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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52310 — Cystoscopy And Treatment

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 $2,227

Usually $1,465–$3,480 (25th–75th percentile) across 2,343 hospitals · 7,041 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 52310 — 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
$1,465 $2,227 typical $3,480

The middle 50% of negotiated facility rates for this procedure, measured across 2,343 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. $2,227
Surgeon (professional fee) Estimate national typical Medicare $135 × 1.22 commercial. $164
Likely subtotal $2,391
Surgical episode (typical) ~$2,391
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
O U MEDICAL CENTER Outpatient Humana Healthy Horizons Medicaid $10,479.00 $1,047.90 2026-05-06 MRF ↗
O U MEDICAL CENTER Outpatient Humana Healthy Horizons Medicaid $10,479.00 $1,047.90 2026-05-22 MRF ↗
O U MEDICAL CENTER Outpatient Humana Healthy Horizons Medicaid $10,479.00 $1,047.90 2026-05-14 MRF ↗
MERCYONE NORTH IOWA MEDICAL CENTER OutpatientFacility IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $0.36 $33,151.24 2026-03-31 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 2026-02-28 MRF ↗
CHI Health Richard Young Behavioral Health Outpatient United Commercial|All Plans 2026-02-28 MRF ↗
CHI HEALTH GOOD SAMARITAN Outpatient United Commercial|All Plans 2026-02-28 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient SCAN Health Plan Medicare Advantage $16,711.52 $10,862.49 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $16,711.52 $10,862.49 2025-11-26 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $1.36 $1,974.00 $1,480.50 2025-03-07 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] ABOVE FPIL WELLPOINT CHIP PERINATE [100709] $1.89 $7,563.39 $3,025.36 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] BELOW FPIL WELLPOINT CHIP PERINATE [100708] $1.89 $7,563.39 $3,025.36 2026-05-29 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] BELOW FPIL WELLPOINT CHIP PERINATE [100708] $1.89 $7,563.39 $3,025.36 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] BELOW FPIL WELLPOINT CHIP PERINATE [100708] $1.89 $7,563.39 $3,025.36 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] ABOVE FPIL WELLPOINT CHIP PERINATE [100709] $1.89 $7,563.39 $3,025.36 2026-03-31 MRF ↗
PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility WELLPOINT [1007] ABOVE FPIL WELLPOINT CHIP PERINATE [100709] $1.89 $7,563.39 $3,025.36 2026-05-29 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $2.46 $665.00 $631.75 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.46 $665.00 $631.75 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.46 $665.00 $631.75 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.53 $665.00 $631.75 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.59 $665.00 $631.75 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $2.66 $665.00 $631.75 2026-02-20 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER HA [122] Plans $2.80 $7,003.00 $7,003.00 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient FALLON MEDICAID [10904] All FALLON MCO HA [55] Plans $2.80 $7,003.00 $7,003.00 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient FALLON MEDICAID [10904] All FALLON ACO HA [79] Plans $2.80 $7,003.00 $7,003.00 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient INSTITUTION [10406] All WORCESTER RECOVERY HA [235] Plans $2.80 $7,003.00 $7,003.00 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO HA [197] Plans $2.80 $7,003.00 $7,003.00 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO HA [223] Plans $2.80 $7,003.00 $7,003.00 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) HA [43] Plans $2.80 $7,003.00 $7,003.00 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient MASSHEALTH [20302] All MASSHEALTH HA [93] Plans $2.80 $7,003.00 $7,003.00 2026-03-26 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OR (REGENCE) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KY (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NV (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MN WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MO (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NC WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IN (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - KS WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WI (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CA (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CO (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NM WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AL WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - LA WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TN WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NE WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ME (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - HI WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OH (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - CT (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility PRE-EMPLOYMENT WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ND WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NH (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VA (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCBS GENERIC WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IA (WELLMARK) WELLMARK HMO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BCN DOMESTIC WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - RI WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MS WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - TX WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE DISTINCTION TRANSPLANT WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - GA (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NY (ANTHEM) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AR WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - ID WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility WC DOMESTIC WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - VT WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - ID (REGENCE) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS DOMESTIC WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MA WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MI WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility KAISER DOMESTIC WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AK (PREMERA) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - WA (REGENCE) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - PA (CAPITAL) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - CA WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WY WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - WA (PREMERA) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - NJ (HORIZON) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SC WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - IL ALTERNATE WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - OK WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CARE NETWORK WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FEDERAL WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - UT (REGENCE) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - AZ WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - FL WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - SD (WELLMARK) WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility BLUE CROSS - MT WELLMARK PPO $3.15 $11,626.48 2026-03-31 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $3.19 $665.00 $631.75 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $3.19 $665.00 $631.75 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $3.26 $665.00 $631.75 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $3.26 $665.00 $631.75 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $3.26 $665.00 $631.75 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $3.26 $665.00 $631.75 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $3.33 $665.00 $631.75 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $3.39 $665.00 $631.75 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $3.46 $665.00 $631.75 2026-02-20 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) HA [257] Plans $3.50 $7,003.00 $7,003.00 2026-03-26 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $3.59 $665.00 $631.75 2026-02-20 MRF ↗
MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility LONGEVITY HEALTH PLAN [10477] HB OKLC MANAGED MEDICARE $3.86 $6,380.25 $4,147.16 2026-03-12 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $4.35 $374.00 $71.06 2026-01-25 MRF ↗
Ventura County Medical Center - Santa Paula Hospital Outpatient UHC MCR ADV UHC MCR ADV $4.35 $3,821.00 $1,910.50 2026-03-23 MRF ↗
TITUSVILLE AREA HOSPITAL Outpatient United Healthcare Medicare Medicare Advantage $5.44 $363.00 $217.80 2026-02-12 MRF ↗
TITUSVILLE AREA HOSPITAL Outpatient United Healthcare Medicare Medicare Advantage $5.44 $363.00 $217.80 2026-02-12 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $6.62 $8,339.17 $6,671.34 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $6.62 $8,339.17 $6,671.34 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $7.07 $8,339.17 $6,671.34 2024-12-30 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $8.49 $18,667.68 $3,733.54 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $8.49 $18,667.68 $3,733.54 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $8.49 $18,667.68 $3,733.54 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $8.64 $18,667.68 $3,733.54 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $8.64 $18,667.68 $3,733.54 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $8.64 $18,667.68 $3,733.54 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $8.66 $18,667.68 $3,733.54 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $8.66 $18,667.68 $3,733.54 2026-03-26 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $8.70 $964.00 $964.00 2026-02-13 MRF ↗
CHRIST HOSPITAL Outpatient UHC COMMUNITY MEDICAID [2175] HB XR UHC INDIANA PATHWAYS MEDICAID $8.83 $6,380.69 $3,845.49 2025-12-19 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE EMPIRE MEDICAID $8.90 $4,953.53 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE EMPIRE MEDICAID $8.90 $4,953.53 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE EMPIRE MEDICAID ESSENTIAL 1 2 3 4 $8.90 $4,953.53 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE EMPIRE MEDICAID ESSENTIAL 1 2 3 4 $8.90 $4,953.53 2026-03-31 MRF ↗
RIVERWOOD HEALTHCARE CENTER Outpatient AARP MEDICARE COMPLETE PLAN Other $8.98 $59.50 $33.32 2026-03-31 MRF ↗
RIVERWOOD HEALTHCARE CENTER Outpatient AARP MEDICARE COMPLETE PLAN Other $8.98 $59.50 $33.32 2026-03-31 MRF ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $9.50 $4,276.00 $1,582.12 2026-03-31 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $10.22 $2,762.00 $2,623.90 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $10.22 $2,762.00 $2,623.90 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $10.22 $2,762.00 $2,623.90 2026-02-20 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $10.36 $996.15 $996.15 2026-04-24 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $10.50 $2,762.00 $2,623.90 2026-02-20 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $10.52 $7,319.41 $4,391.65 2026-03-24 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $10.77 $2,762.00 $2,623.90 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $11.05 $2,762.00 $2,623.90 2026-02-20 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 3&4 $11.35 $5,799.51 $3,769.68 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $11.35 $5,799.51 $3,769.68 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EXCELLUS HMO [104] BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 $5,799.51 $3,769.68 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $5,799.51 $3,769.68 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EMBLEM GHI [113] EMBLEM GHI $5,799.51 $3,769.68 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 $5,799.51 $3,769.68 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $11.35 $5,799.51 $3,769.68 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP GOLD PPO $5,799.51 $3,769.68 2024-12-30 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO MH [202] Plans $11.38 $15,535.90 $15,535.90 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON MCO MH [225] Plans $11.38 $15,535.90 $15,535.90 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient MASSHEALTH [20302] All MASSHEALTH MH [90] Plans $11.38 $15,535.90 $15,535.90 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO MH [221] Plans $11.38 $15,535.90 $15,535.90 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient INSTITUTION [10406] All WORCESTER RECOVERY MH [234] Plans $11.38 $15,535.90 $15,535.90 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER MH [123] Plans $11.38 $15,535.90 $15,535.90 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) MH [8] Plans $11.38 $15,535.90 $15,535.90 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON ACO MH [80] Plans $11.38 $15,535.90 $15,535.90 2025-12-08 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $12.13 $5,799.51 $3,769.68 2024-12-30 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $13.26 $2,762.00 $2,623.90 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $13.26 $2,762.00 $2,623.90 2026-02-20 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $13.46 $7,480.00 $2,036.51 2024-12-31 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $13.53 $2,761.00 $2,622.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $13.53 $2,762.00 $2,623.90 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $13.53 $2,762.00 $2,623.90 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $13.53 $2,761.00 $2,622.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $13.80 $2,761.00 $2,622.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $14.09 $2,762.00 $2,623.90 2026-02-20 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) MH [256] Plans $14.23 $15,535.90 $15,535.90 2025-12-08 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $14.36 $2,761.00 $2,622.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $14.91 $2,761.00 $2,622.95 2026-02-20 MRF ↗
RIVERWOOD HEALTHCARE CENTER Outpatient UNITED HEALTHCARE MEDICARE HMO Other $16.36 $87.50 $49.00 2026-03-31 MRF ↗
RIVERWOOD HEALTHCARE CENTER Outpatient UNITED HEALTHCARE MEDICARE HMO Other $16.36 $87.50 $49.00 2026-03-31 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $2,193.00 $1,425.45 2025-01-01 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $2,193.00 $1,425.45 2025-01-01 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MEDICAID [20240] HB SPRG/JOPL ARK MEDICAID $21.00 $11,181.67 $7,268.09 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MEDICAID [20240] HB SPRG/JOPL ARK MEDICAID $21.00 $11,181.67 $7,268.09 2026-03-12 MRF ↗
COLUMBUS COMMUNITY HOSPITAL OutpatientFacility ICARE MEDICARE ADVANTAGE $22.04 $76.00 $41.80 2026-04-01 MRF ↗
LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility BCBS ALL PRODUCTS $23.75 $25.00 $24.00 2025-12-28 MRF ↗
LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility UHC ALL PRODUCTS $24.00 $25.00 $24.00 2025-12-28 MRF ↗
LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility MIDLANDS CHOICE ALL PRODUCTS $25.00 $25.00 $24.00 2025-12-28 MRF ↗
RIVERWOOD HEALTHCARE CENTER Outpatient BCBSM BLUE PLUS MA PMAP Other $25.79 $107.00 $59.92 2026-03-31 MRF ↗
RIVERWOOD HEALTHCARE CENTER Outpatient BCBSM BLUE PLUS MA PMAP Other $25.79 $107.00 $59.92 2026-03-31 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 $21,234.38 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 $21,234.38 2024-12-08 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $30.94 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $31.13 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $31.13 2026-03-18 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $32.54 $241.00 $180.75 2026-01-16 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $32.68 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $32.68 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $32.68 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $32.68 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $32.68 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $32.68 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9397_UNITED HEALTHCARE VWIN 20250101 $32.68 2026-01-01 MRF ↗

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