $11,775.00 $5,887.50 2026-05-08 MRF ↗
STAFFORD HOSPITAL, LLC Both Sentara Comm. $239.00 $11,775.00 $5,887.50 2026-05-06 MRF ↗
OAKLEAF SURGICAL HOSPITAL Outpatient United Healthcare Commercial $16,864.79 $15,178.31 2026-05-23 MRF ↗
MOUNT NITTANY MEDICAL CENTER Outpatient Amerihealth Medicaid $249.50 2026-05-08 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Pennsylvania Health & Wellness Medicaid $249.50 $27,425.00 $13,712.50 2026-05-13 MRF ↗
PENN HIGHLANDS CONNELLSVILLE Outpatient Traditional Medicaid Traditional Medicaid $249.50 2026-05-09 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcd Advantage $249.50 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicaid Traditional Medicaid $249.50 2026-05-23 MRF ↗
MOUNT NITTANY MEDICAL CENTER Outpatient Ghp Medicaid $249.50 2026-05-08 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcd Advantage $249.50 2026-05-14 MRF ↗
CLARION HOSPITAL Outpatient Medicaid Traditional Medicaid $249.50 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Medicaid Traditional Medicaid $249.50 2026-05-13 MRF ↗
PENN HIGHLANDS CONNELLSVILLE Outpatient Geisinger Mcd Advantage $249.50 2026-05-09 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Highmark Wholecare Pennsylvania Medicaid Highmark Wholecare Pennsylvania Medicaid $249.50 $27,425.00 $13,712.50 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Amerihealth Caritas Pa Medicaid $249.50 $27,425.00 $13,712.50 2026-05-13 MRF ↗
MOUNT NITTANY MEDICAL CENTER Outpatient Upmc Medicaid $249.50 2026-05-08 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Upmc For You Medicaid Upmc For You Medicaid $249.50 $27,425.00 $13,712.50 2026-05-13 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicaid Traditional Medicaid $249.50 2026-05-14 MRF ↗
Wahiawa General Hospital Outpatient Alohacare Medicaid $257.71 $13,224.00 $9,256.80 2026-05-08 MRF ↗
The Queen's Medical Center Outpatient Alohacare Medicaid $257.71 $12,494.00 $8,745.80 2026-05-08 MRF ↗
Wahiawa General Hospital Outpatient Alohacare Medicaid $257.71 $11,763.00 $8,234.10 2026-05-08 MRF ↗
The Queen's Medical Center Outpatient Alohacare Medicaid $257.71 $9,866.00 $6,906.20 2026-05-08 MRF ↗
Wahiawa General Hospital Outpatient Alohacare Medicaid $257.71 $10,674.00 $7,471.80 2026-05-08 MRF ↗
The Queen's Medical Center Outpatient Alohacare Medicaid $257.71 $10,674.00 $7,471.80 2026-05-08 MRF ↗
Wahiawa General Hospital Outpatient Alohacare Medicaid $257.71 $9,866.00 $6,906.20 2026-05-08 MRF ↗
The Queen's Medical Center Outpatient Alohacare Medicaid $257.71 $11,763.00 $8,234.10 2026-05-08 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Anthem Healthkeepers Medicaid Plans $263.88 $27,680.00 $9,134.40 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Aetna Better Health Medicaid Plans $263.88 $27,680.00 $9,134.40 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Aetna Better Health Medicaid Plans $263.88 $27,680.00 $9,134.40 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Anthem Healthkeepers Medicaid Plans $263.88 $27,680.00 $9,134.40 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Standard_Charge|Sentara_Medicaid| Negotiated_Dollar $266.52 $27,680.00 $9,134.40 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Standard_Charge|Sentara_Medicaid| Negotiated_Dollar $266.52 $27,680.00 $9,134.40 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar $269.16 $27,680.00 $9,134.40 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar $269.16 $27,680.00 $9,134.40 2026-05-13 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcd Advantage $269.46 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcd Advantage $269.46 2026-05-23 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Molina Medicaid $271.80 $27,680.00 $9,134.40 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Molina Medicaid $271.80 $27,680.00 $9,134.40 2026-05-13 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Jefferson Health Mcd Advantage $274.45 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcd Advantage $274.45 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Amerihealth Mcd Advantage $274.45 2026-05-13 MRF ↗
CLARION HOSPITAL Outpatient Amerihealth Mcd Advantage $274.45 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Jefferson Health Plan Mcd Advantage $274.45 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Jefferson Health Mcd Advantage $274.45 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcd Advantage $274.45 2026-05-14 MRF ↗
CLARION HOSPITAL Outpatient Jefferson Health Plan Mcd Advantage $274.45 2026-05-13 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $276.11 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $276.11 2026-05-14 MRF ↗
RANDOLPH HOSPITAL Both Bcbs $283.18 $2,055.00 $411.00 2026-05-06 MRF ↗
COLUMBIA MEMORIAL HOSPITAL Both Mvp Medicaid $283.93 2026-05-08 MRF ↗
COLUMBIA MEMORIAL HOSPITAL Both Cdphp Medicaid $283.93 2026-05-08 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Arkansas Total Care Medicaid $286.50 2026-05-09 MRF ↗
RANDOLPH HOSPITAL Both Uhc $289.76 $2,055.00 $411.00 2026-05-06 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Caresource Medicaid $297.96 2026-05-09 MRF ↗
COLUMBIA MEMORIAL HOSPITAL Both United Healthcare Medicaid $298.13 2026-05-08 MRF ↗
CLARION HOSPITAL Outpatient Geisinger Mcd Advantage $301.90 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Geisinger Mcd Advantage $301.90 2026-05-13 MRF ↗
EMERSON HOSPITAL - Both Mgb Masshealth $309.88 $4,662.95 $3,497.21 2026-05-08 MRF ↗
CLARION HOSPITAL Outpatient Upmc Medicaid $311.88 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Upmc Medicaid $311.88 2026-05-13 MRF ↗
WEIRTON MEDICAL CENTER, INC Outpatient Health Partners Managed Medicaid $314.37 $27,425.00 $13,712.50 2026-05-13 MRF ↗
STAFFORD HOSPITAL, LLC Both Medcost Medcost $317.00 $11,775.00 $5,887.50 2026-05-06 MRF ↗
MARY WASHINGTON HOSPITAL Both Medcost Medcost $317.00 $11,775.00 $5,887.50 2026-05-08 MRF ↗
STAFFORD HOSPITAL, LLC Both Phcs Phcs $324.00 $11,775.00 $5,887.50 2026-05-06 MRF ↗
STAFFORD HOSPITAL, LLC Both Aetna Wc $324.00 $11,775.00 $5,887.50 2026-05-06 MRF ↗
MARY WASHINGTON HOSPITAL Both Aetna Wc $324.00 $11,775.00 $5,887.50 2026-05-08 MRF ↗
MARY WASHINGTON HOSPITAL Both Phcs Phcs $324.00 $11,775.00 $5,887.50 2026-05-08 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $348.24 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $348.24 2026-05-14 MRF ↗
FISHER-TITUS HOSPITAL Both Humana Humanamedicaid $348.52 2026-05-27 MRF ↗
EMERSON HOSPITAL - Both Mgb Commercial Qhp $352.00 $4,662.95 $3,497.21 2026-05-08 MRF ↗
RANDOLPH HOSPITAL Both Nc Dept Of Public Safety $353.46 $2,055.00 $411.00 2026-05-06 MRF ↗
SPARROW CLINTON HOSPITAL Outpatient Medicaid Professional $359.33 $1,227.00 $613.50 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient Medicaid Professional $359.33 $1,227.00 $613.50 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient Medicaid Professional $359.33 $1,227.00 $613.50 2026-05-13 MRF ↗
EDWARD W SPARROW HOSPITAL Outpatient Medicaid Professional $359.33 $1,227.00 $613.50 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both Medicaid Professional Facility $367.43 $1,621.00 $810.50 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both Medicaid Professional Facility $367.43 $1,621.00 $810.50 2026-05-09 MRF ↗
SPARROW CLINTON HOSPITAL Both Medicaid Professional Facility $367.43 $1,621.00 $810.50 2026-05-09 MRF ↗
SPARROW IONIA HOSPITAL Both Medicaid Professional Facility $367.43 $1,621.00 $810.50 2026-05-09 MRF ↗
EDWARD W SPARROW HOSPITAL Both Medicaid Professional Facility $367.43 $1,621.00 $810.50 2026-05-23 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both Medicaid Professional Facility $367.43 $1,621.00 $810.50 2026-05-23 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both Medicaid Professional Facility $367.43 $1,621.00 $810.50 2026-05-14 MRF ↗
GLENS FALLS HOSPITAL Both Cdphp Medicaid/Chp/Essential $380.51 2026-05-08 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL Both Cdphp Medicaid $380.51 2026-05-23 MRF ↗
SARATOGA HOSPITAL Both Cdphp Medicaid $380.51 2026-05-09 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL Both Cdphp Medicaid $380.51 2026-05-14 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Horizon Nj Health Medicaid $407.51 $26,396.00 $2,639.60 2026-05-09 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Nj Health Medicaid $407.51 $26,396.00 $2,639.60 2026-05-09 MRF ↗
VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient Horizon Nj Health Medicaid $407.51 $26,396.00 $2,639.60 2026-05-09 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Horizon Nj Health Medicaid $407.51 $26,396.00 $2,639.60 2026-05-09 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Nj Health Medicaid $407.51 $26,396.00 $2,639.60 2026-05-27 MRF ↗
BRIDGEPORT HOSPITAL Outpatient Medicaid Managed UHC All Plans $414.10 $12,897.00 $6,577.47 2025-01-10 MRF ↗
CABELL HUNTINGTON HOSPITAL, INC Outpatient Unicare Wv Medicaid $414.58 2026-05-24 MRF ↗
CABELL HUNTINGTON HOSPITAL, INC Outpatient The Healthplan Wv Medicaid $414.58 2026-05-24 MRF ↗
CABELL HUNTINGTON HOSPITAL, INC Outpatient Unicare Wv Medicaid $414.58 2026-05-14 MRF ↗
CABELL HUNTINGTON HOSPITAL, INC Outpatient The Healthplan Wv Medicaid $414.58 2026-05-14 MRF ↗
University Of Texas M D Anderson Cancer Center,the Both Texaschildrens Professional Adult 21-999 Mlp $414.86 $6,361.00 2026-05-06 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Exchange - Dhpn $415.20 2026-05-08 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $419.72 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $419.72 2026-05-14 MRF ↗
HOLY FAMILY HOSPITAL Outpatient Neighborhood Health Medicaid Neighborhood Health Medicaid $420.36 2026-05-13 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $421.50 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $421.50 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $421.50 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $421.50 2026-05-14 MRF ↗
HOLY FAMILY HOSPITAL Outpatient Medicaid Medicaid $421.57 2026-05-13 MRF ↗
HOLY FAMILY HOSPITAL Outpatient Medicaid Out Of State Medicaid Out Of State $421.57 2026-05-13 MRF ↗
HOLY FAMILY HOSPITAL Outpatient Bmc Hlthnet Bmc Hlthnet $421.57 2026-05-13 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $422.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $422.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $422.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $422.00 2026-05-14 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Humana Choicecare Medicare $424.26 2026-05-09 MRF ↗
OCHSNER WATKINS HOSPITAL Outpatient Humana � Military Tri-Care All Payor $424.91 $2,526.00 $1,692.42 2026-05-09 MRF ↗
OCHSNER RUSH HOSPITAL Outpatient Humana � Military Tri-Care All Payor $424.91 $2,526.00 $884.10 2026-05-09 MRF ↗
OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient Humana � Military Tri-Care All Payor $424.91 $2,526.00 $1,742.94 2026-05-08 MRF ↗
OCHSNER CHOCTAW GENERAL Outpatient Humana � Military Tri-Care All Payor $424.91 $2,526.00 $1,919.76 2026-05-27 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $425.98 2026-05-23 MRF ↗
PENN HIGHLANDS CONNELLSVILLE Outpatient Blue Cross Freedom Blue Mcr Adv $425.98 2026-05-09 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $425.98 2026-05-14 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Simpra Medicare Advantage $427.57 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Blue Cross Medicare Advantage $427.57 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Humana Medicare Advantage $427.57 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Aetna Commercial $427.57 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Viva Commercial $427.57 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Viva Medicare Advantage $427.57 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Cigna Commercial $427.57 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Simpra Medicare Advantage $430.16 2026-05-23 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Viva Medicare Advantage $430.16 2026-05-23 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Humana Medicare Advantage $430.16 2026-05-23 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Humana Medicare Advantage $430.16 2026-05-13 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Viva Medicare Advantage $430.16 2026-05-13 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Simpra Medicare Advantage $430.16 2026-05-13 MRF ↗
PENN HIGHLANDS CONNELLSVILLE Outpatient Blue Cross Complete Blue Mcr Adv $432.71 2026-05-09 MRF ↗
PENN HIGHLANDS CONNELLSVILLE Outpatient Blue Cross Community Blue Mcr Adv $432.71 2026-05-09 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Bcbs Medicare $432.75 2026-05-09 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Ambetter Commercial $432.75 2026-05-09 MRF ↗
University Of Texas M D Anderson Cancer Center,the Both Texaschildrens Professional Child 0-20 Mlp $435.61 $6,361.00 2026-05-06 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Cigna Healthspring Medicare $445.48 2026-05-09 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Windsor Medicare $445.48 2026-05-09 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Wellcare Medicare $445.48 2026-05-09 MRF ↗
GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient Ucare Managed Medicaid $446.28 2026-05-09 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $448.40 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $448.40 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $448.40 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $448.40 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $448.40 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $448.40 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $448.40 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $448.40 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $448.40 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $448.40 2026-05-14 MRF ↗

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