6128 — Gel Bone Graft Optium Allograft Filler 10ml Frz-dry Osteobio Dbm Spinal Ambient Store 3yr Shelf Life
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GEL BONE GRAFT OPTIUM ALLOGRAFT FILLER 10ML FRZ-DRY OSTEOBIO DBM SPINAL AMBIENT STORE 3YR SHELF LIFE (OTHER 6128) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6128?code_type=OTHER
MLA (9th ed.)
“GEL BONE GRAFT OPTIUM ALLOGRAFT FILLER 10ML FRZ-DRY OSTEOBIO DBM SPINAL AMBIENT STORE 3YR SHELF LIFE (OTHER 6128) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6128?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“GEL BONE GRAFT OPTIUM ALLOGRAFT FILLER 10ML FRZ-DRY OSTEOBIO DBM SPINAL AMBIENT STORE 3YR SHELF LIFE (OTHER 6128) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6128?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $31–$640 (25th–75th percentile) across 9 hospitals · 49 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 6128 — 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 |
|---|---|---|---|---|---|---|---|
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Uhc | Uhc Nexus | $14.02 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Uhc | Uhc Nexus | $14.02 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Bcbs | Bcbs Medicare Advantage | $14.16 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Medica | Medica Medicare Advantage | $14.16 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Humana | Humana Medicare Advantage | $14.16 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellcare Medicare Advantage | Wellcare Medicare Advantage By Ne Total Care | $14.16 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Medica | Medica Medicare Advantage | $14.16 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Humana | Humana Medicare Advantage | $14.16 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Wellcare Medicare Advantage | Wellcare Medicare Advantage By Ne Total Care | $14.16 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Aetna | Aetna Medicare Advantage | $14.16 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Medica | Medica Medicare Advantage | $14.16 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Aetna | Aetna Medicare Advantage | $14.16 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | United Healthcare | Uhc Medicare Advantage | $14.16 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Humana | Humana Medicare Advantage | $14.16 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs Medicare Advantage | $14.16 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $14.16 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | United Healthcare | Uhc Medicare Advantage | $14.16 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellcare Medicare Advantage | Wellcare Medicare Advantage By Ne Total Care | $14.16 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs Medicare Advantage | $14.16 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | United Healthcare | Uhc Medicare Advantage | $14.16 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellmark Medicare Advantage | Wellmark Medicare Advantage | $14.30 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellmark Medicare Advantage | Wellmark Medicare Advantage | $14.30 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Molina Medicare Advantage | Molina Medicare Advantage | $14.44 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Molina Medicare Advantage | Molina Medicare Advantage | $14.44 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Molina Medicare Advantage | Molina Medicare Advantage | $14.44 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | United Healthcare | Uhc | $15.90 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | United Healthcare | Uhc | $15.90 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Medica | Elevate By Medica | $20.43 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Medica | Elevate By Medica | $20.43 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Medica Choice | Medica Choice | $24.02 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Medica Choice | Medica Choice | $24.02 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Ambetter By Ne Total Care | Ambetter By Ne Total Care | $29.31 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Elite Choice | Elite Choice | $29.48 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Elite Choice | Elite Choice | $29.48 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Elite Choice | Elite Choice | $29.48 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Ambetter By Ne Total Care | Ambetter By Ne Total Care | $29.91 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Ambetter By Ne Total Care | Ambetter By Ne Total Care | $29.91 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Alliance Nhn | Alliance Nhn | $34.34 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Ne Furniture Mart | Ne Furniture Mart | $37.72 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Ne Furniture Mart | Ne Furniture Mart | $37.72 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Elevate By Medica | Elevate By Medica | $40.05 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Inpatient | Wellmark | Wellmark Hmo | $41.00 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Inpatient | Wellmark | Wellmark Hmo | $41.00 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellmark | Wellmark Hmo | $45.10 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellmark | Wellmark Hmo | $45.10 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellmark | Wellmark Ppo | $54.56 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellmark | Wellmark Ppo | $54.56 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Aetna | Aetna | $54.71 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Aetna | Aetna | $54.71 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Midlands Choice | Midlands Choice | $57.40 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Midlands Choice | Midlands Choice | $57.40 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs Select | $66.11 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs Select | $66.11 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs | $66.11 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs | $66.11 | $82.00 | $29.52 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Ne Furniture Mart | Ne Furniture Mart | $73.87 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | United Healthcare | Uhc | $74.94 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Bcbs | Bcbs Select | $75.64 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Bcbs | Bcbs | $75.65 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Medica Choice | Medica Choice | $78.32 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Bcbs | Bcbs Select | $79.66 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Bcbs | Bcbs | $79.66 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Multiplan | Multiplan | $80.10 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | United Healthcare | Uhc | $80.19 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Midlands Choice | Midlands Choice | $83.66 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Aetna | Aetna | $85.44 | $89.00 | $32.93 | 2026-05-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $152.76 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $153.68 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $155.49 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Humana Medicare Facility | Humana Medicare Facility | $160.38 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $182.83 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $189.25 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Medicare Advantage Facility | Aetna Medicare Advantage Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Eskenazi Health | Anthem Facility Exchange | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Siho Commercial Facility | Siho Commercial Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $199.67 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $214.91 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $300.71 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $340.81 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $340.81 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $340.81 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $349.22 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $349.22 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $349.22 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $356.21 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $359.70 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $366.74 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $400.95 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $400.95 | $400.95 | $400.95 | 2026-05-27 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $597.72 | $853.88 | $426.94 | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $626.58 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $626.58 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $626.58 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $640.41 | $853.88 | $426.94 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $640.41 | $853.88 | $426.94 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $640.41 | $853.88 | $426.94 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $683.10 | $853.88 | $426.94 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $683.10 | $853.88 | $426.94 | 2026-05-14 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $697.00 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $725.80 | $853.88 | $426.94 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $725.80 | $853.88 | $426.94 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $725.80 | $853.88 | $426.94 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $725.80 | $853.88 | $426.94 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $725.80 | $853.88 | $426.94 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $725.80 | $853.88 | $426.94 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $725.80 | $853.88 | $426.94 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $725.80 | $853.88 | $426.94 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $725.80 | $853.88 | $426.94 | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $768.49 | $853.88 | $426.94 | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $1,029.25 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $1,083.42 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $1,173.71 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $1,211.62 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $1,444.56 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $1,516.79 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $1,805.70 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $1,805.70 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $1,805.70 | $1,805.70 | $1,282.41 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Humana | Medicare Ppo | $3,024.44 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Medicare | Medicare | $3,024.44 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Apostrophe | Medicare | $3,024.44 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Aetna | Medicare | $3,024.44 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Blue Cross | Medicare | $3,024.44 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Humana | Medicare Pffs | $3,024.44 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Slvhmo Friday | Commercial | $5,969.30 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Cigna | Commercial | $6,478.67 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Uhc | Commercial | $6,765.20 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Blue Cross | Commercial | $6,765.20 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Humana | Choicecare | $7,163.15 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Aetna | Commercial | $7,163.15 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Cofinity | Commercial | $7,163.15 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Aetna | Medical Rental Cofinity | $7,401.93 | $7,959.06 | $5,969.30 | 2026-05-08 | MRF ↗ |