55566-1050-01 — Adstiladrin
Cite this view
HANK Price Transparency. (n.d.). Adstiladrin (OTHER 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=OTHER
“Adstiladrin (OTHER 55566-1050-01) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/55566-1050-01?code_type=OTHER. Accessed .
“Adstiladrin (OTHER 55566-1050-01) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/55566-1050-01?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $64,275–$90,263 (25th–75th percentile) across 5 hospitals · 40 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $24,149.90 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $26,025.62 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $26,025.62 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $26,835.59 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Alohacare | Medicare | $63,342.28 | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Community Health Alliance | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Laborers | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Mainland Administrators | Nontrust Local | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Mainland Administrators | Ufcw | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Western Management Group | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicare | $63,342.28 | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Mdx Hawaii | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Ohana Care | Medicare | $63,342.28 | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Ohana Care | Medicaid | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Humana | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | First Health | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Alohacare | Medicaid | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicare | $63,342.28 | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Community Health Alliance | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Laborers | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Ufcw | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicare | $63,342.28 | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Mdx Hawaii | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicare | $63,342.28 | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | University Health Alliance | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | Medicare | $63,342.28 | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | All Payer | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | First Health | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | Medicare | $63,342.28 | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | All Payer | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Humana | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicare | $63,342.28 | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Community Health Alliance | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Laborers | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Ufcw | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicare | $63,342.28 | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Mdx Hawaii | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicare | $63,342.28 | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | University Health Alliance | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | University Health Alliance | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | United Healthcare | All Payer | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | United Healthcare | Medicare | $63,342.28 | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Va Behavioral Health | Commercial | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Va Behavioral Health | Commercial | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Health Plan | Medicare Advantage | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Va Behavioral Health | Commercial | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Elderplan | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Elderplan | Medicare Advantage | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care | Medicare (Including Dual) | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Health Plan | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care | Medicare (Including Dual) | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Health Plan | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield | Medicare Advantage | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Va | Commercial | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Va | Commercial | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Va | Commercial | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Elderplan | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Elderplan | Medicare Advantage | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Elderplan | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care | Medicare (Including Dual) | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care | Medicare (Including Dual) | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care | Medicare (Including Dual) | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Va Behavioral Health | Commercial | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Va Behavioral Health | Commercial | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Va Behavioral Health | Commercial | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care | Medicare (Including Dual) | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Health Plan | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Health Plan | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Health Plan | Medicare Advantage | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield | Medicare Advantage | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Va | Commercial | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Va | Commercial | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Va | Commercial | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Elderplan | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $64,274.79 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $64,274.79 | $73,080.00 | $73,080.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Medicare Advantage | $65,560.29 | $73,080.00 | $73,080.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna Ppo | Medicare Advantage | $65,560.29 | $73,080.00 | $73,080.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna Ppo | Medicare Advantage | $65,560.29 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna Ppo | Medicare Advantage | $65,560.29 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Medicare Advantage | $65,560.29 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Medicare Advantage | $65,560.29 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna Ppo | Medicare Advantage | $65,560.29 | $73,080.00 | $73,080.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna Ppo | Medicare Advantage | $65,560.29 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna Ppo | Medicare Advantage | $65,560.29 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Medicare Advantage | $65,560.29 | $73,080.00 | $73,080.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Medicare Advantage | $65,560.29 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Medicare Advantage | $65,560.29 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $69,039.28 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Agewell New York | Medicare Advantage | $70,702.27 | $73,080.00 | $73,080.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Agewell New York | Medicare Advantage | $70,702.27 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Agewell New York | Medicare Advantage | $70,702.27 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Agewell New York | Medicare Advantage | $70,702.27 | $73,080.00 | $73,080.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Agewell New York | Medicare Advantage | $70,702.27 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Agewell New York | Medicare Advantage | $70,702.27 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $73,536.75 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $80,336.24 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Partners Health Plan | Commercial | $83,557.23 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Centerlight | Commerical | $83,557.23 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Centerlight | Commerical | $83,557.23 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Partners Health Plan | Commercial | $83,557.23 | $73,080.00 | $73,080.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Partners Health Plan | Commercial | $83,557.23 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Centerlight | Commerical | $83,557.23 | $73,080.00 | $73,080.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Centerlight | Commerical | $83,557.23 | $73,080.00 | $73,080.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Centerlight | Commerical | $83,557.23 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Centerlight | Commerical | $83,557.23 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Partners Health Plan | Commercial | $83,557.23 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Partners Health Plan | Commercial | $83,557.23 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Partners Health Plan | Commercial | $83,557.23 | $73,080.00 | $73,080.00 | 2026-05-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $104,656.65 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $108,280.20 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $115,591.24 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $116,806.20 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership | $116,806.20 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Seven Corners | Commercial | $117,183.22 | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Seven Corners | Commercial | $117,183.22 | $144,000.00 | $100,800.00 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Seven Corners | Commercial | $117,183.22 | $144,000.00 | $100,800.00 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $120,088.71 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $122,369.42 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $124,351.71 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $125,758.50 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Optum Transplant Network | Commercial | $128,549.58 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Optum Transplant Network | Commercial | $128,549.58 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Optum Transplant Network | Commercial | $128,549.58 | $73,080.00 | $73,080.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Optum Transplant Network | Commercial | $128,549.58 | $216,000.00 | $216,000.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Optum Transplant Network | Commercial | $128,549.58 | $73,080.00 | $73,080.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Optum Transplant Network | Commercial | $128,549.58 | $216,000.00 | $216,000.00 | 2026-05-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos | $128,955.75 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $130,874.10 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $132,579.30 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Maine Community Health Options | Mcho Indiv - Exchange | $135,776.55 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $136,735.72 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont Non-Managed Care Plans | $142,384.20 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $142,810.50 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | $146,220.90 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $149,631.30 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Maine Community Health Options | Mcho Shop - Exchange | $156,665.25 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $157,304.70 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $163,699.20 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $174,910.89 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity | $174,910.89 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | First Health/Hcvm | First Health/Hcvm | $185,440.50 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Coventry | Coventry- Workers Comp | $185,440.50 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $185,738.91 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Phcs | Phcs - Ppo | $191,835.00 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Corvel | Corvel - Workers Comp | $196,098.00 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Ccmsi | Ccmsi - Workers Comp | $202,492.50 | $213,150.00 | $65,223.90 | 2026-05-08 | MRF ↗ |