600090 — Closure Extern 23x-30
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CLOSURE EXTERN 23X-30 (CDM 600090) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/600090?code_type=CDM
MLA (9th ed.)
“CLOSURE EXTERN 23X-30 (CDM 600090) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/600090?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“CLOSURE EXTERN 23X-30 (CDM 600090) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/600090?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $27–$160 (25th–75th percentile) across 10 hospitals · 51 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 600090 — 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 |
|---|---|---|---|---|---|---|---|
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | HealthSmart | All Products | $0.19 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | Health Design Plus | All Products | $0.22 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | HUMANA | ALL PRODUCTS | $0.23 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | HealthSpan | All Products | $0.24 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | Clarity Health | All Products | $0.24 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | HealthSmart Preferred | All Products | $0.27 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Ohio Health Choice Plus | All Products | $0.29 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | SUMMACARE | ALL PRODUCTS | $0.32 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Optum | All Products | $0.32 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Aetna | All Products | $0.32 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Cigna | All Products | $0.33 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | First Health | All Products | $0.41 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Coventry | All Products | $0.41 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Ohio Health Choice | All Products | $0.46 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Private Healthare Systems | All Products | $0.48 | $0.60 | $0.45 | 2025-07-01 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Aetna Medicare Advantage | Aetna Medicare Advantage | $3.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Cigna | Commercial POS | $5.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | NovaSys-Centene Qualchoice | NovaSys-Centene Qualchoice | $6.50 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Multiplan | Multiplan | $7.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Employer's Health Choice | Employer's Health Choice | $7.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Workers Compensation | PPO Plus Workers Compensation | $7.50 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Primary | PPO Plus Primary | $8.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Aetna | Commercial PPO | $8.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Corvel | Corvel | $8.50 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | MunicipalHealthBenefitProgram - Commercial-Mut Defined | Municipal Health Benefit Fund | $8.50 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Secondary | PPO Plus Secondary | $8.50 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Arkansas Managed Care Organization-Southern | Arkansas Managed Care Organization-Southern | $9.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Mercy Health Plan | Mercy Health Plan | $9.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | HUMANA INC. - Medicare Part A | Humana Medicare | $10.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | CareSource MCD | CareSource MCD | $10.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | ARKANSAS BLUE CROSS BLUE SHIELD - Medicare-HMO | BCBS-USAble HMO | $10.00 | $10.00 | $10.00 | 2026-01-08 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | BCBS - Anthem | Medicare|All Plans | $27.12 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Blue Shield CA | Medicare|All Plans | $27.12 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Medicare|All Plans | $27.12 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | United | Medicare|All Plans | $27.12 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Humana | Medicare|All Plans | $27.12 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Kaiser | Medicare|All Plans | $27.12 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Health Net | Medicare|All Plans | $27.12 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Blue Shield CA | Commercial|Exchange | $52.08 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Aetna | ASD | $56.07 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | California Health & Wellness | Medicaid|All Plans | $58.76 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Union Coalition | PPO | $59.08 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Union Coalition Cement Masons | PPO | $61.28 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Moda Health | Pioneer | $63.88 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|All Other Plans | $65.10 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|HMO | $65.10 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|PPO | $65.10 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|All Other Plans | $67.89 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|PPO | $67.89 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Blue Shield CA | Commercial|All Other Plans | $67.89 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | Kern Health System | Medicaid|> 21 | $68.04 | $252.00 | $93.50 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | Kern Health System | Medicaid|< 21 | $68.04 | $252.00 | $93.50 | 2026-02-28 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Aetna | SOA | $68.09 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|PPO | $68.82 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|All Other Plans | $68.82 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|HMO | $68.82 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Moda Health | EndeavorSelect | $68.89 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | SelectPayerAppendix | $74.10 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | United | Commercial|All Other Plans | $83.70 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | United | Commercial|HMO | $86.49 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | GlobalBenefitPlan | $90.12 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Health Net | Commercial|All Plans | $91.14 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | Coventry | Commercial|All Plans | $91.14 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH COMMUNITY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $91.14 | $93.00 | $54.32 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Cigna | Commercial|PPO | $92.66 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Cigna | Commercial|All Other Plans | $92.66 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Moda Health | EndeavorProvidence | $94.12 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | United | Commercial|HMO | $97.18 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|HMO | $98.31 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|PPO | $98.31 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Outpatient | Aetna | Commercial|All Other Plans | $98.31 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | PremeraFirst | COMM | $99.13 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|PPO | $99.44 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | United | Commercial|All Other Plans | $99.44 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|All Other Plans | $99.44 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Aetna | Commercial|HMO | $99.44 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | GEHA PPO USA | SELECT | $103.33 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Aetna | PPO | $104.14 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $104.94 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Health Net | Commercial|All Plans | $105.09 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Cigna | COMM | $108.54 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | MultiPlan | Commercial|All Plans | $110.74 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER OF MT SHASTA Inpatient | Coventry | Commercial|All Plans | $110.74 | $113.00 | $87.92 | 2026-02-28 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | PRIMARYMPI | $120.16 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | PRIMARYBEECHSTREET | $120.16 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Coventry Healthcare | COMM | $126.16 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | CorePayerAppendix | $126.16 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL Outpatient | Western Growers | Commercial|All Plans | $138.60 | $252.00 | $93.50 | 2026-02-28 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | First Health | WCOMP | $140.18 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | First Health | COMM | $140.18 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | GEHA PPO USA | COMM | $146.19 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | NRECA Group Benefit Trust | COMM | $150.19 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Bering Strait School District | COMM | $150.19 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Risk & Benefit Management | COMM | $150.19 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $151.20 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | COMPLEMENTARYBEECHSTREET | $160.21 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Banner Health | COMM | $160.21 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | TriWest Healthcare Alliance | Veterans | $160.21 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Matanuska Telephone | COMM | $160.21 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | COMPLEMENTARYMPI | $160.21 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL Outpatient | CHN Sun View | Commercial|All Plans | $163.80 | $252.00 | $93.50 | 2026-02-28 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | GEHA PPO USA | CORE | $175.43 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL Inpatient | First Health | Commercial|All Plans | $176.40 | $252.00 | $93.50 | 2026-02-28 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | PRIMARY | $186.24 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Multiplan | COMPLEMENTARYAETNA | $186.24 | $200.26 | $200.26 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL Inpatient | Healthsmart | Commercial|All Plans | $191.52 | $252.00 | $93.50 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | United | Commercial|Options PPO | $196.56 | $252.00 | $93.50 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | United | Commercial|All Other Plans | $196.56 | $252.00 | $93.50 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | United | Commercial|Non-Options PPO | $199.08 | $252.00 | $93.50 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $201.60 | $252.00 | $93.50 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | United | Commercial|HMO | $236.88 | $252.00 | $93.50 | 2026-02-28 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Outpatient | CIGNA | 1614_CIGNA (AB,SA) 20231001 | $467.20 | $640.00 | $211.20 | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Outpatient | CIGNA | 1614_CIGNA (AB,SA) 20231001 | $467.20 | $640.00 | $211.20 | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $640.00 | $640.00 | $211.20 | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $640.00 | $640.00 | $211.20 | 2026-01-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $3,171.65 | $5,986.50 | $5,986.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | MOLINA MEDICARE-ALL PLANS | MOLINA MEDICARE-ALL PLANS | $3,831.36 | $5,986.50 | $5,986.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | COORDINATED CARE-ALL PLANS | COORDINATED CARE-ALL PLANS | $3,831.36 | $5,986.50 | $5,986.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CASCADE-ALL PLANS | CASCADE-ALL PLANS | $3,891.23 | $5,986.50 | $5,986.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | HEALTH CARE AUTHORITY-ALL PLANS | HEALTH CARE AUTHORITY-ALL PLANS | $4,789.20 | $5,986.50 | $5,986.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $5,088.53 | $5,986.50 | $5,986.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA COMMERCIAL-ALL OTHER PLANS | PREMERA COMMERCIAL-ALL OTHER PLANS | $5,088.53 | $5,986.50 | $5,986.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA ACN | PREMERA ACN | $5,088.53 | $5,986.50 | $5,986.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $5,238.19 | $5,986.50 | $5,986.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $5,387.85 | $5,986.50 | $5,986.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $5,687.18 | $5,986.50 | $5,986.50 | 2026-03-12 | MRF ↗ |
| COX MEDICAL CENTERS OutpatientFacility | None | — | — | $14,118.58 | $3,557.88 | 2026-04-24 | MRF ↗ |
| COX MONETT HOSPITAL OutpatientFacility | None | — | — | $14,118.58 | $4,306.17 | 2026-04-24 | MRF ↗ |