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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62270 — Pr Puncture Spinal Lumbar Diagnostic

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 $834

Usually $532–$1,277 (25th–75th percentile) across 3,011 hospitals · 10,428 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 62270 — 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 the surgeon's fee 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
$532 $834 typical $1,277

The middle 50% of negotiated facility rates for this procedure, measured across 3,011 hospitals. The the surgeon's fee 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. $834
Surgeon (professional fee) Estimate national typical Medicare $59 × 1.22 commercial. $72
Likely subtotal $905
Surgical episode (typical) ~$905
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

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
FIELD HEALTH SYSTEM Both United Healthcare Default $0.43 $267.00 $200.25 2025-03-07 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 $2,507.00 $742.08 2026-02-28 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Community Health Group Community Health Group - Medi-Cal $0.84 $3,844.00 $2,883.00 2026-04-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare POS $2,146.00 $1,759.72 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage $2,678.00 $2,195.96 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $2,678.00 $2,195.96 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage $5,498.21 $3,573.84 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage $2,678.00 $2,195.96 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare HMO $2,146.00 $1,759.72 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. HMO $2,678.00 $2,195.96 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage $2,678.00 $2,195.96 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $5,498.21 $3,573.84 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage $2,678.00 $2,195.96 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California HMO $2,146.00 $1,759.72 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California Covered $2,146.00 $1,759.72 2025-11-26 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $1.38 $3,405.62 $2,043.37 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $1.38 $3,405.62 $2,043.37 2025-08-11 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.76 $476.00 $452.20 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $1.76 $476.00 $452.20 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.76 $476.00 $452.20 2026-02-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $1.79 $153.00 $29.07 2026-01-25 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.81 $476.00 $452.20 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.86 $476.00 $452.20 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.90 $476.00 $452.20 2026-02-20 MRF ↗
COMANCHE COUNTY MEDICAL CENTER Outpatient MPI - ALL PLANS MPI - ALL PLANS $1.97 $206.00 $133.90 2026-05-07 MRF ↗
HANCOCK COUNTY HEALTH SYSTEM Both WELLMARK HMO-ALL OTHER PLANS WELLMARK HMO-ALL OTHER PLANS $2.15 $429.00 $321.75 2026-03-26 MRF ↗
CHEYENNE COUNTY HOSPITAL Outpatient AETNA COVENTRY - ALL OTHER PLANS AETNA COVENTRY - ALL OTHER PLANS $2.15 $432.30 2026-03-02 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.28 $476.00 $452.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.28 $476.00 $452.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $2.33 $476.00 $452.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.33 $476.00 $452.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.33 $476.00 $452.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.33 $476.00 $452.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.38 $476.00 $452.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.43 $476.00 $452.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.48 $476.00 $452.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $2.57 $476.00 $452.20 2026-02-20 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $3.48 $1,934.00 $707.43 2024-12-31 MRF ↗
UNITY HOSPITAL Outpatient VALUE OPTIONS [145] VALUE OPTIONS [14501] $1,360.00 $1,088.00 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $3.52 $1,360.00 $1,088.00 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MAGNACARE [115] MAGNACARE $1,360.00 $1,088.00 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient AETNA [100] AETNA|AETNA DENTAL|MERITAIN HEALTH $1,360.00 $1,088.00 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $3.52 $1,360.00 $1,088.00 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient VALUE OPTIONS [145] VALUE OPTIONS OPTION [14503] $1,360.00 $1,088.00 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) $1,360.00 $1,088.00 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient VALUE OPTIONS [145] VALUE OPTIONS GOLD [14502] $1,360.00 $1,088.00 2024-12-30 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $3.58 $2,037.00 $2,037.00 2026-02-13 MRF ↗
UNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $3.76 $1,360.00 $1,088.00 2024-12-30 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $4.14 $398.50 $398.50 2026-04-24 MRF ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $4.27 $927.00 $342.99 2026-03-31 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $6.90 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $6.94 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $6.94 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $7.90 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $7.95 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $7.95 2026-03-18 MRF ↗
CHILDREN'S HOSPITAL COLORADO OutpatientFacility CCHA Behavioral Health Medicaid (All Contracted Plans) $8.20 $82.00 $53.30 2026-04-17 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient UHC MCR ADV UHC MCR ADV $8.50 $25.00 $15.00 2025-11-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $8.61 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $8.66 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $8.66 2026-03-18 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $8.70 $435.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $8.70 $435.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $8.70 $435.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $8.70 $435.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $8.70 $435.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $8.70 $435.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $8.70 $435.00 2026-03-31 MRF ↗
MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility LONGEVITY HEALTH PLAN [10477] HB OKLC MANAGED MEDICARE $8.92 $10,807.00 $7,024.55 2026-03-12 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $9.05 $21,500.65 $4,300.13 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $9.05 $21,500.65 $4,300.13 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $9.05 $21,500.65 $4,300.13 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $9.21 $21,500.65 $4,300.13 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $9.21 $21,500.65 $4,300.13 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $9.21 $21,500.65 $4,300.13 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $9.22 $21,500.65 $4,300.13 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $9.22 $21,500.65 $4,300.13 2026-03-26 MRF ↗
MERCY HOSPITAL COLUMBUS OutpatientFacility CENTIVO CONTRACTED [320505] HB MNCK CENTIVO 165% MEDICARE $9.60 $941.00 $611.65 2026-03-14 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient TRICARE - ALL PLANS TRICARE - ALL PLANS $9.70 $25.00 $15.00 2025-11-18 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $9.81 $7,335.40 $1,098.48 2026-03-26 MRF ↗
JENNIE STUART MEDICAL CENTER OutpatientFacility Humana Medicaid $9.89 $1,202.46 $684.38 2025-01-01 MRF ↗
JENNIE STUART MEDICAL CENTER OutpatientFacility Aetna Better Health of KY Medicaid $9.89 $1,202.46 $684.38 2025-01-01 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $9.98 $7,335.40 $1,098.48 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $9.99 $7,335.40 $1,098.48 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $9.99 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $9.99 $7,335.40 $1,098.48 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $9.99 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $9.99 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $9.99 $7,335.40 $1,098.48 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $9.99 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $9.99 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $9.99 $7,335.40 $1,098.48 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $9.99 $7,335.40 $1,098.48 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $9.99 $7,335.40 $1,098.48 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $9.99 $7,335.40 $1,098.48 2026-03-26 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient HUMANA MEDICARE-ALL PLANS HUMANA MEDICARE-ALL PLANS $10.00 $25.00 $15.00 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient AMERIGROUP MCR ADV AMERIGROUP MCR ADV $10.00 $25.00 $15.00 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient IOWA TOTAL CARE COMM - ALL OTHER PLANS IOWA TOTAL CARE COMM - ALL OTHER PLANS $10.00 $25.00 $15.00 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient MOLINA MCR ADV MOLINA MCR ADV $10.00 $25.00 $15.00 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient IOWA TOTAL CARE MCR IOWA TOTAL CARE MCR $10.00 $25.00 $15.00 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient UHC VA CCN UHC VA CCN $10.00 $25.00 $15.00 2025-11-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Martins Point Default $10.44 $29.00 $21.75 2026-05-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient IOWA TOTAL CARE MCAID IOWA TOTAL CARE MCAID $10.50 $25.00 $15.00 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient MOLINA MCAID/CHIP MOLINA MCAID/CHIP $10.50 $25.00 $15.00 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient AMERIGROUP MEDICAID - ALL OTHER PLANS AMERIGROUP MEDICAID - ALL OTHER PLANS $10.71 $25.00 $15.00 2025-11-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Federal $10.75 $29.00 $21.75 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Ppo $10.75 $29.00 $21.75 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Default $10.75 $29.00 $21.75 2026-05-18 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $11.37 $1,093.70 $1,093.70 2026-04-24 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL UNITED HEALTHCARE LABS [106809] $11.50 $2,506.25 $2,506.25 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL UNITED HEALTHCARE CARE [300609] $11.50 $2,506.25 $2,506.25 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL UNITED HEALTHCARE CARE [700909] $11.50 $2,506.25 $2,506.25 2026-03-23 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK ESSENTIALS $3,216.98 $2,091.04 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 3&4 $11.97 $3,216.98 $2,091.04 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient AETNA [100] AETNA MEDICARE ADVANTAGE $3,216.98 $2,091.04 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $11.97 $3,216.98 $2,091.04 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $11.97 $3,216.98 $2,091.04 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE DUAL $3,216.98 $2,091.04 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient WELLCARE MEDICARE HMO [122] WELLCARE MEDICARE HMO $3,216.98 $2,091.04 2024-12-30 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient AETNA MCR ADV AETNA MCR ADV $12.25 $25.00 $15.00 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient COVENTRY MEDICARE COVENTRY MEDICARE $12.25 $25.00 $15.00 2025-11-18 MRF ↗
CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility Integrated Health Plan Commercial (All Contracted Plans) $12.30 $82.00 $53.30 2026-04-17 MRF ↗
CHILDREN'S HOSPITAL COLORADO OutpatientFacility Integrated Health Plan Commercial (PPO) $12.30 $82.00 $53.30 2026-04-17 MRF ↗
ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER Both All Payers All Plans $12.57 $12.57 $12.32 2025-12-31 MRF ↗
BAPTIST HOSPITAL OutpatientFacility PENSACOLA CHRISTIAN COLL $12.75 $85.00 $12.75 2025-12-23 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $12.78 $3,216.98 $2,091.04 2024-12-30 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL AETNA BETTER HEALTH MEDICAID [300612] $12.93 $2,506.25 $2,506.25 2026-03-23 MRF ↗
DOCTORS' CENTER HOSPITAL, INC Outpatient Triple-S Commercial $14.00 $600.00 $600.00 2025-10-20 MRF ↗
DOCTORS CENTER HOSPITAL CAROLINA LLC Outpatient Triple-S Commercial $14.00 $600.00 $600.00 2025-10-20 MRF ↗
DOCTORS' CENTER BAYAMON Outpatient Triple-S Commercial $14.00 $600.00 $600.00 2025-10-20 MRF ↗
ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER Both All Payers All Plans $14.40 $14.40 $14.11 2025-12-31 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 $3,216.98 $2,091.04 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient CDPHP [187] CDPHP COMMERCIAL $3,216.98 $2,091.04 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 $14.60 $3,556.59 $2,311.78 2024-12-30 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL AETNA CARE [700912] $14.91 $2,506.25 $2,506.25 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL PRIORITY HEALTH PLAN [106814] $15.06 $2,506.25 $2,506.25 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL CIGNA PRIORITY HEALTH [106826] $15.06 $2,506.25 $2,506.25 2026-03-23 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MMD LA HLTH CONN MCD LHC OP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MMD AMERIHEALTH CARITAS MCD AMERIHEALTH IP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MMD AMERIHEALTH CARITAS MCD AMERIHEALTH OP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MMD AETNA BETTER HLTH MCD AETNA OP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MMD AETNA BETTER HLTH MCD AETNA IP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MMD MISC MCD MISC IP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MEDICAID LA MEDICAID OP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MMD MISC MCD MISC OP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MEDICAID LA MEDICAID IP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MMD HEALTHY BLUE MCD HEALTHY BLUE OP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MMD LA HLTH CONN MCD LHC IP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MMD UHC MCD UHC IP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MMD UHC MCD UHC OP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
BIENVILLE MEDICAL CENTER Inpatient MMD HEALTHY BLUE MCD HEALTHY BLUE IP $15.81 $269.50 $161.70 2025-12-04 MRF ↗
SHARP CHULA VISTA MEDICAL CENTER Outpatient Community Health Group Community Health Group - Medi-Cal $16.06 $3,844.00 $2,883.00 2026-04-01 MRF ↗
SHARP CHULA VISTA MEDICAL CENTER Outpatient Aetna Aetna - HMO/POS $16.06 $3,844.00 $2,883.00 2026-04-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $16.41 $1,753.00 $1,051.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $16.41 $1,813.00 $1,087.80 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $16.41 $1,813.00 $1,087.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $16.41 $1,813.00 $1,087.80 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $16.41 $1,813.00 $1,087.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $16.41 $1,813.00 $1,087.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $16.41 $1,813.00 $1,087.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $16.41 $1,813.00 $1,087.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $16.41 $1,813.00 $1,087.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $16.41 $1,753.00 $1,051.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $16.41 $2,875.00 $1,725.00 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $16.41 $2,041.00 $1,224.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $16.41 2026-01-01 MRF ↗

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