5200001 — Photochemotherapy; Puva - NICU
Cite this view
HANK Price Transparency. (n.d.). PHOTOCHEMOTHERAPY; PUVA - NICU (OTHER 5200001) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5200001?code_type=OTHER
“PHOTOCHEMOTHERAPY; PUVA - NICU (OTHER 5200001) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5200001?code_type=OTHER. Accessed .
“PHOTOCHEMOTHERAPY; PUVA - NICU (OTHER 5200001) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5200001?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $135–$437 (25th–75th percentile) across 7 hospitals · 80 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5200001 — 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 |
|---|---|---|---|---|---|---|---|
| MONROE COUNTY HOSPITAL Outpatient | Bcbs Hmo Pos Open Access Pathways Plan | Medicare | $29.93 | $974.41 | $730.81 | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Americhoice | $38.94 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Americhoice | $38.94 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Americhoice | $38.94 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Hmo | — | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Americhoice | $38.94 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Wellcare Medicare Advantage Plan | Medicare | $42.88 | $974.41 | $730.81 | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL Both | Cigna | Commercial | $52.20 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Cigna | Commercial | $52.20 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Whole Hlth | $52.81 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Whole Hlth | $52.81 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Medicare Advantage | $52.81 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Medicare Advantage | $52.81 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Qhp | $52.81 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Qhp | $52.81 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Medicare | Medicare | $69.95 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Medicare | Medicare | $69.95 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Humana | Medicare Advantage | $69.95 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Medicare Advantage | $69.95 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Clover | Medicare Advantage | $69.95 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Clover | Medicare Advantage | $69.95 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Medicare Advantage | $69.95 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Humana | Medicare Advantage | $69.95 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Medicare Advantage | $70.08 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Medicare Advantage | $70.08 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Clover | Medicare Advantage | $70.08 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Humana | Medicare Advantage | $70.08 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Medicare | Medicare | $70.08 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Clover | Medicare Advantage | $70.08 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Medicare | Medicare | $70.08 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Humana | Medicare Advantage | $70.08 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Medicare Advantage | $70.08 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Medicare Advantage | $70.08 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Wellpoint | Medicare Advantage | $72.19 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Wellpoint | Medicare Advantage | $72.19 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Cigna | Local Plus | $97.96 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Cigna | Local Plus | $97.96 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Cigna | Local Plus | $97.96 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Cigna | Local Plus | $97.96 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Nj Health | $110.47 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Nj Health | $110.47 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Nj Health | $110.47 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Nj Health | $110.47 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Commercial | $114.84 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Commercial | $114.84 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Cigna | Commercial | $121.80 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Amerihealth | Commercial | $121.80 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Cigna | Commercial | $121.80 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Amerihealth | Commercial | $121.80 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Amerihealth | Commercial | $121.80 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Amerihealth | Commercial | $121.80 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Nexus | $128.76 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Nexus | $128.76 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Centivo | Commercial | $129.41 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Centivo | Commercial | $129.41 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Centivo | Commercial | $129.66 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Centivo | Commercial | $129.66 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Qualcare | Commercial | $130.50 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Qualcare | Commercial | $130.50 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Qualcare | Commercial | $130.50 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Qualcare | Commercial | $130.50 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Whole Hlth | $135.26 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Whole Hlth | $135.26 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Shbp | $139.20 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Shbp | $139.20 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nx Health | Commercial | $140.10 | $233.50 | $58.38 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Phcs | Commercial | $140.10 | $233.50 | $58.38 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nx Health | Commercial | $140.10 | $233.50 | $58.38 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Multiplan | Commercial | $140.10 | $233.50 | $58.38 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Phcs | Commercial | $140.10 | $233.50 | $58.38 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Multiplan | Commercial | $140.10 | $233.50 | $58.38 | 2026-05-24 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Ppo | $147.90 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Hmo | $147.90 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Ppo | $147.90 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Multiplan | Commercial | $147.90 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Hmo | $147.90 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Ppo | $147.90 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Ppo | $147.90 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Multiplan | Commercial | $147.90 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Hmo | $147.90 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Horizon | Hmo | $147.90 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Commercial | $151.38 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Commercial | $151.38 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Oxford | $151.38 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Commercial | $151.38 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Oxford | $151.38 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Oxford | $151.38 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Commercial | $151.38 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Uhc | Oxford | $151.38 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | First Health Network | $163.45 | $233.50 | $58.38 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | First Health Network | $163.45 | $233.50 | $58.38 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Seven Corners-Mccreary | Commercial | $175.12 | $233.50 | $58.38 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Prime Health | Ppo | $175.12 | $233.50 | $58.38 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Seven Corners-Mccreary | Commercial | $175.12 | $233.50 | $58.38 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Beechstreet | Commercial - Outpatient | $175.12 | $233.50 | $58.38 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Prime Health | Ppo | $175.12 | $233.50 | $58.38 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Beechstreet | Commercial - Outpatient | $175.12 | $233.50 | $58.38 | 2026-05-24 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Iehp | Iehp Medi-Cal | $180.47 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Iehp | Iehp Medi-Cal | $183.65 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Iehp | Iehp Covered Ca | $183.65 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Usa | Mco Ppo - Outpatient | $186.80 | $233.50 | $58.38 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Usa | Mco Epo - Outpatient | $186.80 | $233.50 | $58.38 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Usa | Mco Epo - Outpatient | $186.80 | $233.50 | $58.38 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Usa | Mco Ppo - Outpatient | $186.80 | $233.50 | $58.38 | 2026-05-13 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Central Health Plan | Central Health Plan | $199.87 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| KARMANOS CANCER CENTER | Detroit Medical Center | — | $200.48 | $565.00 | $282.50 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Mclaren Health | — | $205.69 | $565.00 | $282.50 | 2026-05-06 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Healthsmart | Commercial | $210.15 | $233.50 | $58.38 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Evolutions | Commercial - Outpatient | $210.15 | $233.50 | $58.38 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Galaxy | Commercial | $210.15 | $233.50 | $58.38 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Galaxy | Commercial | $210.15 | $233.50 | $58.38 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Evolutions | Commercial - Outpatient | $210.15 | $233.50 | $58.38 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Healthsmart | Commercial | $210.15 | $233.50 | $58.38 | 2026-05-13 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Humana | Humana | $217.54 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Alignment | Alignment | $221.98 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Medicare | Medicare | $221.98 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Sr | $221.98 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Scan | Scan | $225.59 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Senior | $225.59 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Molina Covered Ca | Molina Covered Ca | $225.59 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Iehp | Iehp Senior | $225.59 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Aetna | Aetna Senior | $225.59 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Optum | Optum Commercial | $225.59 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Champus | Champus | $225.59 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Molina Senior | Molina Senior | $225.59 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Sr | $225.89 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Senior | $229.56 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Aetna | Aetna Senior | $229.56 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Scan | Scan | $229.56 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Champus | Champus | $229.56 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Iehp | Iehp Senior | $229.56 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | United Health Care Senior | United Health Care Senior | $229.56 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Optum | Optum Senior | $229.56 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Optum | Optum Commercial | $229.56 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Iehp | Iehp Covered Ca | $288.57 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Uhc Ppo | Uhc Ppo | $291.89 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Uhc Hmo | Uhc Hmo | $291.89 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | United Health Care | United Health Care | $291.89 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | United Health Care | United Health Care | $291.89 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Commercial | $298.00 | $174.00 | $104.40 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Both | Aetna | Commercial | $298.00 | $174.00 | $104.40 | 2026-05-14 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Covered Ca | $298.43 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Health Net | Health Net Covered Ca | $307.03 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Health Net | Health Net Senior | $311.74 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Health Net | Health Net Senior | $319.65 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| KARMANOS CANCER CENTER | Hap Hmo | — | $323.48 | $565.00 | $282.50 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Cigna Lifesource | — | $325.98 | $565.00 | $282.50 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Priority Health | — | $330.44 | $565.00 | $282.50 | 2026-05-06 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Ahmc | Ahmc | $335.00 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Ahmc | Ahmc | $335.00 | $2,986.73 | $1,493.37 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | First Community Bank Corp Benefit | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Health Partners Pho | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Mercy Managed Care | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Ppo Plus (Stratose) | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Phcs | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Vantos Health System | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | White River Health System | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Ambetter, Qualchoice And Novasys Health | All Plan | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | United Healthcare | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | United Healthcare | Medicare Advantage | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | First Health | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Zelis | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Aetna | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Wellcare | Medicare Advantage | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Three Rivers Provider Network | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Multiplan | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Blue Cross | All Plans | $340.21 | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Healthscope Benefits | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Usa Managed Care | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Municipal Health Benefit Fund | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Vantage Health | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Medipak | Medicare Advantage | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Sharp | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | American Lifecare | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | American Ppo Inc. | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna Accn Network | All Plans | — | $1,160.05 | $1,044.05 | 2026-05-09 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Caresource Plan | Medicaid | $341.04 | $974.41 | $730.81 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Humana Gold | Medicare | $343.20 | $780.00 | $663.00 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | United Healthcare Medicare Solutions | Medicare | $343.20 | $780.00 | $663.00 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Pruitt Health Premier | Medicare | $343.20 | $780.00 | $663.00 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Devoted Health | Medicare | $343.20 | $780.00 | $663.00 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Emblem Health | Medicare | $343.20 | $780.00 | $663.00 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Eon Health | Medicare | $343.20 | $780.00 | $663.00 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Aetna Medicare Open | Medicare | $343.20 | $780.00 | $663.00 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Allwell Medicare | Medicare | $343.20 | $780.00 | $663.00 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Freedom Health | Medicare | $343.20 | $780.00 | $663.00 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Healthsun Health | Medicare | $343.20 | $780.00 | $663.00 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Wellcare Medicare Advantage | Medicare | $343.20 | $780.00 | $663.00 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Hap Preferred | — | $351.24 | $565.00 | $282.50 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Hap Ahl | — | $351.24 | $565.00 | $282.50 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Bcbs Ppo | — | $356.89 | $565.00 | $282.50 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Bcbs Pha | — | $356.89 | $565.00 | $282.50 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Bsbs Bcn | — | $356.89 | $565.00 | $282.50 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Humana Medicare Advantage Plan | Medicare | $370.28 | $974.41 | $730.81 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Bcbs Medicare Advantage Hmo Plan | Medicare | $370.28 | $974.41 | $730.81 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Bcbs Medicare Advantage Ppo Plan | Medicare | $370.28 | $974.41 | $730.81 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Uhc | — | $373.25 | $565.00 | $282.50 | 2026-05-06 | MRF ↗ |
| PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross Exchange | Blue Cross Exchange | $381.59 | $2,986.73 | $2,986.73 | 2026-05-09 | MRF ↗ |
| KARMANOS CANCER CENTER | Health Plus Hmo | — | $388.46 | $565.00 | $282.50 | 2026-05-06 | 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.