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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59412 — Hc External Cephalic Version

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 $3,001

Usually $1,223–$4,163 (25th–75th percentile) across 2,216 hospitals · 7,015 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 59412 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What the whole episode might cost

Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$1,223 $3,001 typical $4,163

The middle 50% of negotiated facility rates for this procedure, measured across 2,216 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $3,001
Surgeon (professional fee) Estimate national typical Medicare $94 × 1.22 commercial. $115
Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. $708
Likely subtotal $3,824
Surgical episode (typical) ~$3,824

Your recovery plan — adjust to what your doctor told you

After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$7,609
How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Surgeon (professional fee) (estimate)
rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Anesthesia (estimate)
base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

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
GROSSMONT HOSPITAL Inpatient Indian Health Council Indian Health Council $0.26 $11,633.00 $8,724.75 2026-04-01 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $0.50 $8,997.40 $5,398.44 2026-03-24 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 2026-02-28 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $4,784.00 $3,922.88 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare POS $4,784.00 $3,922.88 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Health Net of California, Inc. HMO $4,784.00 $3,922.88 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage $21,672.00 $14,086.80 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage $4,784.00 $3,922.88 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage $4,784.00 $3,922.88 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage $4,784.00 $3,922.88 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $21,672.00 $14,086.80 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California HMO $4,784.00 $3,922.88 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare HMO $4,784.00 $3,922.88 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage $4,784.00 $3,922.88 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California Covered $4,784.00 $3,922.88 2025-11-26 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.28 $346.00 $328.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $1.28 $346.00 $328.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.28 $346.00 $328.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.31 $346.00 $328.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.35 $346.00 $328.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.38 $346.00 $328.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.58 $329.00 $312.55 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.58 $329.00 $312.55 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $1.61 $329.00 $312.55 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.61 $329.00 $312.55 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.68 $329.00 $312.55 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.95 $397.00 $377.15 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.95 $397.00 $377.15 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.99 $397.00 $377.15 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.06 $397.00 $377.15 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $2.14 $397.00 $377.15 2026-02-20 MRF ↗
The Burdett Care Center OutpatientFacility CHRISTIAN BROTHER SERVICES AETNA $2.20 $4,680.36 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility LUCENT HEALTH AETNA $2.20 $4,680.36 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility LUMINARE HEALTH AETNA $2.20 $4,680.36 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility GEHA AETNA $2.20 $4,680.36 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility MEDICAL MUTUAL AETNA $2.20 $4,680.36 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility ALLIED BENEFIT SYSTEMS AETNA $2.20 $4,680.36 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility ASR HEALTH BENEFITS AETNA $2.20 $4,680.36 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility AETNA EAP AETNA $2.20 $4,680.36 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility AETNA AETNA $2.20 $4,680.36 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility TRUSTMARK SMALL BUSINESS BENEFITS AETNA $2.20 $4,680.36 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility 1199 NATIONAL BENEFIT FUND AETNA $2.20 $4,680.36 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility AETNA DOMESTIC AETNA $2.20 $4,680.36 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility MERITAIN AETNA $2.20 $4,680.36 2026-03-31 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $3.00 $247.00 $46.93 2026-01-25 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $6.00 $443.00 $443.00 2026-02-13 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] THP GIC NAVIGATOR POS [10026312] $8.26 $1,749.00 $1,224.30 2025-01-01 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] THP HMO OUT IPA [10026302] $8.26 $1,749.00 $1,224.30 2025-01-01 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] THP SELECT [10026309] $8.26 $1,749.00 $1,224.30 2025-01-01 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] IRON CLAD INSURANCE [10026304] $8.26 $1,749.00 $1,224.30 2025-01-01 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] THP POS/EPO [10026306] $8.26 $1,749.00 $1,224.30 2025-01-01 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $8.43 $9,411.93 $5,647.16 2026-03-24 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $12,329.08 $8,013.90 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE MEDICARE HMO|WELLCARE DUAL $10,738.10 $6,979.77 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient GENERIC MEDICARE HMO [125] HUMANA MEDICARE HMO $12,329.08 $8,013.90 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient MH OPTUM [170] MH OPTUM COMMUNITY $10,738.10 $6,979.77 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $12,329.08 $8,013.90 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient EMBLEM GHI [113] EMBLEM GHI|GHI ALT $12,329.08 $8,013.90 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient CDPHP [187] CDPHP MEDICARE HMO $10,738.10 $6,979.77 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient EXCELLUS HMO [104] MEDICARE BLUE CHOICE|RRH CDHP|MEDICARE BLUE DUAL|HIGHMARK MEDICARE|UNIVERA SENIOR $12,329.08 $8,013.90 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient CDPHP [187] CDPHP COMMERCIAL $10,738.10 $6,979.77 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient MULTIPLAN [141] COMMERCIAL|MULTIPLAN $10,738.10 $6,979.77 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 $12,329.08 $8,013.90 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient UNITED HEALTHCARE [101] UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UHC STUDENT RESOURCES|UNITED HEALTHCARE SHARED SERVICES $10,738.10 $6,979.77 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 $10,738.10 $6,979.77 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient EXCELLUS HMO [104] BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY $9.77 $12,329.08 $8,013.90 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC MEDICARE COMPLETE|UHC DUAL COMPLETE $10,738.10 $6,979.77 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient MVP [109] MH CIGNA BEHAVORIAL HEALTH|MVP|CIGNA|NALC CIGNA $10,738.10 $6,979.77 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient AETNA [100] AETNA MEDICARE ADVANTAGE $12,329.08 $8,013.90 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient EXCELLUS INDEMNITY [127] BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE|HIGHMARK OUT OF AREA|BLUE CROSS & BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD $12,329.08 $8,013.90 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient AETNA [100] AETNA|AETNA DENTAL|MERITAIN HEALTH $12,329.08 $8,013.90 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient UNITED BEHAVORIAL HEALTH [120] UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL $10,738.10 $6,979.77 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient MH OPTUM [170] MH OPTUM MEDICARE $10,738.10 $6,979.77 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient GENERIC CARRIER [107] ST REGIS MOHAWK [10724] $12,329.08 $8,013.90 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $10,738.10 $6,979.77 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient FIDELIS MEDICARE [176] FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE $12,329.08 $8,013.90 2024-12-30 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $11.12 $6,175.00 $3,104.30 2024-12-31 MRF ↗
MERCY MEDICAL CTR OutpatientFacility CARELON HEALTH MEDICAID CARELON MEDICAID $11.33 $3,013.50 2026-03-31 MRF ↗
NOVANT PRINCE WILLIAM MEDICAL CENTER Outpatient UNITED HEALTHCARE [40032] UNITED EXCHANGE PLAN [4003231] $11.38 $9,096.40 $4,548.20 2026-03-24 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 3&4 $11.65 $10,738.10 $6,979.77 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient AETNA [100] AETNA MEDICARE ADVANTAGE $10,738.10 $8,590.48 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient VALUE OPTIONS [145] VALUE OPTIONS [14501] $10,738.10 $8,590.48 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $11.65 $10,738.10 $6,979.77 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC DUAL COMPLETE $10,738.10 $6,979.77 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 $10,738.10 $6,979.77 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP GOLD HMO $10,738.10 $6,979.77 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY $10,738.10 $6,979.77 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $10,738.10 $6,979.77 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA $10,738.10 $6,979.77 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient GENERIC CARRIER [107] COMMERCIAL|HUMANA|MULTIPLAN|CDPHP COMMERCIAL $10,738.10 $8,590.48 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $11.65 $10,738.10 $6,979.77 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $11.65 $10,738.10 $8,590.48 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $10,738.10 $6,979.77 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS CARE NEW YORK [112] FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP $10,738.10 $6,979.77 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC CHPS|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES $10,738.10 $6,979.77 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EMBLEM GHI [113] EMBLEM GHI $10,738.10 $6,979.77 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient EXCELLUS HMO [104] BLUE CHOICE OPTION|UNIVERA MYHEALTH PLUS|HEALTHY NY $10,738.10 $8,590.48 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC DUAL COMPLETE $10,738.10 $8,590.48 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP GOLD HMO $10,738.10 $8,590.48 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE $10,738.10 $8,590.48 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $11.65 $10,738.10 $8,590.48 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS $10,738.10 $8,590.48 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE $10,738.10 $8,590.48 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EXCELLUS HMO [104] BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 $10,738.10 $6,979.77 2024-12-30 MRF ↗
GREENEVILLE COMMUNITY HOSPITAL Both BLUE CROSS TENNCARE BLUE SELECT $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
SYCAMORE SHOALS HOSPITAL Both BLUE CROSS TENNCARE BLUE SELECT $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
INDIAN PATH COMMUNITY HOSPITAL Both BLUE CROSS TENNCARE BLUE CARE $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
GREENEVILLE COMMUNITY HOSPITAL Both BLUE CROSS TENNCARE BLUE CARE $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
WELLMONT HOLSTON VALLEY MEDICAL CENTER Both BLUE CROSS TENNCARE BLUE CARE $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
WELLMONT HOLSTON VALLEY MEDICAL CENTER Both BLUE CROSS TENNCARE BLUE SELECT $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both BLUE CROSS TENNCARE BLUE SELECT $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both BLUE CROSS TENNCARE BLUE CARE $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
SYCAMORE SHOALS HOSPITAL Both BLUE CROSS TENNCARE BLUE SELECT $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
SYCAMORE SHOALS HOSPITAL Both BLUE CROSS TENNCARE BLUE CARE $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both BLUE CROSS TENNCARE BLUE CARE $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
HAWKINS COUNTY MEMORIAL HOSPITAL Both BLUE CROSS TENNCARE BLUE CARE $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
JOHNSTON MEMORIAL HOSPITAL Both BLUE CROSS TENNCARE BLUE CARE $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
SYCAMORE SHOALS HOSPITAL Both BLUE CROSS TENNCARE BLUE CARE $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
JOHNSON CITY MEDICAL CENTER Both BLUE CROSS TENNCARE BLUE CARE $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
HAWKINS COUNTY MEMORIAL HOSPITAL Both BLUE CROSS TENNCARE BLUE SELECT $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
WELLMONT HOLSTON VALLEY MEDICAL CENTER Both BLUE CROSS TENNCARE BLUE SELECT $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both BLUE CROSS TENNCARE BLUE SELECT $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
WELLMONT HOLSTON VALLEY MEDICAL CENTER Both BLUE CROSS TENNCARE BLUE CARE $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
JOHNSON CITY MEDICAL CENTER Both BLUE CROSS TENNCARE BLUE SELECT $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
JOHNSTON MEMORIAL HOSPITAL Both BLUE CROSS TENNCARE BLUE CARE $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
JOHNSTON MEMORIAL HOSPITAL Both BLUE CROSS TENNCARE BLUE SELECT $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
JOHNSTON MEMORIAL HOSPITAL Both BLUE CROSS TENNCARE BLUE SELECT $12.00 $5,756.00 $863.40 2026-03-23 MRF ↗
MERCY MEDICAL CTR OutpatientFacility WELLSENSE HEALTH PLAN WELLSENSE SILVER $12.41 $3,013.50 2026-03-31 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $12.45 $10,738.10 $6,979.77 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $12.45 $10,738.10 $8,590.48 2024-12-30 MRF ↗
The Burdett Care Center OutpatientFacility ALBANY COUNTY CORRECTIONAL FACILITY ALBANY CORRECTIONAL FACILITY $12.76 $4,680.36 2026-03-31 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB FTSM SUMMIT $12.80 $1,737.00 $1,129.05 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB FTSM SUMMIT $12.80 $1,737.00 $1,129.05 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB FTSM ARK MEDICAID $12.80 $1,737.00 $1,129.05 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MEDICAID [20240] HB FTSM ARK MEDICAID $12.80 $1,737.00 $1,129.05 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB FTSM ARK MEDICAID $12.80 $1,737.00 $1,129.05 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB FTSM ARK MEDICAID $12.80 $1,737.00 $1,129.05 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MEDICAID [20240] HB FTSM ARK MEDICAID $12.80 $1,737.00 $1,129.05 2026-03-13 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MEDICAID [20240] HB SPRG/JOPL ARK MEDICAID $12.80 $5,084.25 $3,304.76 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MEDICAID [20240] HB SPRG/JOPL ARK MEDICAID $12.80 $5,084.25 $3,304.76 2026-03-12 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB ROGR ARKANSAS MEDICAID $12.80 $5,327.54 $3,462.90 2026-03-13 MRF ↗
MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility MEDICAID [20240] HB OKLC ARK MEDICAID $12.80 $5,450.92 $3,543.10 2026-03-12 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB ROGR ARKANSAS MEDICAID $12.80 $5,327.54 $3,462.90 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB FTSM ARK MEDICAID $12.80 $1,737.00 $1,129.05 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MEDICAID [20240] HB SPRG/JOPL ARK MEDICAID $12.80 $4,392.00 $2,854.80 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB ROGR SUMMIT $12.80 $5,327.54 $3,462.90 2026-03-13 MRF ↗
INDIAN PATH COMMUNITY HOSPITAL Both BLUE CROSS TENNCARE BLUE SELECT $13.00 $5,756.00 $863.40 2026-03-23 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility CARESOURCE MEDICAID [20460] HB ROGR CARESOURCE MEDICAID $13.05 $5,327.54 $3,462.90 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB ROGR CARESOURCE MEDICAID $13.05 $5,327.54 $3,462.90 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility CARESOURCE MEDICAID [20460] HB FTSM CARESOURCE MEDICAID $13.05 $1,737.00 $1,129.05 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB FTSM CARESOURCE MEDICAID $13.05 $1,625.00 $1,056.25 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB FTSM CARESOURCE MEDICAID $13.05 $1,625.00 $1,056.25 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility CARESOURCE MEDICAID [20460] HB FTSM CARESOURCE MEDICAID $13.05 $1,737.00 $1,129.05 2026-03-13 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE EMPIRE MEDICAID $13.52 $4,680.36 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE EMPIRE MEDICAID $13.52 $4,680.36 2026-03-31 MRF ↗
ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both Medicare B NY Upstate JK Default $13.78 $260.00 $161.20 2026-03-16 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $14.18 $105.00 $78.75 2026-01-16 MRF ↗
TENNOVA HEALTHCARE-CLARKSVILLE Both BCBS TN BCBS TN BlueCare $14.64 $14,488.97 $2,810.87 2026-01-01 MRF ↗
TENNOVA HEALTHCARE-CLARKSVILLE Both BCBS TN BCBS TN BlueCare $14.64 $14,488.97 $2,810.87 2026-01-01 MRF ↗
ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both Blue Cross Blue Shield of NY Empire Medicare Advantage $14.76 $260.00 $161.20 2026-03-16 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient FIDELIS CARE NEW YORK [112] FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP $15.15 $12,329.08 $8,013.90 2024-12-30 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] HB FTSM PASSE EMPOWER $16.25 $1,625.00 $1,056.25 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] HB FTSM PASSE EMPOWER $16.25 $1,737.00 $1,129.05 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] HB FTSM PASSE EMPOWER $16.25 $1,625.00 $1,056.25 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] HB FTSM PASSE EMPOWER $16.25 $1,737.00 $1,129.05 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] HB ROGR PASSE EMPOWER $16.25 $5,327.54 $3,462.90 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB SPRG KANCARE HEALTHY BLUE MEDICAID $16.83 $5,084.25 $3,304.76 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB SPRG KANCARE HEALTHY BLUE MEDICAID $16.83 $5,084.25 $3,304.76 2026-03-12 MRF ↗
FRANKLIN WOODS COMMUNITY HOSPITAL Both BLUE CROSS TENNCARE BLUE SELECT $17.00 $5,756.00 $863.40 2026-03-23 MRF ↗
FRANKLIN WOODS COMMUNITY HOSPITAL Both BLUE CROSS TENNCARE BLUE CARE $18.00 $5,756.00 $863.40 2026-03-23 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $18.74 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $18.74 $1,977.00 $1,186.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $18.74 $1,977.00 $1,186.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $18.74 $1,977.00 $1,186.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $18.74 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $18.74 $1,898.00 $1,138.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $18.74 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $18.74 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9397_UNITED HEALTHCARE VWIN 20250101 $18.74 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $18.74 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $18.74 $1,739.00 $1,043.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $19.17 $1,977.00 $1,186.20 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $19.17 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $19.17 $1,898.00 $1,138.80 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $19.17 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $19.17 $1,977.00 $1,186.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $19.17 $1,977.00 $1,186.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $19.17 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $19.17 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $19.17 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $19.17 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $19.17 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $19.17 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $19.17 $1,977.00 $1,186.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $19.17 $1,977.00 $1,186.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $19.17 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $19.17 $1,898.00 $1,138.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $19.17 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $19.17 $1,977.00 $1,186.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $19.17 $2,524.00 $1,514.40 2026-01-01 MRF ↗

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