55566-1050-01 — Adstiladrin
Cite this view
HANK Price Transparency. (n.d.). Adstiladrin (CPT 55566-1050-01) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/55566-1050-01?code_type=CPT
“Adstiladrin (CPT 55566-1050-01) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/55566-1050-01?code_type=CPT. Accessed .
“Adstiladrin (CPT 55566-1050-01) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/55566-1050-01?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $64,275–$68,131 (25th–75th percentile) across 3 hospitals · 44 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 55566-1050-01 — 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 | Aetna Health | Open Choice Ppo | $448.00 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $255,780.00 | $25,578.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $236,250.00 | $23,625.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $255,780.00 | $25,578.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $255,780.00 | $25,578.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $236,250.00 | $23,625.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $239,793.75 | $23,979.38 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $239,793.75 | $23,979.38 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $236,250.00 | $23,625.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $239,793.75 | $23,979.38 | 2026-05-14 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield Metallic Plan | Blue Cross Blue Shield Metallic Plan | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Aetna | Commercial | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Medicaid | Arkansas Medicaid | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Municipal Health Benefit Fund | Municipal Health Benefit Fund | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Multiplan | Multiplan | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Healthscope Benefits | Healthscope Benefits | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | First Health | First Health | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Humana | Commercial | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | United Healthcare | Commercial | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna | Cigna | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Triwest | Triwest | $62,346.55 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Empower | Empower | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Caresource Passe | Caresource Passe | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield True Blue Ppo | Blue Cross Blue Shield True Blue Ppo | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna C | 16 | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Health Advantage | Health Advantage | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Summit Community Care | Summit Community Care | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Total Care | Arkansas Total Care | — | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Blue Plan65 Select | $63,342.28 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $63,342.28 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $63,342.28 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Ameri-Plus Preferred Care Inc | Medicare Advantage | $63,342.28 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Ameri-Plus Preferred Care Inc | Medicare Advantage | $63,342.28 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Blue Plan65 Select | $63,342.28 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Blue Plan65 Select | $64,274.79 | $236,250.00 | $23,625.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Ameri-Plus Preferred Care Inc | Medicare Advantage | $64,274.79 | $236,250.00 | $23,625.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $64,274.79 | $239,793.75 | $23,979.38 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Blue Plan65 Select | $64,274.79 | $255,780.00 | $25,578.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Ameri-Plus Preferred Care Inc | Medicare Advantage | $64,274.79 | $255,780.00 | $25,578.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Ameri-Plus Preferred Care Inc | Medicare Advantage | $64,274.79 | $239,793.75 | $23,979.38 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Blue Plan65 Select | $64,274.79 | $239,793.75 | $23,979.38 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $64,274.79 | $255,780.00 | $25,578.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $64,274.79 | $236,250.00 | $23,625.00 | 2026-05-06 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Va | Community Care Network | $64,274.79 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Medicare | Arkansas Medicare | $64,274.79 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $64,274.79 | $255,780.00 | $25,578.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $64,274.79 | $239,793.75 | $23,979.38 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $64,274.79 | $236,250.00 | $23,625.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Ameri-Plus Preferred Care Inc | Medicare Advantage | $64,274.79 | $255,780.00 | $25,578.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Blue Plan65 Select | $64,274.79 | $236,250.00 | $23,625.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Blue Plan65 Select | $64,274.79 | $255,780.00 | $25,578.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Blue Plan65 Select | $64,274.79 | $239,793.75 | $23,979.38 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Ameri-Plus Preferred Care Inc | Medicare Advantage | $64,274.79 | $236,250.00 | $23,625.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Ameri-Plus Preferred Care Inc | Medicare Advantage | $64,274.79 | $239,793.75 | $23,979.38 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $64,274.79 | $236,250.00 | $23,625.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $64,274.79 | $239,793.75 | $23,979.38 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $64,274.79 | $255,780.00 | $25,578.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Ameri-Plus Preferred Care Inc | Medicare Advantage | $64,274.79 | $236,250.00 | $23,625.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Blue Plan65 Select | $64,274.79 | $239,793.75 | $23,979.38 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Blue Plan65 Select | $64,274.79 | $255,780.00 | $25,578.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Blue Plan65 Select | $64,274.79 | $236,250.00 | $23,625.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Ameri-Plus Preferred Care Inc | Medicare Advantage | $64,274.79 | $255,780.00 | $25,578.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Ameri-Plus Preferred Care Inc | Medicare Advantage | $64,274.79 | $239,793.75 | $23,979.38 | 2026-05-22 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Rio Blanco County Dept Of Health | Medicare | $64,282.30 | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Humana Choicecare | Health Insurance Company | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Western Healthcare Alliance | Commercial | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Humana Choicecare | Network Ppo | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Anthem | Medicare | $64,282.30 | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Anthem | Pathway Standard Plans | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Anthem | Hmo,Pathway Epo/Ppo | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Anthem | Ppo/Indemnity | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | United Healthcare | Colorado Option Appendix | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Aspen Skiing Company | Community Health Plan | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Rocky Mountain | Private Plan | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Rocky Mountain Health | Medicaid | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Rocky Mountain Health | Co Public Option Plan | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Rocky Mountain Health | Medicare | $64,282.30 | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Rocky Mountain Health | Chp+ | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Three Rivers Provider Network | Workers Comp | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Umr | United Healthcare Vvh | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Cigna | Commercial | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Government Employees Hospital Org | Commercial | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Rocky Mountain Health | Ppo,Self Insured Plan | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | United Healthcare | All Payer Appendix | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Multiplan | Commercial | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Great West | Commercial | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Aetna | All Plans | — | $92,280.00 | $78,438.00 | 2026-05-13 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $64,609.13 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $64,609.13 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Aetna | Medicare | $64,917.54 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Tribute Health | Medicare Advantage | $64,917.54 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Nativeblue | $65,242.55 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Nativeblue | $65,242.55 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $65,560.29 | $255,780.00 | $25,578.00 | 2026-05-14 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Wellcare By Allwell | Medicare Advantage | $65,560.29 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Wellcare Dual Elig Medicare Advantage | Wellcare Dual Elig Medicare Advantage | $65,560.29 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $65,560.29 | $236,250.00 | $23,625.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $65,560.29 | $255,780.00 | $25,578.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $65,560.29 | $239,793.75 | $23,979.38 | 2026-05-06 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Wellcare Non | Dual Elig Medicare Advantage | $65,560.29 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $65,560.29 | $239,793.75 | $23,979.38 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $65,560.29 | $236,250.00 | $23,625.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $65,560.29 | $255,780.00 | $25,578.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $65,560.29 | $236,250.00 | $23,625.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $65,560.29 | $239,793.75 | $23,979.38 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Nativeblue | $66,203.03 | $255,780.00 | $25,578.00 | 2026-05-22 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Primewell Health Services | Medicare Advantage | $66,203.03 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | United Healthcare | Medicare Advantage | $66,203.03 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Humana | Choicecare Medicare Advantage | $66,203.03 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield Medicare Advantage | Blue Cross Blue Shield Medicare Advantage | $66,203.03 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Optum Health Transplant | Medicare Advantage | $66,203.03 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield Premium Hmo | Blue Cross Blue Shield Premium Hmo | $66,203.03 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Nativeblue | $66,203.03 | $255,780.00 | $25,578.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Nativeblue | $66,203.03 | $236,250.00 | $23,625.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Nativeblue | $66,203.03 | $239,793.75 | $23,979.38 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Nativeblue | $66,203.03 | $236,250.00 | $23,625.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Nativeblue | $66,203.03 | $255,780.00 | $25,578.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Nativeblue | $66,203.03 | $239,793.75 | $23,979.38 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Nativeblue | $66,203.03 | $236,250.00 | $23,625.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Nativeblue | $66,203.03 | $239,793.75 | $23,979.38 | 2026-05-22 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna Healthspring Medicare Advantage | Cigna Healthspring Medicare Advantage | $66,845.78 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Essence Healthcare | Essence Healthcare | $66,845.78 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Medicare Advantage | $67,142.82 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Medicare Advantage | $67,142.82 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Devoted Health Plan | Devoted Health Plan | $67,488.53 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Medicare Advantage | $68,131.28 | $239,793.75 | $23,979.38 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Medicare Advantage | $68,131.28 | $239,793.75 | $23,979.38 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Medicare Advantage | $68,131.28 | $255,780.00 | $25,578.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Medicare Advantage | $68,131.28 | $255,780.00 | $25,578.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Medicare Advantage | $68,131.28 | $236,250.00 | $23,625.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Medicare Advantage | $68,131.28 | $255,780.00 | $25,578.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Medicare Advantage | $68,131.28 | $236,250.00 | $23,625.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Medicare Advantage | $68,131.28 | $236,250.00 | $23,625.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Medicare Advantage | $68,131.28 | $239,793.75 | $23,979.38 | 2026-05-22 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Ambetter | Ambetter | $94,483.94 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Wellpath | Governmental | $107,681.88 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Wellpath | Governmental | $107,681.88 | $252,000.00 | $25,200.00 | 2026-05-06 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Northwest Health Plan | Northwest Health Plan | $108,945.77 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Qualchoice Novasys | Qualchoice Novasys | $108,945.77 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Wellpath | Governmental | $109,267.14 | $236,250.00 | $23,625.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Wellpath | Governmental | $109,267.14 | $236,250.00 | $23,625.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Wellpath | Governmental | $109,267.14 | $239,793.75 | $23,979.38 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Wellpath | Governmental | $109,267.14 | $255,780.00 | $25,578.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Wellpath | Governmental | $109,267.14 | $255,780.00 | $25,578.00 | 2026-05-14 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Vantos | Vantos | $109,267.14 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Wellpath | Governmental | $109,267.14 | $239,793.75 | $23,979.38 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Wellpath | Governmental | $109,267.14 | $236,250.00 | $23,625.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Wellpath | Governmental | $109,267.14 | $239,793.75 | $23,979.38 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Wellpath | Governmental | $109,267.14 | $255,780.00 | $25,578.00 | 2026-05-06 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Primewell Health Services | Commercial | $180,612.16 | $326,880.00 | $196,128.00 | 2026-05-08 | MRF ↗ |