64628 — Trml Dstrj Ios Bvn 1st 2 L/s
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Trml dstrj ios bvn 1st 2 l/s (OTHER 64628) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64628?code_type=OTHER
MLA (9th ed.)
“Trml dstrj ios bvn 1st 2 l/s (OTHER 64628) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64628?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Trml dstrj ios bvn 1st 2 l/s (OTHER 64628) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64628?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,382–$15,386 (25th–75th percentile) across 181 hospitals · 471 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 64628 — 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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $9.38 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $16.24 | — | — | 2026-05-27 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $73.50 | $286.00 | $83.83 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $108.71 | $286.00 | $83.83 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $116.97 | $286.00 | $83.83 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $127.93 | $286.00 | $83.83 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $148.43 | $286.00 | $83.83 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $148.43 | $286.00 | $83.83 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cigna | — | $171.60 | $286.00 | $83.83 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Comm | — | $189.30 | $286.00 | $83.83 | 2026-05-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $190.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $190.26 | — | — | 2026-05-14 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Comm | — | $191.62 | $286.00 | $83.83 | 2026-05-31 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $37,839.00 | $18,919.50 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $14,695.00 | $7,347.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $37,839.00 | $18,919.50 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $16,390.00 | $8,195.00 | 2026-05-14 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $14,695.00 | $7,347.50 | 2026-05-26 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $15,197.00 | $7,598.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $39,478.00 | $19,739.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $39,478.00 | $19,739.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $15,197.00 | $7,598.50 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $16,390.00 | $8,195.00 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $37,839.00 | $18,919.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $15,197.00 | $7,598.50 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $16,390.00 | $8,195.00 | 2026-05-14 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $14,695.00 | $7,347.50 | 2026-05-26 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $39,478.00 | $19,739.00 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $16,390.00 | $8,195.00 | 2026-05-14 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Aetna | Better Health Wv Mgd Medicaid | $209.72 | $14,695.00 | $7,347.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $37,839.00 | $18,919.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $209.72 | $39,478.00 | $19,739.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $15,197.00 | $7,598.50 | 2026-05-13 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Comm | — | $214.50 | $286.00 | $83.83 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Wellspan | — | $225.94 | $286.00 | $83.83 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Multiplan | — | $228.80 | $286.00 | $83.83 | 2026-05-31 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $234.81 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | United Healthcare | Commercial | $262.63 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $290.91 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $290.91 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $290.91 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $290.91 | — | — | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Humana Choicecare | Medicare | $293.53 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $294.01 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $294.01 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Freedom Blue Mcr Adv | $294.01 | — | — | 2026-05-09 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $295.72 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $295.72 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Cigna | Commercial | $295.72 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Aetna | Commercial | $295.72 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Medicare Advantage | $295.72 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Commercial | $295.72 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $295.72 | — | — | 2026-05-06 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $297.01 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Complete Blue Mcr Adv | $298.65 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Community Blue Mcr Adv | $298.65 | — | — | 2026-05-09 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $299.19 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $299.19 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $299.19 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $299.19 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $299.19 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $299.19 | — | — | 2026-05-23 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Medicare | $299.40 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $299.40 | — | — | 2026-05-09 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Mlp | $304.21 | $3,963.00 | — | 2026-05-06 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Cdphp | Medicaid/Chp/Essential | $304.92 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $304.92 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $304.92 | — | — | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cdphp | Medicaid | $304.92 | — | — | 2026-05-09 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $305.16 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $305.16 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $305.16 | — | — | 2026-05-06 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $305.16 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $305.16 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $305.16 | — | — | 2026-05-07 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Cigna Healthspring | Medicare | $308.20 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Windsor | Medicare | $308.20 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Wellcare | Medicare | $308.20 | — | — | 2026-05-09 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Tufts Health Plan | Tufts Health Plan | $308.88 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Tufts Medicare Preferred | Tufts Medicare Preferred | $308.88 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $309.48 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $309.48 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $309.48 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $309.48 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $309.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $309.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $309.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $309.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $309.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $309.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $309.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcr Advantage | $309.48 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicare | Traditional Medicare | $309.48 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $309.48 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $309.48 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $309.48 | — | — | 2026-05-14 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Optum | Vaccnoptum | $309.86 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Perennial Advantage | Perennial Advantage | $309.86 | — | — | 2026-05-27 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $313.09 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $315.62 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $315.62 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $315.67 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $315.67 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $315.67 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $315.67 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $317.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $317.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $317.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $317.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $317.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $317.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $317.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $317.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $317.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $317.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $317.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $317.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $317.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $317.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $317.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $317.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $317.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $317.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $317.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $317.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $317.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $317.10 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $318.76 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $318.76 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $318.76 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $318.76 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $318.76 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Uhc | Mcr Advantage | $318.76 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $318.76 | — | — | 2026-05-14 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Child 0-20 Mlp | $319.41 | $3,963.00 | — | 2026-05-06 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Sidecar | Sidecarcommercial | $319.97 | — | — | 2026-05-27 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $321.11 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Va Community Care Network - Dhpn | $321.11 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage - Dhp | $321.11 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mvp | Mvp - Medicare Advantage - Dhp | $321.11 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage - Dhp | $321.11 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage - Dhp | $321.11 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - Medicare Advantage - Dhp | $321.11 | — | — | 2026-05-08 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Vaccn | Commercial | $321.60 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Uhc | Medicare | $321.60 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Humana | Medicare | $321.60 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Kaiser | Medicare | $321.60 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Anthem Bcbs | Medicare | $321.60 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Anthem Bcbs | Medicare | $321.60 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Vaccn | Commercial | $321.60 | — | — | 2026-05-06 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Kaiser | Medicare | $321.60 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Humana | Medicare | $321.60 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | $321.60 | — | — | 2026-05-06 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Wellcare | Medicare | $321.60 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Medicare | Medicare | $321.60 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Medicare | Medicare | $321.60 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | $321.60 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Uhc | Medicare | $321.60 | — | — | 2026-05-06 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Cigna | Medicare | $321.60 | — | — | 2026-05-06 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Ambetter | Marketplace | $321.60 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Wellcare | Medicare | $321.60 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Ambetter | Marketplace | $321.60 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Cigna | Medicare | $321.60 | — | — | 2026-05-07 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $325.60 | — | — | 2026-05-09 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Md | $330.66 | $3,963.00 | — | 2026-05-06 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $330.74 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage - Dhp | $330.74 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $330.74 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $330.74 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Medicare Advantage - Dhp | $330.74 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $330.74 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan - Dhp | $330.88 | — | — | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $333.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $333.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $333.26 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $333.26 | — | — | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage - Dhp | $333.95 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $334.24 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $334.24 | — | — | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | Fidelis | Child Health Plus | $336.94 | — | — | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange Behavioral Health - Dhp | $337.16 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage - Dhp | $337.16 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Security Blue Mcr Adv | $337.33 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $337.33 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $337.33 | — | — | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Qualchoice | Mcr Adv | $337.56 | — | — | 2026-05-09 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid Out Of State | Medicaid Out Of State | $337.62 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid | Medicaid | $337.62 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Hlthnet | Bmc Hlthnet | $337.62 | — | — | 2026-05-13 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Clover | Medicare | $337.68 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Clear Spring Health | Medicare | $337.68 | — | — | 2026-05-06 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Clover | Medicare | $337.68 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Clear Spring Health | Medicare | $337.68 | — | — | 2026-05-07 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | United Healthcare | Default | $341.79 | $18,889.94 | $11,333.96 | 2026-05-23 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | Umr United Medical Resources | Default | $341.79 | $18,889.94 | $11,333.96 | 2026-05-23 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | United Healthcare | Medicare Advantage | $341.79 | $18,889.94 | $11,333.96 | 2026-05-23 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | Blue Cross Blue Shield Of Sd Wellmark | Medicare Advantage | $345.21 | $18,889.94 | $11,333.96 | 2026-05-23 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Child 0-20 Md | $347.19 | $3,963.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Vacare | Professional Mlp | $351.28 | $3,963.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Ut Care & Texas A&M 65 Plus Medicare Advantage Professional Mlp Rate | — | $351.28 | $3,963.00 | — | 2026-05-06 | 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.