63026 — Scr Bio Optilock Vl Drps Lock 2.7 X 10
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SCR BIO OPTILOCK VL DRPS LOCK 2.7 X 10 (CPT 63026) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/63026?code_type=CPT
MLA (9th ed.)
“SCR BIO OPTILOCK VL DRPS LOCK 2.7 X 10 (CPT 63026) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/63026?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“SCR BIO OPTILOCK VL DRPS LOCK 2.7 X 10 (CPT 63026) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/63026?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $148–$8,858 (25th–75th percentile) across 15 hospitals · 53 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 63026 — 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 |
|---|---|---|---|---|---|---|---|
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $37.62 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $37.62 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Health Spring | Commercial | $39.00 | $110.00 | $26.00 | 2026-01-28 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $47.52 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $51.00 | $110.00 | $26.00 | 2026-01-28 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $59.40 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $83.16 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana | Humana Humx | $85.14 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Oscar Health (Hie) | Oscar Health (Hie) | $89.10 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Dimension Health | Dimension Plus | $89.10 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Workers Comp | $93.06 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Traditional | $108.90 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Hmo | $108.90 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Network Blue | $108.90 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Ppo | $108.90 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | HMO | $110.00 | $110.00 | $26.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Alabama | Medicare Advantage | $110.00 | $110.00 | $26.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | PPO | $110.00 | $110.00 | $26.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $110.00 | $110.00 | $26.00 | 2026-01-28 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension International | $118.80 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Corvel Healthcare | Corvel Healthcare | $119.69 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna | $128.70 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Workmans Compensation | Workmans Compensation | $128.70 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Care Management Network | Care Management Network | $128.70 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Medicaid Hmo Apr Drg | Medicaid Hmo Apr Drg | $129.72 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Corvel Healthcare | Corvel Healthcare | $138.11 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension | $138.60 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Beech Street | Beech Street | $138.60 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $138.60 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Behavioral Services Network | Behavioral Services Network | $138.60 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Complete Care | Magellan Complete Care | $138.80 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Coventry | Coventry | $140.58 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Workmans Compensation | Workmans Compensation | $148.50 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Beech Street | Beech Street | $148.50 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $148.50 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Seasons Hospice | Seasons Hospice | $148.50 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Multiplan | Multiplan | $148.50 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $158.40 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | First Health Network | First Health | $168.30 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Aetna International Ppo | Aetna International Ppo | $168.30 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Wellcare | Wellcare | $168.30 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Careplus Medicare | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Vitas Healthcare Of Fl | Vitas | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Value Options | Value Options Behavioral Health | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Behavioral Health | Magellan Behavioral Health | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicaid | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicare | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health Medicare | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Rehab Ppo | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Mental Health Associates | Mental Health Associates | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cenpatico Behavioral Health | Cenpatico Behavioral Health | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Miscellaneous Insurances | Miscellaneous Insurances | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Med Onc | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Tricare | Tricare | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Concordia Behavioral Health | Concordia Behavioral Health | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Simply Medicare | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Humana Medicare | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Coventry Medicare | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | New Directions Behavioral Health | New Directions Behavioral Health | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | University Of Miami Behavioral Health | University Of Miami Behavioral Health | $198.00 | $198.00 | $198.00 | 2026-05-22 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Amerihealth | HMO | $1,203.00 | $1,504.00 | $1,504.00 | 2026-03-31 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Independence Keystone Health Plan | Commercial | $1,203.00 | $1,504.00 | $1,504.00 | 2026-03-31 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Aetna | Commercial | $1,504.00 | $1,504.00 | $1,504.00 | 2026-03-31 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Tricare | Commercial | $1,968.00 | $12,301.00 | $12,301.00 | 2025-11-07 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Health Spring | Commercial | $2,901.00 | $8,289.00 | $1,989.00 | 2026-01-28 | MRF ↗ |
| NMC HEALTH Outpatient | WPPA | Commercial | $3,502.00 | $6,367.00 | $4,457.00 | 2025-06-30 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $3,813.00 | $8,289.00 | $1,989.00 | 2026-01-28 | MRF ↗ |
| NMC HEALTH Outpatient | Occunet | Commercial | $3,820.00 | $6,367.00 | $4,457.00 | 2025-06-30 | MRF ↗ |
| NMC HEALTH Outpatient | Samaritan Ministries International | Commercial | $4,139.00 | $6,367.00 | $4,457.00 | 2025-06-30 | MRF ↗ |
| NMC HEALTH Outpatient | MediNcrease Health Plan | Commercial | $4,139.00 | $6,367.00 | $4,457.00 | 2025-06-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | United Healthcare | HMO/POS/PPO | $4,344.00 | — | — | 2026-04-30 | MRF ↗ |
| NMC HEALTH Outpatient | Prime Health Services | Commercial | $4,775.00 | $6,367.00 | $4,457.00 | 2025-06-30 | MRF ↗ |
| NMC HEALTH Outpatient | Aetna | Commercial | $5,246.00 | $6,367.00 | $4,457.00 | 2025-06-30 | MRF ↗ |
| NMC HEALTH Outpatient | United Healthcare | Commercial | $5,730.00 | $6,367.00 | $4,457.00 | 2025-06-30 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $5,778.00 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $5,778.00 | — | — | 2025-08-08 | MRF ↗ |
| NMC HEALTH Outpatient | Cigna | Commercial | $6,049.00 | $6,367.00 | $4,457.00 | 2025-06-30 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $6,434.00 | $9,324.00 | $7,459.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $6,434.00 | $9,324.00 | $7,459.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield | Medicare Advantage | $6,434.00 | $9,324.00 | $7,459.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Outpatient | Medica Choice | Medicare Advantage | $6,434.00 | $9,324.00 | $7,459.00 | 2026-05-22 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Cigna Individual | Commercial | $7,594.00 | — | — | 2025-12-23 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY OutpatientFacility | Cigna Healthcare | Commercial Local Plus | $7,679.22 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY OutpatientFacility | Cigna Healthcare | Commercial Local Plus | $7,679.22 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS OutpatientFacility | Cigna Healthcare | Commercial Local Plus | $7,679.22 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL - SALT LAKE OutpatientFacility | Cigna Healthcare | Commercial Local Plus | $7,679.22 | — | — | 2024-12-02 | MRF ↗ |
| ROCKVILLE GENERAL HOSPITAL OutpatientFacility | Anthem Pathway | Commercial | $8,154.00 | — | — | 2026-04-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | HMO | $8,289.00 | $8,289.00 | $1,989.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $8,289.00 | $8,289.00 | $1,989.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Alabama | Medicare Advantage | $8,289.00 | $8,289.00 | $1,989.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | PPO | $8,289.00 | $8,289.00 | $1,989.00 | 2026-01-28 | MRF ↗ |
| WATERBURY HOSPITAL OutpatientFacility | Anthem Pathway | Commercial | $8,407.00 | — | — | 2026-05-13 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Outpatient | Medica Choice | Commercial | $8,485.00 | $9,324.00 | $7,459.00 | 2026-05-22 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Cigna | Commercial | $8,636.92 | — | — | 2025-12-23 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Outpatient | Ambetter | Commercial | $8,671.00 | $9,324.00 | $7,459.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $8,765.00 | $9,324.00 | $7,459.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield | Commercial | $8,858.00 | $9,324.00 | $7,459.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $8,858.00 | $9,324.00 | $7,459.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Outpatient | Midlands Choice | Commercial | $8,951.00 | $9,324.00 | $7,459.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Outpatient | Medica IFB | Commercial | $8,951.00 | $9,324.00 | $7,459.00 | 2026-05-22 | MRF ↗ |
| HOLY CROSS HOSPITAL - SALT LAKE OutpatientFacility | Cigna Healthcare | Commercial HMO/NBP/OAP | $9,386.18 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY OutpatientFacility | Cigna Healthcare | Commercial HMO/NBP/OAP | $9,386.18 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY OutpatientFacility | Cigna Healthcare | Commercial HMO/NBP/OAP | $9,386.18 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS OutpatientFacility | Cigna Healthcare | Commercial HMO/NBP/OAP | $9,386.18 | — | — | 2024-12-02 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield | HMO | $9,653.00 | $22,448.00 | $13,469.00 | 2025-09-19 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield | PPO | $9,653.00 | $22,448.00 | $13,469.00 | 2025-09-19 | MRF ↗ |
| ROCKVILLE GENERAL HOSPITAL OutpatientFacility | Anthem | Commercial | $10,192.00 | — | — | 2026-04-01 | MRF ↗ |
| WATERBURY HOSPITAL OutpatientFacility | Anthem | Commercial | $10,509.00 | — | — | 2026-05-13 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | United Healthcare | Commercial | $11,224.00 | $22,448.00 | $13,469.00 | 2025-09-19 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | MedCost | Ultra | $11,224.00 | $22,448.00 | $13,469.00 | 2025-09-19 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Ambetter | Commercial | $11,563.00 | $12,301.00 | $12,301.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Midlands Choice | Commercial | $11,563.00 | $12,301.00 | $12,301.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Cigna | Commercial | $11,563.00 | $12,301.00 | $12,301.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Medica | Commercial | $11,686.00 | $12,301.00 | $12,301.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Blue Cross Blue Shield | Commercial | $11,686.00 | $12,301.00 | $12,301.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Aetna | Commercial | $11,809.00 | $12,301.00 | $12,301.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Meritain | Commercial | $11,809.00 | $12,301.00 | $12,301.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Coventry | Commercial | $11,809.00 | $12,301.00 | $12,301.00 | 2025-11-07 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial | $12,346.00 | $22,448.00 | $13,469.00 | 2025-09-19 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | DirectNet | Commercial | $13,469.00 | $22,448.00 | $13,469.00 | 2025-09-19 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $13,671.00 | $22,448.00 | $13,469.00 | 2025-09-19 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | MedCost | Commercial | $15,377.00 | $22,448.00 | $13,469.00 | 2025-09-19 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS OutpatientFacility | Cigna Healthcare | Commercial Other | $15,716.63 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY OutpatientFacility | Cigna Healthcare | Commercial Other | $15,716.63 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL - SALT LAKE OutpatientFacility | Cigna Healthcare | Commercial Other | $15,716.63 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY OutpatientFacility | Cigna Healthcare | Commercial Other | $15,716.63 | — | — | 2024-12-02 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Prime Health Service | Commercial | $16,836.00 | $22,448.00 | $13,469.00 | 2025-09-19 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Aetna Exchange Colorado | PPO | $17,917.18 | — | — | 2025-12-23 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Humana | Commercial | $17,958.00 | $22,448.00 | $13,469.00 | 2025-09-19 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Aetna | Commercial | $18,470.94 | — | — | 2025-12-23 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | MultiPlan | Commercial | $19,081.00 | $22,448.00 | $13,469.00 | 2025-09-19 | MRF ↗ |