Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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58570 — Tlh Uterus 250 G Or Less

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

Typical negotiated price $8,000

Usually $1,155–$10,853 (25th–75th percentile) across 74 hospitals · 275 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER 58570 — 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
San Angelo Community Medical Center Bcbs Blue Adv — $20.19 $31.83 $15.91 2026-07-30 MRF ↗
San Angelo Community Medical Center Aetna Commercial — $21.33 $31.83 $15.91 2026-07-30 MRF ↗
San Angelo Community Medical Center Humana Commercial — $22.28 $31.83 $15.91 2026-07-30 MRF ↗
San Angelo Community Medical Center Cigna Commercial — $22.92 $31.83 $15.91 2026-07-30 MRF ↗
San Angelo Community Medical Center Bcbs Texas Ppo/Pos — $23.31 $31.83 $15.91 2026-07-30 MRF ↗
San Angelo Community Medical Center Bcbs Texas Hmo — $23.31 $31.83 $15.91 2026-07-30 MRF ↗
San Angelo Community Medical Center Bcbs Texas Indemnity — $23.31 $31.83 $15.91 2026-07-30 MRF ↗
San Angelo Community Medical Center First Health — $23.88 $31.83 $15.91 2026-07-30 MRF ↗
San Angelo Community Medical Center United Healthcare Commercial — $24.83 $31.83 $15.91 2026-07-30 MRF ↗
San Angelo Community Medical Center Healthsmart — $28.33 $31.83 $15.91 2026-07-30 MRF ↗
San Angelo Community Medical Center Ebpa Multiplan — $28.64 $31.83 $15.91 2026-07-30 MRF ↗
VILLAGES REGIONAL HOSPITAL, THE Hcra — $41.06 $7,941.68 $4,765.01 2026-07-30 MRF ↗
CROUSE HOSPITAL Outpatient United Health Medicaid $59.67 $398.75 $398.75 2026-05-13 MRF ↗
CROUSE HOSPITAL Outpatient United Health Essential Plans 1 -4 $59.67 $398.75 $398.75 2026-05-22 MRF ↗
CROUSE HOSPITAL Outpatient United Health Medicaid $59.67 $398.75 $398.75 2026-05-22 MRF ↗
CROUSE HOSPITAL Outpatient United Health Essential Plans 1 -4 $59.67 $398.75 $398.75 2026-05-13 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $75.91 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $75.91 — — 2026-05-24 MRF ↗
CROUSE HOSPITAL Outpatient Excellus Govt Programs/ Special Products $90.98 $398.75 $398.75 2026-05-13 MRF ↗
CROUSE HOSPITAL Outpatient Excellus Govt Programs/ Special Products $90.98 $398.75 $398.75 2026-05-22 MRF ↗
CROUSE HOSPITAL Outpatient Aetna Commercial $103.18 $398.75 $398.75 2026-05-22 MRF ↗
CROUSE HOSPITAL Outpatient Aetna Commercial $103.18 $398.75 $398.75 2026-05-13 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $104.06 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $104.06 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $114.63 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $114.63 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $114.63 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $114.63 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $115.85 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $115.85 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $117.60 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $117.60 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $117.60 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $117.60 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $121.94 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $121.94 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $121.94 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $121.94 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $121.94 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $121.94 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $121.94 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $121.94 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $121.94 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $121.94 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $121.94 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $121.94 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $121.94 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $121.94 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $121.94 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $121.94 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $124.38 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $124.38 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $124.38 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $124.38 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Humana Mcr Advantage $125.60 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Uhc Mcr Advantage $125.60 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Uhc Mcr Advantage $125.60 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $125.60 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Humana Mcr Advantage $125.60 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $125.60 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $125.60 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $125.60 — — 2026-05-23 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $126.52 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $126.52 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $126.52 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $126.52 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $126.52 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $126.52 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $126.52 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $126.52 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $126.52 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $126.52 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $126.52 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $126.52 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $126.52 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $126.52 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $126.52 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $126.52 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $126.52 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $126.52 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $126.52 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $126.52 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $126.52 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $126.52 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcr Advantage $131.70 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcr Advantage $131.70 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Security Blue Mcr Adv $132.92 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Security Blue Mcr Adv $132.92 — — 2026-05-14 MRF ↗
CROUSE HOSPITAL Outpatient United Health Commercial $140.04 $398.75 $398.75 2026-05-13 MRF ↗
CROUSE HOSPITAL Outpatient United Health Commercial $140.04 $398.75 $398.75 2026-05-22 MRF ↗
CROUSE HOSPITAL Outpatient Cdphp Commercial $155.70 $398.75 $398.75 2026-05-22 MRF ↗
CROUSE HOSPITAL Outpatient Cdphp Commercial $155.70 $398.75 $398.75 2026-05-13 MRF ↗
CROUSE HOSPITAL Outpatient Excellus Commercial $168.29 $398.75 $398.75 2026-05-22 MRF ↗
CROUSE HOSPITAL Outpatient Excellus Commercial $168.29 $398.75 $398.75 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient University Of Pittsburgh Medical Ctr Health Plan University Of Pittsburgh Medical Ctr Health Plan $171.55 $9,558.00 $4,779.00 2026-05-13 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Commercial $174.44 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Commercial $174.44 — — 2026-05-14 MRF ↗
UNIONTOWN HOSPITAL Outpatient Wellpoint West Virginia Mgd Mcaid $205.80 $9,558.00 $4,779.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Highmark Health Options West Va Mgd Mcaid $205.80 $9,558.00 $4,779.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient The Health Plan Wv Mgd Mcaid $208.74 $9,558.00 $4,779.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Aetna Better Health Mgd Medicaid $209.72 $9,558.00 $4,779.00 2026-05-13 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Aetna Better Health Ma — $238.50 $928.00 $272.00 2026-07-05 MRF ↗
MCLAREN FLINT Medicaid - Psych — $275.00 $28,180.22 $14,090.11 2026-07-05 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $294.17 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $294.17 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $351.10 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $351.10 — — 2026-05-14 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Upmc Ma — $352.73 $928.00 $272.00 2026-07-05 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Uhc Ma Chip — $379.55 $928.00 $272.00 2026-07-05 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $403.25 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $403.25 — — 2026-05-14 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Upmc Ma Chip — $415.09 $928.00 $272.00 2026-07-05 MRF ↗
CROUSE HOSPITAL Outpatient Brighton Healthplan Medicaid $438.74 $398.75 $398.75 2026-05-13 MRF ↗
CROUSE HOSPITAL Outpatient Wellcare Medicaid Essential Plan 1 And 2 $438.74 $398.75 $398.75 2026-05-22 MRF ↗
CROUSE HOSPITAL Outpatient Wellcare Medicaid Essential Plan 1 And 2 $438.74 $398.75 $398.75 2026-05-13 MRF ↗
CROUSE HOSPITAL Outpatient Wellcare Medicaid Essential Plan 3 And 4 $438.74 $398.75 $398.75 2026-05-22 MRF ↗
CROUSE HOSPITAL Outpatient Wellcare Medicaid Essential Plan 3 And 4 $438.74 $398.75 $398.75 2026-05-13 MRF ↗
CROUSE HOSPITAL Outpatient Brighton Healthplan Medicaid $438.74 $398.75 $398.75 2026-05-22 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $444.18 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $444.18 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $444.18 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $444.18 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $448.90 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $448.90 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $455.68 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $455.68 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $455.68 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $455.68 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $472.53 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $472.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $472.53 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $472.53 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $472.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $472.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $472.53 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $472.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $472.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $472.53 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $472.53 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $472.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $472.53 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $472.53 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $481.30 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $481.30 — — 2026-05-14 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Aetna Comm — $481.63 $928.00 $272.00 2026-07-05 MRF ↗
PENN STATE HEALTH HAMPDEN MEDICAL CENTER Aetna Signature Administrators — $481.63 $928.00 $272.00 2026-07-05 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $481.98 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $481.98 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $481.98 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $481.98 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Humana Mcr Advantage $486.70 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $486.70 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $486.70 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Uhc Mcr Advantage $486.70 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Humana Mcr Advantage $486.70 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Uhc Mcr Advantage $486.70 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $490.28 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $490.28 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $490.28 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $490.28 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $490.28 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $490.28 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $490.28 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $490.28 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $490.28 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $490.28 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $490.28 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $490.28 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $490.28 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $490.28 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $490.28 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $490.28 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $490.28 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $490.28 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $490.28 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $490.28 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $490.28 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $490.28 — — 2026-05-14 MRF ↗
NEW LONDON HOSPITAL Outpatient Granite State Health Plan New Hampshire Healthy Families - Nh Managed Medicaid $496.70 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Wellsense Health Plan Wellsense - Nh Managed Medicaid $496.70 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Amerihealth Caritas Nh Amerihealth Caritas - Nh Managed Medicaid $501.52 — — 2026-05-23 MRF ↗
JOHN H STROGER JR HOSPITAL Both Aetna Ppo $507.58 $2,097.00 $1,467.90 2026-05-14 MRF ↗
JOHN H STROGER JR HOSPITAL Both Aetna Hmo $507.58 $2,097.00 $1,467.90 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Aetna Ppo $507.58 $2,097.00 $1,467.90 2026-05-22 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Aetna Hmo $507.58 $2,097.00 $1,467.90 2026-05-22 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcr Advantage $510.33 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcr Advantage $510.33 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Security Blue Mcr Adv $515.05 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Security Blue Mcr Adv $515.05 — — 2026-05-23 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient Medicaid Professional $516.10 $1,600.00 $800.00 2026-05-13 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient Medicaid Professional $516.10 $1,600.00 $800.00 2026-05-08 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both Medicaid Professional Facility $519.08 $1,622.00 $811.00 2026-05-09 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $530.14 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $530.14 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $530.14 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $530.14 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $535.78 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $535.78 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $543.88 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $543.88 — — 2026-05-14 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.