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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54640 — Orchiopexy Ingun/scrot Appr

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $3,859

Usually $2,214–$6,057 (25th–75th percentile) across 1,852 hospitals · 4,026 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 54640 — 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
O U MEDICAL CENTER Outpatient Humana Healthy Horizons Medicaid $5,339.66 $533.97 2026-05-22 MRF ↗
O U MEDICAL CENTER Outpatient Humana Healthy Horizons Medicaid $5,339.66 $533.97 2026-05-14 MRF ↗
O U MEDICAL CENTER Outpatient Humana Healthy Horizons Medicaid $5,339.66 $533.97 2026-05-06 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $4.33 $2,599.00 $1,949.25 2025-03-07 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 3&4 $7.44 $8,851.42 $5,753.42 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $7.44 $8,851.42 $5,753.42 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $7.44 $8,851.42 $5,753.42 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $7.95 $8,851.42 $5,753.42 2024-12-30 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $12.55 $1,079.00 $205.01 2026-01-25 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $17.11 $9,507.00 $3,888.76 2024-12-31 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $25.10 $2,693.00 $2,693.00 2026-02-13 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 ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $35.18 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $35.18 2026-04-14 MRF ↗
ACMH HOSPITAL Outpatient Geisinger Medicaid Geisinger Medicaid $38.90 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Geisinger Medicaid Geisinger Medicaid $38.90 $664.00 $199.20 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Upmc Chip Upmc Chip $39.82 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Upmc Chip Upmc Chip $39.82 $664.00 $199.20 2026-05-23 MRF ↗
Tyler Memorial Hospital OutpatientFacility None 2026-01-01 MRF ↗
ACMH HOSPITAL Outpatient Geisinger Geisinger $42.00 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Geisinger Medicare Geisinger Medicare $42.00 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Geisinger Geisinger $42.00 $664.00 $199.20 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Geisinger Medicare Geisinger Medicare $42.00 $664.00 $199.20 2026-05-23 MRF ↗
BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility Univera Medicare Managed Care Plan $44.65 2026-04-01 MRF ↗
OLEAN GENERAL HOSPITAL OutpatientFacility Univera Medicare Managed Care Plan $44.65 2026-04-01 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $44.71 2026-04-14 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
St Elizabeth Medical Center Outpatient NF MISC. [809999] NF MISC. [80999901] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STATE FARM AUTO INSURANCE NF [800026] NF STATE FARM AUTO INSURANCE [80002601] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL AUTO INSURANCE [800008] NF LIBERTY MUTUAL AUTO INS [80000801] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL AUTO INSURANCE [800008] NF LIBERTY MUTUAL AUTO INS [80000801] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MET LIFE AUTO INSURANCE [800009] NF MET LIFE AUTO INS [80000901] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL NO FAULT [800007] NF UTICA NATIONAL INS [80000701] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NY CTRL MUTUAL NF [800004] NF NY CTRL MUTUAL [80000401] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PROGRESSIVE AUTO INSURANCE [800005] NF PROGRESSIVE AUTO INSURANCE [80000501] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS NO FAULT [800006] NF TRAVELERS [80000601] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS NO FAULT [800006] NF TRAVELERS [80000601] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL WORKER'S COMP [700062] WC UTICA NATIONAL INS [70006201] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient WC MISC. [709999] WC MISC. [70999901] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MET LIFE AUTO INSURANCE [800009] NF MET LIFE AUTO INS [80000901] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient HARTFORD INS WC [700055] WC HARTFORD INS [70005501] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NYSIF [700058] WC NY STATE INSURANCE FUND [70005801] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CHARTIS WC [700029] WC CHARTIS [70002901] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CHARTIS WC [700029] WC CHARTIS [70002901] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PMA WORK COMP [700031] WC PMA [70003101] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NCA WC [700057] WC NCA [70005701] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S MVHS EMPLOYEE [70005903] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NF MISC. [809999] NF MISC. [80999901] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MADISON ONEIDA HERK WC [700056] WC MADISON ONEIDA HERK [70005601] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GALLAGHER BASSETT WORK COMP [700013] WC GALLAGHER BASSETT [70001301] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL WORK COMP [700016] WC LIBERTY MUTUAL [70001601] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CORVEL CORP WC [700054] WC CORVEL CORP [70005401] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient SEDGWICK [700027] WC SEDGWICK [70002701] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ESIS WORK COMP [700010] WC ESIS [70001001] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STRATEGIC COMP SERVICES [700061] WC STRATEGIC COMP SERVICES [70006101] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STATE FARM AUTO INSURANCE NF [800026] NF STATE FARM AUTO INSURANCE [80002601] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ERIE INS NF [800002] NF ERIE INS [80000201] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PROGRESSIVE AUTO INSURANCE [800005] NF PROGRESSIVE AUTO INSURANCE [80000501] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS WORK COMP [700028] WC TRAVELERS [70002801] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GEICO AUTO INSURANCE [800003] NF GEICO AUTO INSURANCE [80000301] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA FSLH EMPLOYEE [70005901] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient STRATEGIC COMP SERVICES [700061] WC STRATEGIC COMP SERVICES [70006101] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA SEMC EMPLOYEE [70005902] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL NO FAULT [800007] NF UTICA NATIONAL INS [80000701] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S SEMC EMPLOYEE [70005904] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient TRAVELERS WORK COMP [700028] WC TRAVELERS [70002801] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient UTICA NATIONAL WORKER'S COMP [700062] WC UTICA NATIONAL INS [70006201] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient WC MISC. [709999] WC MISC. [70999901] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GALLAGHER BASSETT WORK COMP [700013] WC GALLAGHER BASSETT [70001301] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NY CTRL MUTUAL NF [800004] NF NY CTRL MUTUAL [80000401] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ESIS WORK COMP [700010] WC ESIS [70001001] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ALLSTATE AUTO INSURANCE [800001] NF ALLSTATE [80000101] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S MVHS EMPLOYEE [70005903] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ALLSTATE AUTO INSURANCE [800001] NF ALLSTATE [80000101] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NYSIF [700058] WC NY STATE INSURANCE FUND [70005801] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA FSLH EMPLOYEE [70005901] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient NCA WC [700057] WC NCA [70005701] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient CORVEL CORP WC [700054] WC CORVEL CORP [70005401] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient SEDGWICK [700027] WC SEDGWICK [70002701] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient LIBERTY MUTUAL WORK COMP [700016] WC LIBERTY MUTUAL [70001601] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient HARTFORD INS WC [700055] WC HARTFORD INS [70005501] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient PMA WORK COMP [700031] WC PMA [70003101] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient GEICO AUTO INSURANCE [800003] NF GEICO AUTO INSURANCE [80000301] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA SEMC EMPLOYEE [70005902] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MADISON ONEIDA HERK WC [700056] WC MADISON ONEIDA HERK [70005601] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S SEMC EMPLOYEE [70005904] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
St Elizabeth Medical Center Outpatient ERIE INS NF [800002] NF ERIE INS [80000201] $51.31 $16,184.15 $9,710.49 2025-01-17 MRF ↗
ACMH HOSPITAL Outpatient United Medicaid United Medicaid $51.60 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient United Medicaid United Medicaid $51.60 $664.00 $199.20 2026-05-23 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Commercial $57.53 2026-04-14 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $58.25 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $58.61 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $58.61 2026-03-18 MRF ↗
ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both Medicare B NY Upstate JK Default $59.28 $1,033.00 $640.46 2026-03-16 MRF ↗
ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both Blue Cross Blue Shield of NY Empire Medicare Advantage $63.51 $1,033.00 $640.46 2026-03-16 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $65.61 $486.00 $364.50 2026-01-16 MRF ↗
GREAT PLAINS OF SABETHA Outpatient BCBS KS CAP-ALL OTHER PLANS BCBS KS CAP-ALL OTHER PLANS $66.00 $999.00 $899.10 2026-03-10 MRF ↗
GREAT PLAINS OF SABETHA Outpatient BCBS BLUE CHOICE BCBS BLUE CHOICE $66.00 $999.00 $899.10 2026-03-10 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $66.75 2026-03-18 MRF ↗
ACMH HOSPITAL Outpatient Tricare Tricare $66.94 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Tricare Tricare $66.94 $664.00 $199.20 2026-05-23 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $67.17 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $67.17 2026-03-18 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Freedom Blue $72.57 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Freedom Blue $72.57 $664.00 $199.20 2026-05-23 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $72.68 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $73.14 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $73.14 2026-03-18 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Community/Complete Blue $74.85 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Community/Complete Blue $74.85 $664.00 $199.20 2026-05-23 MRF ↗
St Anthony Regional Hospital & Nursing Home Outpatient MIDLANDS CHOICE - ALL PLANS MIDLANDS CHOICE - ALL PLANS $76.98 $1,242.00 $1,242.00 2026-02-09 MRF ↗
ACMH HOSPITAL Outpatient Unitedhealthcare Insurance Company United Medicare $80.15 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Upmc Health Plan Upmc Medicare $80.15 $664.00 $199.20 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Unitedhealthcare Insurance Company United Medicare $80.15 $664.00 $199.20 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Aetna Aetna Medicare $80.15 $664.00 $199.20 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Aetna Aetna Medicare $80.15 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Upmc Health Plan Upmc Medicare $80.15 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Centene Corporation Pa H And W Medicare $80.95 $664.00 $199.20 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Centene Corporation Pa H And W Medicare $80.95 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Umwa Umwa $81.45 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Umwa Umwa $81.45 $664.00 $199.20 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Unitedhealthcare Insurance Company Va Ccn Optum $81.45 $664.00 $199.20 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Wholecare Medicare $81.45 $664.00 $199.20 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Unitedhealthcare Insurance Company Va Ccn Optum $81.45 $664.00 $199.20 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Wholecare Medicare $81.45 $664.00 $199.20 2026-05-14 MRF ↗

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