58571 — Tlh W/t/o 250 G Or Less
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tlh w/t/o 250 g or less (OTHER 58571) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/58571?code_type=OTHER
MLA (9th ed.)
“Tlh w/t/o 250 g or less (OTHER 58571) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/58571?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Tlh w/t/o 250 g or less (OTHER 58571) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/58571?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,255–$10,361 (25th–75th percentile) across 82 hospitals · 309 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 58571 — 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 |
|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL Outpatient | Anthem | Ppo | — | $41,275.00 | $26,828.75 | 2026-05-24 | MRF ↗ |
| Jeanes Hospital | Jns Health Partners Ma And Chip | — | $10.48 | $121,799.58 | $9,496.85 | 2026-07-31 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Blue Adv | — | $21.74 | $34.26 | $17.13 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Aetna Commercial | — | $22.95 | $34.26 | $17.13 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Humana Commercial | — | $23.98 | $34.26 | $17.13 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Cigna Commercial | — | $24.66 | $34.26 | $17.13 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Hmo | — | $25.08 | $34.26 | $17.13 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Ppo/Pos | — | $25.08 | $34.26 | $17.13 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Indemnity | — | $25.08 | $34.26 | $17.13 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | First Health | — | $25.69 | $34.26 | $17.13 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | United Healthcare Commercial | — | $26.72 | $34.26 | $17.13 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Healthsmart | — | $30.49 | $34.26 | $17.13 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Ebpa Multiplan | — | $30.84 | $34.26 | $17.13 | 2026-07-30 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE | Hcra | — | $41.06 | $7,110.97 | $4,266.58 | 2026-07-30 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $65.24 | $449.25 | $449.25 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $65.24 | $449.25 | $449.25 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $65.24 | $449.25 | $449.25 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $65.24 | $449.25 | $449.25 | 2026-05-22 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $85.27 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $85.27 | — | — | 2026-05-14 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Govt Programs/ Special Products | $99.48 | $449.25 | $449.25 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Govt Programs/ Special Products | $99.48 | $449.25 | $449.25 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $117.21 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $117.21 | — | — | 2026-05-23 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Commercial | $118.16 | $449.25 | $449.25 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Commercial | $118.16 | $449.25 | $449.25 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $128.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $128.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $128.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $128.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $130.15 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $130.15 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $131.95 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $131.95 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $131.95 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $131.95 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $137.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $137.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $137.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $137.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $137.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $137.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $137.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $137.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $137.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $137.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $137.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $137.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $137.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $137.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $139.74 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $139.74 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $139.74 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $139.74 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $141.11 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $141.11 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $141.11 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $141.11 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $141.11 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $141.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $142.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $142.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $142.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $142.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $142.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $142.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $142.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $142.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $142.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $142.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $142.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $142.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $142.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $142.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $142.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $142.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $142.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $142.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $142.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $142.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $142.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $142.11 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $147.96 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $147.96 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $149.33 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $149.33 | — | — | 2026-05-14 | MRF ↗ |
| Jeanes Hospital | Jns Health Partners Ma And Chip | — | $157.07 | $32,564.20 | $9,496.85 | 2026-07-31 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Commercial | $157.92 | $449.25 | $449.25 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Commercial | $157.92 | $449.25 | $449.25 | 2026-05-22 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $169.62 | $660.00 | $193.45 | 2026-07-05 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $14,456.00 | $7,228.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Cdphp | Commercial | $175.58 | $449.25 | $449.25 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Cdphp | Commercial | $175.58 | $449.25 | $449.25 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Commercial | $188.97 | $449.25 | $449.25 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Commercial | $188.97 | $449.25 | $449.25 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $189.84 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $189.84 | — | — | 2026-05-23 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $14,456.00 | $7,228.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $14,456.00 | $7,228.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $14,456.00 | $7,228.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $14,456.00 | $7,228.00 | 2026-05-13 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $250.87 | $660.00 | $193.45 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $269.94 | $660.00 | $193.45 | 2026-07-05 | MRF ↗ |
| MCLAREN FLINT | Medicaid - Psych | — | $275.00 | $26,218.48 | $13,109.24 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $295.22 | $660.00 | $193.45 | 2026-07-05 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $330.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $330.40 | — | — | 2026-05-24 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $342.54 | $660.00 | $193.45 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $342.54 | $660.00 | $193.45 | 2026-07-05 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $394.35 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $394.35 | — | — | 2026-05-24 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cigna | — | $396.00 | $660.00 | $193.45 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Comm | — | $436.85 | $660.00 | $193.45 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Comm | — | $442.20 | $660.00 | $193.45 | 2026-07-05 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $454.17 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $454.17 | — | — | 2026-05-23 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $479.71 | $449.25 | $449.25 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $479.71 | $449.25 | $449.25 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $479.71 | $449.25 | $449.25 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $479.71 | $449.25 | $449.25 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $479.71 | $449.25 | $449.25 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $479.71 | $449.25 | $449.25 | 2026-05-13 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Comm | — | $495.00 | $660.00 | $193.45 | 2026-07-05 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $499.02 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $499.02 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $499.02 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $499.02 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $504.33 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $504.33 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $511.31 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $511.31 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $511.31 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $511.31 | — | — | 2026-05-14 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Wellspan | — | $521.40 | $660.00 | $193.45 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Multiplan | — | $528.00 | $660.00 | $193.45 | 2026-07-05 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $530.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $530.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $530.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $530.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $530.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $530.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $530.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $530.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $530.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $530.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $530.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $530.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $530.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $530.88 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Localplus | $533.23 | $1,288.00 | $311.18 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Ppo/Epo | $533.23 | $1,288.00 | $311.18 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Global Health Benefits Plans | $533.23 | $1,288.00 | $311.18 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Choice Fund Plans | $533.23 | $1,288.00 | $311.18 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Ppo/Epo | $533.23 | $1,288.00 | $311.18 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Network (Open Access, Open Access Plus, Pos Open Access, Pos) | $533.23 | $1,288.00 | $311.18 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Choice Fund Plans | $533.23 | $1,288.00 | $311.18 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Network (Open Access, Open Access Plus, Pos Open Access, Pos) | $533.23 | $1,288.00 | $311.18 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna (Individual/Employer Provided) | $533.23 | $1,288.00 | $311.18 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Commercial | $533.23 | $1,288.00 | $311.18 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna (Individual/Employer Provided) | $533.23 | $1,288.00 | $311.18 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Commercial | $533.23 | $1,288.00 | $311.18 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Global Health Benefits Plans | $533.23 | $1,288.00 | $311.18 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Localplus | $533.23 | $1,288.00 | $311.18 | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $541.49 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $541.49 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $541.49 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $541.49 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $542.08 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $542.08 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $544.19 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $544.19 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $546.80 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $546.80 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $546.80 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $546.80 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $546.80 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $546.80 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $549.47 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $550.67 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $550.67 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $550.67 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $550.67 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $550.67 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $550.67 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $550.67 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $550.67 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $550.67 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $550.67 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $550.67 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $550.67 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $550.67 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $550.67 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $550.67 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $550.67 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $550.67 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $550.67 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $550.67 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $550.67 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $550.67 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $550.67 | — | — | 2026-05-24 | 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.