64568 — Opn Impltj Crnl Nrv Nea&pg
Cite this view
HANK Price Transparency. (n.d.). Opn impltj crnl nrv nea&pg (OTHER 64568) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64568?code_type=OTHER
“Opn impltj crnl nrv nea&pg (OTHER 64568) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64568?code_type=OTHER. Accessed .
“Opn impltj crnl nrv nea&pg (OTHER 64568) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64568?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $892–$42,903 (25th–75th percentile) across 193 hospitals · 460 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 64568 — 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 |
|---|---|---|---|---|---|---|---|
| MCLAREN MACOMB | Mclaren Health Advantage | — | $17.43 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $18.20 | — | — | 2026-05-27 | MRF ↗ |
| MCLAREN MACOMB | Bcbs Ppo | — | $18.55 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Bcn | — | $18.55 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Bcbs Pha | — | $18.55 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Phpmm-Commercial Hmo | — | $20.41 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Hap-Hmo | — | $21.65 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | Ambetter, Qualchoice Novasys | All Plans | — | $78,496.74 | $70,647.07 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | Ambetter, Qualchoice Novasys | All Plans | — | $78,496.74 | $70,647.07 | 2026-05-13 | MRF ↗ |
| MCLAREN MACOMB | Hospice Care In Michigan | — | $24.00 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $25.52 | — | — | 2026-05-27 | MRF ↗ |
| MCLAREN MACOMB | Coventry/First Health | — | $26.40 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Priority Health | — | $28.25 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Hap Preferred | — | $28.47 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Cofinity - Aetna | — | $29.64 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Cofinity W/C | — | $30.58 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Uhc - Ppo | — | $32.40 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $32.98 | $1,994.00 | $1,395.80 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $32.98 | $1,994.00 | $1,395.80 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $32.98 | $1,994.00 | $1,395.80 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $32.98 | $1,994.00 | $1,395.80 | 2026-05-22 | MRF ↗ |
| MCLAREN MACOMB | Gift Of Life | — | $33.60 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Cofinity - Auto | — | $34.34 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Multiplan | — | $38.40 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Usa Mco-Ppo | — | $40.80 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Beech Street | — | $43.20 | $51.90 | $25.95 | 2026-05-06 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $54.48 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $54.81 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $55.46 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Humana Medicare Facility | Humana Medicare Facility | $57.20 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $65.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $67.50 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Siho Commercial Facility | Siho Commercial Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Eskenazi Health | Anthem Facility Exchange | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Medicare Advantage Facility | Aetna Medicare Advantage Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $71.21 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $76.65 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $107.25 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $112.90 | — | — | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $121.55 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $121.55 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $121.55 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $124.43 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $129.40 | — | — | 2026-05-09 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $143.00 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $143.00 | $143.00 | $143.00 | 2026-05-27 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $157.54 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $157.54 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $157.54 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $166.99 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $170.14 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $170.14 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $170.14 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $173.29 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $196.93 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $196.93 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $196.93 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $196.93 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $196.93 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $204.80 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $204.80 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $204.80 | — | — | 2026-05-09 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $26,226.00 | $13,113.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $26,226.00 | $13,113.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $26,226.00 | $13,113.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $26,226.00 | $13,113.00 | 2026-05-13 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $220.56 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $220.56 | — | — | 2026-05-06 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $220.56 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $220.56 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $220.56 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $220.56 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $220.56 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $220.56 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $228.43 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $228.43 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Health Net] | $228.43 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Health Net] | $228.43 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $241.04 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $241.04 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Molina] | $241.04 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Molina] | $241.04 | — | — | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $245.58 | — | — | 2026-05-09 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $252.74 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $252.74 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $253.57 | — | — | 2026-05-08 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $255.40 | — | — | 2026-05-09 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $26,833.00 | $18,783.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $26,833.00 | $18,783.10 | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $265.38 | — | — | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $271.67 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $271.67 | — | — | 2026-05-14 | MRF ↗ |
| MCLAREN FLINT | Medicaid - Psych | — | $275.00 | $93,814.66 | $46,907.33 | 2026-05-06 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $287.49 | — | — | 2026-05-13 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $305.59 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $305.59 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $305.59 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $305.59 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $305.59 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $305.59 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $305.59 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $305.59 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $305.59 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $305.59 | — | — | 2026-05-08 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $321.41 | — | — | 2026-05-09 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $324.20 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $324.20 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $327.35 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $335.03 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $345.08 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $345.08 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $345.08 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $351.78 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $355.13 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $399.89 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $399.89 | — | — | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Healthpartners | Healthpartners Pmap Professional | $401.04 | $2,313.00 | $2,313.00 | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Humana Choicecare | Medicare | $402.95 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $407.26 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $407.26 | — | — | 2026-05-14 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $407.26 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Aetna | Commercial | $407.26 | — | — | 2026-05-06 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cdphp | Medicaid | $407.26 | — | — | 2026-05-09 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Medicare Advantage | $407.26 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $407.26 | — | — | 2026-05-06 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Cdphp | Medicaid/Chp/Essential | $407.26 | — | — | 2026-05-08 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $407.26 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Cigna | Commercial | $407.26 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Commercial | $407.26 | — | — | 2026-05-06 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $408.18 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $408.18 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $408.18 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $408.18 | — | — | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Ucare | Ucare Pmap Professional | $409.38 | $2,313.00 | $2,313.00 | 2026-05-14 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $409.53 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $409.53 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $409.53 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $409.53 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $409.53 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $409.53 | — | — | 2026-05-13 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Medicare | $411.01 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $411.01 | — | — | 2026-05-09 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $412.19 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $412.19 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $412.19 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $412.19 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $412.19 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $412.19 | — | — | 2026-05-06 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Freedom Blue Mcr Adv | $412.52 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $412.52 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $412.52 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $414.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $414.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $414.39 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $414.39 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Complete Blue Mcr Adv | $419.04 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Community Blue Mcr Adv | $419.04 | — | — | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $419.19 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Cigna Healthspring | Medicare | $423.10 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Wellcare | Medicare | $423.10 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Windsor | Medicare | $423.10 | — | — | 2026-05-09 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Minnesota Medicaid | Minnesota Medicaid Professional | $427.06 | $2,313.00 | $2,313.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Primewest Professional | Primewest Professional | $427.06 | $2,313.00 | $2,313.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Pmap Professional | $430.52 | $2,313.00 | $2,313.00 | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicare | Traditional Medicare | $434.23 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcr Advantage | $434.23 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $434.23 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $434.23 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $434.23 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $434.23 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $434.23 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $434.23 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $434.23 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $434.23 | — | — | 2026-05-14 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.