55873 — Cryoablate Prostate
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Cryoablate prostate (OTHER 55873) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/55873?code_type=OTHER
MLA (9th ed.)
“Cryoablate prostate (OTHER 55873) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/55873?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Cryoablate prostate (OTHER 55873) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/55873?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,678–$11,087 (25th–75th percentile) across 185 hospitals · 399 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 55873 — 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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $10.39 | — | — | 2026-05-27 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $29.36 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $29.36 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $31.32 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $31.32 | — | — | 2026-05-14 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Ppo | $40.42 | — | — | 2026-05-27 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $55.08 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $55.08 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $55.23 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $59.52 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $59.52 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $61.38 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $62.01 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $62.01 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $75.15 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $75.15 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $95.85 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $95.85 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $152.93 | $1,914.00 | $1,339.80 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $152.93 | $1,914.00 | $1,339.80 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $152.93 | $1,914.00 | $1,339.80 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $152.93 | $1,914.00 | $1,339.80 | 2026-05-14 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $157.16 | $412.50 | $412.50 | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $157.90 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $158.07 | — | — | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $158.11 | $412.50 | $412.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $159.97 | $412.50 | $412.50 | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $168.19 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $175.34 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $183.74 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $186.69 | — | — | 2026-05-27 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $188.09 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $188.10 | $412.50 | $412.50 | 2026-05-27 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $192.06 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $192.06 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $192.06 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $192.06 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $192.06 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $192.06 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $192.06 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $192.06 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $192.06 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $194.70 | $412.50 | $412.50 | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $198.39 | — | — | 2026-05-09 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | $202.50 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | $202.50 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $204.62 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $204.62 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $204.62 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $204.62 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $204.62 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $204.62 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $204.62 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $204.62 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $206.32 | — | — | 2026-05-09 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $215.88 | $840.00 | $246.20 | 2026-05-31 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | United Healthcare | Commercial | $219.34 | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $220.30 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $221.10 | $412.50 | $412.50 | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $222.02 | — | — | 2026-05-27 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $222.44 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $222.75 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $222.75 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $222.75 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $222.75 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $222.75 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $222.75 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $223.62 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $232.79 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $239.36 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $244.44 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $247.65 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $27,992.00 | $19,594.40 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $27,992.00 | $19,594.40 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $264.37 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $265.50 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $265.50 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $267.15 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership | $267.15 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $270.63 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $273.15 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $273.15 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $274.66 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $278.05 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $279.87 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $284.41 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $287.24 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $287.24 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $287.62 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos | $294.94 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $295.51 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $299.32 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $299.92 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $300.70 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $301.62 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $301.75 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $303.23 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $307.80 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $307.80 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $309.38 | $412.50 | $412.50 | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Maine Community Health Options | Mcho Indiv - Exchange | $310.54 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $311.31 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $312.73 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $314.19 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $314.28 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $319.28 | $840.00 | $246.20 | 2026-05-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont Non-Managed Care Plans | $325.65 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $326.62 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $330.78 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $332.10 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $332.10 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | $334.42 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $341.34 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $341.55 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $341.55 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $342.22 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $343.56 | $840.00 | $246.20 | 2026-05-31 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity | $344.61 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $344.61 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity | $344.61 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $344.61 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $344.74 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $344.74 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $345.71 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $350.63 | $412.50 | $412.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $350.63 | $412.50 | $412.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $350.63 | $412.50 | $412.50 | 2026-05-27 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $357.48 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership | $357.48 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont Non-Managed Care Plans | $357.48 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $357.48 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership | $357.48 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont Non-Managed Care Plans | $357.48 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Maine Community Health Options | Mcho Shop - Exchange | $358.31 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $359.78 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $369.71 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $369.71 | — | — | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $374.40 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $375.73 | $840.00 | $246.20 | 2026-05-31 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $377.14 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | $382.50 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | $382.50 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| MISSOURI DELTA MEDICAL CENTER Both | Consociate | Tpa | $389.44 | $1,217.00 | $304.25 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity | $400.04 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $400.04 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Phcs | Phcs | $405.00 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Phcs | Phcs | $405.00 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $412.49 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $412.50 | $412.50 | $412.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $412.50 | $412.50 | $412.50 | 2026-05-27 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $414.67 | $436.50 | $199.48 | 2026-05-23 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK Outpatient | Ar Total Care (Passe) | All | $424.12 | $25,146.16 | $6,286.54 | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | First Health/Hcvm | First Health/Hcvm | $424.12 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK Outpatient | Summit Care (Passe) | All | $424.12 | $25,146.16 | $6,286.54 | 2026-05-09 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK Outpatient | Empower (Passe) | All | $424.12 | $25,146.16 | $6,286.54 | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Coventry | Coventry- Workers Comp | $424.12 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK Outpatient | Caresource (Passe) | All | $424.12 | $25,146.16 | $6,286.54 | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $424.81 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $424.83 | $15,422.00 | $5,089.26 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $424.83 | $15,422.00 | $5,089.26 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $424.83 | $15,422.00 | $5,089.26 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $424.83 | $15,422.00 | $5,089.26 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER- CONWAY Outpatient | Caresource (Passe) | All | $427.23 | $29,342.56 | $7,335.64 | 2026-05-09 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER- CONWAY Outpatient | Summit Care (Passe) | All | $427.23 | $29,342.56 | $7,335.64 | 2026-05-09 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER- CONWAY Outpatient | Empower (Passe) | All | $427.23 | $29,342.56 | $7,335.64 | 2026-05-09 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER- CONWAY Outpatient | Ar Total Care (Passe) | All | $427.23 | $29,342.56 | $7,335.64 | 2026-05-09 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $429.08 | $15,422.00 | $5,089.26 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $429.08 | $15,422.00 | $5,089.26 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $433.33 | $15,422.00 | $5,089.26 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $433.33 | $15,422.00 | $5,089.26 | 2026-05-13 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $435.96 | $840.00 | $246.20 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $435.96 | $840.00 | $246.20 | 2026-05-31 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $437.57 | $15,422.00 | $5,089.26 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $437.57 | $15,422.00 | $5,089.26 | 2026-05-13 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Phcs | Phcs - Ppo | $438.75 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Corvel | Corvel - Workers Comp | $448.50 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $450.00 | $450.00 | $124.20 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $450.00 | $450.00 | $124.20 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Ccmsi | Ccmsi - Workers Comp | $463.12 | $487.50 | $149.18 | 2026-05-08 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cigna | — | $504.00 | $840.00 | $246.20 | 2026-05-31 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cdphp | Medicaid | $509.16 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Cdphp | Medicaid/Chp/Essential | $509.16 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $509.16 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $509.16 | — | — | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $541.96 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $553.83 | — | — | 2026-05-08 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Comm | — | $556.00 | $840.00 | $246.20 | 2026-05-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $558.22 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $558.22 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $558.22 | — | — | 2026-05-08 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $559.70 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $559.70 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $559.70 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $559.70 | — | — | 2026-05-14 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid | Medicaid | $562.04 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid Out Of State | Medicaid Out Of State | $562.04 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Hlthnet | Bmc Hlthnet | $562.04 | — | — | 2026-05-13 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Comm | — | $562.80 | $840.00 | $246.20 | 2026-05-31 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $563.28 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $563.28 | — | — | 2026-05-23 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.