Price Transparency 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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633 — Alcoholic Liver Disease

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 $235

Usually $152–$368 (25th–75th percentile) across 72 hospitals · 88 payers.

“Negotiated” is the hospital’s negotiated facility rate for this EAPG 633 — 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
SAUK PRAIRIE HOSPITAL OutpatientFacility Anthem BCBS Managed Medicaid $34.91 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility United Healthcare Managed Medicaid $34.91 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility Dean Health Plan Managed Medicaid $34.91 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility Humana Managed Medicaid $34.91 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility GHC Managed Medicaid $34.91 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility Quartz Managed Medicaid $34.91 2026-01-29 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility GHC - South Central WI Managed Medicaid $64.87 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility Dean Health Plan Managed Medicaid $64.87 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility GHC - Eau Claire Managed Medicaid $64.87 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility United Healthcare Managed Medicaid $64.87 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility My Choice Managed Medicaid $64.87 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility Anthem Blue Cross and Blue Shield Managed Medicaid $64.87 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility GHC - South Central WI Managed Medicaid $64.87 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility My Choice Managed Medicaid $64.87 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility United Healthcare Managed Medicaid $64.87 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility Dean Health Plan Managed Medicaid $64.87 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility Anthem Blue Cross and Blue Shield Managed Medicaid $64.87 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility GHC - Eau Claire Managed Medicaid $64.87 2026-01-28 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility My Choice Wisconsin WI MEDICAID MYCHOICE WI-CARE WI $76.05 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility United Healthcare Insurance Company WI MEDICAID UHC COMMUNITY PLAN $76.05 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility Chorus Community Health Plan WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) $77.57 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility Managed Health Services WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH $82.90 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility Molina Healthcare of Wisconsin WI MEDICAID MOLINA HEALTHCARE $82.90 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility My Choice Wisconsin WI MEDICAID TRILOGY $85.18 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility Anthem Blue Cross Blue Shield WI MEDICAID ANTHEM $87.46 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility United Healthcare Insurance Company WI MEDICAID UHC COMMUNITY PLAN $93.04 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility My Choice Wisconsin WI MEDICAID MYCHOICE WI-CARE WI $93.04 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility Chorus Community Health Plan WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) $94.90 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility ICare WI Medicaid I Care - CFV $95.06 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility Managed Health Services WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH $101.41 2026-03-23 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility MVP Health Care Managed Medicaid $102.35 2025-08-07 MRF ↗
ST JAMES HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $103.38 2026-01-01 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility My Choice Wisconsin WI MEDICAID MY CHOICE $104.20 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility Molina Healthcare of Wisconsin WI MEDICAID MOLINA HEALTHCARE $104.20 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility Anthem Blue Cross Blue Shield WI MEDICAID ANTHEM $107.00 2026-03-23 MRF ↗
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility United Healthcare Managed Medicaid $113.72 2025-08-07 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility Excellus Blue Choice Options Managed Medicaid $113.72 2025-08-07 MRF ↗
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility Fidelis Managed Medicaid $113.72 2025-08-07 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility United Healthcare Managed Medicaid $113.72 2025-08-07 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility Aetna Managed Medicaid $113.72 2025-08-07 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $115.54 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $115.54 2026-01-01 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility ICare WI MEDICAID I CARE $116.30 2026-03-23 MRF ↗
GIBSON GENERAL HOSPITAL OutpatientFacility MeridianHealth (IL) Managed Medicaid $119.32 2026-02-11 MRF ↗
THE WOMEN'S HOSPITAL OutpatientFacility Meridian Health IL Managed Medicaid $119.32 2026-02-13 MRF ↗
THE WOMEN'S HOSPITAL OutpatientFacility Blue Cross Blue Shield of Illinois Managed Medicaid $119.32 2026-02-13 MRF ↗
THE WOMEN'S HOSPITAL OutpatientFacility Aetna Better Health IL Managed Medicaid $119.32 2026-02-13 MRF ↗
THE WOMEN'S HOSPITAL OutpatientFacility Molina IL Managed Medicaid $119.32 2026-02-13 MRF ↗
GIBSON GENERAL HOSPITAL OutpatientFacility Blue Cross Blue Shield of Illinois Managed Medicaid $119.32 2026-02-11 MRF ↗
GIBSON GENERAL HOSPITAL OutpatientFacility Wellcare (IL) Medicaid Managed Medicaid $119.32 2026-02-11 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $121.62 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $121.62 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $121.62 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $121.62 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 $121.62 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $121.62 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $121.62 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $121.62 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $121.62 2026-01-01 MRF ↗
HIGHLAND HOSPITAL Outpatient FIDELIS MEDICAID [1708] FIDELIS MEDICAID [170801], FIDELIS CHILD HEALTH PLUS [515502] $121.62 2026-04-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $121.62 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNIVERA HEALTHCARE 1706 UNIVERA MEDICAID 170607, UNIVERA ESSENTIAL 3-4 170605, UNIVERA ESSENTIAL 1-2 200-250 2201, UNIVERA CHILD HEALTH PLUS 220118, UNIVERA HLTHY NY 220112 $121.62 2026-01-01 MRF ↗
HIGHLAND HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA, EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] BLUE CHOICE OPTION MEDICAID [170601],EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] $121.62 2026-04-01 MRF ↗
ST JAMES HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $121.62 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 $121.62 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $121.62 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $121.62 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $121.62 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $121.62 2026-01-01 MRF ↗
HIGHLAND HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] AMERIGROUP (BSWNY ALTERNATE) [172001] $121.62 2026-04-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $121.62 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $121.62 2026-01-01 MRF ↗
HIGHLAND HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID [1716] UNITED HEALTHCARE MEDICAID [171601] $121.62 2026-04-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $121.62 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $121.62 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $121.62 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $121.62 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $121.62 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $121.62 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $121.62 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $121.62 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $121.62 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNIVERA HEALTHCARE 1706 UNIVERA MEDICAID 170607, UNIVERA ESSENTIAL 3-4 170605, UNIVERA ESSENTIAL 1-2 200-250 2201, UNIVERA CHILD HEALTH PLUS 220118, UNIVERA HLTHY NY 220112 $121.62 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $121.62 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $121.62 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $121.62 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 $121.62 2026-01-01 MRF ↗
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility Fidelis Medicare Advantage $125.09 2025-08-07 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient Molina Apple Health MOLINA AH $129.04 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient Coordinated Care Apple Health COORDINATED CARE-BEHAVIORAL HEALTH ONLY $144.02 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient UHC Apple Health NORTHWEST PHYSICIAN NETWORK $132.50 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient CHPW Apple Health CHP AH $139.99 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient CHPW Apple Health CHP WASHINGTON HEALTH $139.99 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient Molina Apple Health MOLINA AH BLIND_DISABLED $129.04 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient Coordinated Care Apple Health COORDINATED CARE BH $144.02 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient CHPW Apple Health CHP-BEHAVIORAL HEALTH ONLY $139.99 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient UHC Apple Health UNITED HEALTH CARE AH $132.50 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient Coordinated Care Apple Health COORDINATED CARE AH $144.02 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient Coordinated Care Apple Health OPTICARE MANAGED VISION $144.02 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient Molina Apple Health MOLINA BEHAVIORAL HEALTH ONLY $129.04 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Outpatient UHC Apple Health UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY $132.50 2024-07-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $133.78 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $133.78 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $133.78 2026-01-01 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility Fidelis Managed Medicaid $136.46 2025-08-07 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $139.86 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $139.86 2026-01-01 MRF ↗
HIGHLAND HOSPITAL Outpatient UNITED HEALTHCARE [5158] UNITED HEALTHCARE ESSENTIAL PQ 1 AND 2 [515812] $139.86 2026-04-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $139.86 2026-01-01 MRF ↗
Kingsbrook Jewish Medical Center Outpatient HEALTHFIRST MEDICAID; MEDICAID HARP; CHILD HEALTH PLUS $144.35 $151.95 2026-02-14 MRF ↗
ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility Naphcare Managed Medicaid $144.67 2024-12-02 MRF ↗
ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility Rocky Mountain Health Plan Managed Medicaid $144.67 2024-12-02 MRF ↗
ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility Colorado Access Managed Medicaid $144.67 2024-12-02 MRF ↗
ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility Denver Health Managed Medicaid $144.67 2024-12-02 MRF ↗
ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility Kaiser Managed Medicaid $144.67 2024-12-02 MRF ↗
CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility Rocky Mountain Health Plan Managed Medicaid $144.67 2024-12-02 MRF ↗
CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility Colorado Access Managed Medicaid $144.67 2024-12-02 MRF ↗
CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility Colorado Access Managed Medicaid $144.67 2024-12-02 MRF ↗
CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility Denver Health Managed Medicaid $144.67 2024-12-02 MRF ↗
CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility Denver Health Managed Medicaid $144.67 2024-12-02 MRF ↗
CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility Rocky Mountain Health Plan Managed Medicaid $144.67 2024-12-02 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $144.73 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $145.94 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $145.94 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $145.94 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $145.94 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $145.94 2026-01-01 MRF ↗
HIGHLAND HOSPITAL Outpatient MVP MEDICAID [1712] MVP OPTION MEDICAID [171201], MVP CHILD HEALTH PLUS [290004] $145.94 2026-04-01 MRF ↗
CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility Rocky Mountain Health Plan Managed Medicaid $148.50 2024-12-02 MRF ↗
CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility Denver Health Managed Medicaid $148.50 2024-12-02 MRF ↗
CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility Kaiser Managed Medicaid $148.50 2024-12-02 MRF ↗
CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility Colorado Access Managed Medicaid $148.50 2024-12-02 MRF ↗
MIDWESTERN REGION MED CENTER, INC Outpatient Meridian Medicaid All Plans $150.16 2026-03-27 MRF ↗
MIDWESTERN REGION MED CENTER, INC Outpatient County Care Medicaid All Plans $150.16 2026-03-27 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] BLUE CHOICE OPTION MEDICAID [170601] $151.13 2026-04-01 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient FIDELIS [5155],FIDELIS [1708] FIDELIS MEDICAID [170801], FIDELIS CHILD HEALTH PLUS [515502] $151.13 2026-04-01 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] AMERIGROUP (BSWNY ALTERNATE) [172001] $151.13 2026-04-01 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA, EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] $151.13 2026-04-01 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID [1716] UNITED HEALTHCARE MEDICAID [171601] $151.13 2026-04-01 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient AMIDA CARE MEDICAID $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient CARELON BEHAVIORAL HEALTH, INC. AND CARELON BEHAVIORAL HEALTH STRATEGIES, LLC HARP; QHP $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient CARELON BEHAVIORAL HEALTH, INC. AND CARELON BEHAVIORAL HEALTH STRATEGIES, LLC MEDICAID $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient CENTERS PLAN FOR HEALTHY LIVING, LLC- OBHS MEDICAID ADVANTAGE PLUS $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient EMBLEMHEALTH PLAN, INC -OBHS CHILD HEALTH PLUS (HMO MEDICAID) $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient EMPIRE BLUECROSS BLUESHIELD- HEALTHPLUS MEDICAID;HARP CHP $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient ELDERPLAN, INC. - OBHS MEDICAID ADVANTAGE PLUS $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient EMPIRE BLUECROSS BLUESHIELD- HEALTHPLUS MEDICAID;HARP CHP $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient UNITED HEALTH CARE- - -OBHS HARP; MEDICAID MANAGED CARE; CHP $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient Medicaid Medicaid $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient CARELON BEHAVIORAL HEALTH, INC. AND CARELON BEHAVIORAL HEALTH STRATEGIES, LLC MEDICAID $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient PARTNERS HEALTH PLAN, INC. MEDICAID $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient EMBLEMHEALTH PLAN, INC -OBHS HARP (HMO MEDICAID) $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient MOLINA HEALTHCARE MEDICAID, HARP, CHP $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient METROPLUS HEALTH PLAN, INC. - OBHS CHILD HEALTH PLUS $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient METROPLUS HEALTH PLAN, INC. - OBHS MEDICAID $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient AMIDA CARE MEDICAID $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient METROPLUS HEALTH PLAN, INC. - OBHS HIV SPECIAL NEEDS PLAN $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient EMBLEMHEALTH PLAN, INC -OBHS CHILD HEALTH PLUS (HMO MEDICAID) $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient EMBLEMHEALTH PLAN, INC -OBHS HIP MEDICAID ENHANCED CARE PRIME (HMO MEDICAID) $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient EMBLEMHEALTH PLAN, INC -OBHS CHILD HEALTH PLUS (HMO MEDICAID) $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient METROPLUS HEALTH PLAN, INC. - OBHS HARP (HMO MEDICAID) $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient AMIDA CARE MEDICARE ADVANTAGE $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient CARELON BEHAVIORAL HEALTH, INC. AND CARELON BEHAVIORAL HEALTH STRATEGIES, LLC HARP; QHP $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient CARELON BEHAVIORAL HEALTH, INC. AND CARELON BEHAVIORAL HEALTH STRATEGIES, LLC MEDICAID $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient CARELON BEHAVIORAL HEALTH, INC. AND CARELON BEHAVIORAL HEALTH STRATEGIES, LLC HARP; QHP $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient CENTERS PLAN FOR HEALTHY LIVING, LLC- OBHS MEDICAID ADVANTAGE PLUS $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient ELDERPLAN, INC. - OBHS MEDICAID ADVANTAGE PLUS $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient ELDERPLAN, INC. - OBHS MEDICAID ADVANTAGE PLUS $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient FIDELIS CARE MEDICAID, CHP, HARP, MLTC -FIDELIS CARE AT HOME $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient METROPLUS HEALTH PLAN, INC. - OBHS HIV SPECIAL NEEDS PLAN $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient EMBLEMHEALTH PLAN, INC -OBHS HIP MEDICAID ENHANCED CARE PRIME (HMO MEDICAID) $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient METROPLUS HEALTH PLAN, INC. - OBHS MEDICAID $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient METROPLUS HEALTH PLAN, INC. - OBHS HARP (HMO MEDICAID) $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient EMPIRE BLUECROSS BLUESHIELD- HEALTHPLUS MEDICAID;HARP CHP $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient MOLINA HEALTHCARE Medicaid, HARP, CHP $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient HEALTHFIRST QHP $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient METROPLUS HEALTH PLAN, INC. - OBHS HIV SPECIAL NEEDS PLAN $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient PARTNERS HEALTH PLAN, INC. MEDICAID $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient UNITED HEALTH CARE- - -OBHS HARP; MEDICAID MANAGED CARE; CHP $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient UNITED HEALTH CARE- - -OBHS HARP; MEDICAID MANAGED CARE; CHP $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient PARTNERS HEALTH PLAN, INC. MEDICAID $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient CENTERS PLAN FOR HEALTHY LIVING, LLC- OBHS MEDICAID ADVANTAGE PLUS $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient FIDELIS CARE MEDICAID, CHP, HARP, MLTC -FIDELIS CARE AT HOME $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient MOLINA HEALTHCARE MEDICAID, HARP, CHP $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient METROPLUS HEALTH PLAN, INC. - OBHS CHILD HEALTH PLUS $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient FIDELIS CARE MEDICAID, CHP, HARP, MLTC -FIDELIS CARE AT HOME $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient METROPLUS HEALTH PLAN, INC. - OBHS CHILD HEALTH PLUS $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient Medicaid Medicaid $151.95 $151.95 2026-02-14 MRF ↗
Interfaith Medical Center Outpatient HEALTHFIRST (PHSP) MEDICAID; MEDICAID HARP $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient METROPLUS HEALTH PLAN, INC. - OBHS HARP (HMO MEDICAID) $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient EMBLEMHEALTH PLAN, INC -OBHS HARP (HMO MEDICAID) $151.95 $151.95 2026-02-14 MRF ↗
Kingsbrook Jewish Medical Center Outpatient NAPHCARE MEDICAID $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient METROPLUS HEALTH PLAN, INC. - OBHS MEDICAID $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient Medicaid Medicaid $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient EMBLEMHEALTH PLAN, INC -OBHS HIP MEDICAID ENHANCED CARE PRIME (HMO MEDICAID) $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient EMBLEMHEALTH PLAN, INC -OBHS HARP (HMO MEDICAID) $151.95 $151.95 2026-02-14 MRF ↗
BROOKDALE HOSPITAL MEDICAL CENTER Outpatient HEALTHFIRST PHSP, INC. MEDICAID; MEDICAID HARP $151.95 $151.95 2026-02-14 MRF ↗
F F THOMPSON HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $152.02 2026-01-01 MRF ↗
HIGHLAND HOSPITAL Outpatient MOLINA HEALTHCARE [1723], MOLINA HEALTHCARE [5189] MOLINA HEALTHCARE [172301], MOLINA CHILD HEALTH PLUS [518901] $152.03 2026-04-01 MRF ↗
ST MARY-CORWIN HOSPITAL OutpatientFacility Denver Health Managed Medicaid $155.23 2024-12-02 MRF ↗

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