64635 — Destroy Lumb/sac Facet Jnt
Cite this view
HANK Price Transparency. (n.d.). DESTROY LUMB/SAC FACET JNT (HCPCS 64635) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64635?code_type=HCPCS
“DESTROY LUMB/SAC FACET JNT (HCPCS 64635) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64635?code_type=HCPCS. Accessed .
“DESTROY LUMB/SAC FACET JNT (HCPCS 64635) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64635?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,608–$3,886 (25th–75th percentile) across 2,778 hospitals · 6,951 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 64635 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
The middle 50% of negotiated facility rates for this procedure, measured across 2,778 hospitals. The physician fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,394 |
| Physician fee Estimate national typical Medicare $173 × 1.22 commercial. | $211 |
| Likely subtotal | $2,605 |
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $1,608–$3,886.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician fee (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $3.20 | $547.00 | $382.90 | 2026-07-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $3.28 | $1,600.00 | $1,200.00 | 2026-03-26 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $6.37 | $1,000.00 | $190.00 | 2026-05-20 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | AETNA COVENTRY - ALL OTHER PLANS | AETNA COVENTRY - ALL OTHER PLANS | $7.64 | $513.53 | — | 2026-03-02 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $8.00 | $529.00 | $370.30 | 2026-07-15 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $8.55 | $14.25 | $14.25 | 2026-03-16 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.30 | $5,720.00 | $1,973.53 | 2024-12-31 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $10.62 | $17.70 | $17.70 | 2026-03-16 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $12.74 | $7,920.00 | $7,920.00 | 2026-02-13 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $14.94 | $24.90 | $24.90 | 2026-03-16 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $15.00 | $1,000.00 | $190.00 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $15.00 | $1,000.00 | $190.00 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $15.00 | $1,000.00 | $190.00 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $15.00 | $1,000.00 | $150.00 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $15.00 | $1,000.00 | $150.00 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $15.00 | $1,000.00 | $190.00 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | MEDI-CAL | MEDI-CAL | $15.00 | $1,000.00 | $150.00 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BC MCAL | BC MCAL | $15.00 | $1,000.00 | $190.00 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | MEDI-CAL | MEDI-CAL | $15.00 | $1,000.00 | $190.00 | 2026-05-20 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $15.66 | $26.10 | $26.10 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $15.93 | $26.55 | $26.55 | 2026-03-16 | MRF ↗ |
| STEELE MEMORIAL MEDICAL CENTER Outpatient | INTERWEST HEALTH - ALL PLANS | INTERWEST HEALTH - ALL PLANS | $16.06 | $1,312.00 | $984.00 | 2026-02-26 | MRF ↗ |
| STEELE MEMORIAL MEDICAL CENTER Outpatient | SELECT HEALTH INC - ALL OTHER PLANS | SELECT HEALTH INC - ALL OTHER PLANS | $16.73 | $1,312.00 | $984.00 | 2026-02-26 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $17.37 | $28.95 | $28.95 | 2026-03-16 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $18.75 | $1,000.00 | $190.00 | 2026-05-20 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $18.94 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $18.94 | — | — | 2026-04-01 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $19.50 | $32.50 | $32.50 | 2026-03-16 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $20.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $20.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $20.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $20.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $20.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $20.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KAISER MCAL | KAISER MCAL | $20.00 | $1,000.00 | $190.00 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $20.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $20.00 | $1,000.00 | $190.00 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $20.00 | $1,000.00 | $190.00 | 2026-05-19 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BC MEDI-CAL | BC MEDI-CAL | $20.00 | $706.00 | $105.90 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $20.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $20.00 | $706.00 | $105.90 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | MOLINA MCAL | MOLINA MCAL | $20.00 | $706.00 | $105.90 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | MEDI-CAL | MEDI-CAL | $20.00 | $1,000.00 | $190.00 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $20.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $20.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $20.00 | $706.00 | $105.90 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $20.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $20.00 | $1,000.00 | $190.00 | 2026-05-19 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $20.48 | $34.13 | $34.13 | 2026-03-16 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $21.15 | $1,000.00 | $150.00 | 2026-07-29 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | HERITAGE MCAL | HERITAGE MCAL | $21.20 | $706.00 | $105.90 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $22.50 | $1,000.00 | $190.00 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $22.50 | $1,000.00 | $190.00 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $23.82 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $23.82 | $706.00 | $105.90 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $24.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $24.57 | $40.95 | $40.95 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $25.11 | $41.85 | $41.85 | 2026-03-16 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.36 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $26.36 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $26.36 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.36 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.36 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.36 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.36 | — | — | 2026-04-01 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $27.45 | $45.75 | $45.75 | 2026-03-16 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $28.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $28.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $28.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $28.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $28.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $28.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $30.00 | $1,000.00 | $190.00 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $32.00 | $706.00 | $127.08 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | VALLEY CHILDRENS - ALL PLANS | VALLEY CHILDRENS - ALL PLANS | $33.60 | $1,000.00 | $190.00 | 2026-05-19 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Traditional | Commercial | $35.26 | $529.00 | $370.30 | 2026-07-15 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Outpatient | BCBS BLUE CHOICE-ALL OTHER PLANS | BCBS BLUE CHOICE-ALL OTHER PLANS | $36.10 | $1,800.00 | $1,800.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Outpatient | BCBS BLUE CHOICE-ALL OTHER PLANS | BCBS BLUE CHOICE-ALL OTHER PLANS | $36.10 | $1,800.00 | $1,800.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Outpatient | BCBS BLUE CHOICE-ALL OTHER PLANS | BCBS BLUE CHOICE-ALL OTHER PLANS | $36.10 | $1,800.00 | $1,800.00 | 2026-05-11 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $36.30 | $3,490.55 | $3,490.55 | 2026-04-24 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Outpatient | BCBS CAP | BCBS CAP | $38.00 | $1,800.00 | $1,800.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Outpatient | BCBS CAP | BCBS CAP | $38.00 | $1,800.00 | $1,800.00 | 2026-03-03 | MRF ↗ |
| ELLSWORTH COUNTY MEDICAL CENTER Outpatient | BCBS CAP | BCBS CAP | $38.00 | $1,800.00 | $1,800.00 | 2026-05-11 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $38.16 | $63.60 | $63.60 | 2026-03-16 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $39.10 | $115.00 | $69.00 | 2025-11-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $728.00 | $728.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $485.00 | $485.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | — | $728.00 | $728.00 | 2025-03-18 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | — | $485.00 | $485.00 | 2025-03-18 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $40.23 | $67.05 | $67.05 | 2026-03-16 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $44.62 | $115.00 | $69.00 | 2025-11-18 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $45.00 | $1,000.00 | $170.00 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCAL | BC MCAL | $45.00 | $1,000.00 | $170.00 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $45.00 | $1,000.00 | $170.00 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | MEDI-CAL | MEDI-CAL | $45.00 | $1,000.00 | $170.00 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $45.00 | $1,000.00 | $170.00 | 2026-05-23 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $45.39 | $3,782.91 | $2,837.18 | 2026-07-17 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | HUMANA MEDICARE-ALL PLANS | HUMANA MEDICARE-ALL PLANS | $46.00 | $115.00 | $69.00 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $46.00 | $115.00 | $69.00 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC VA CCN | UHC VA CCN | $46.00 | $115.00 | $69.00 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE COMM - ALL OTHER PLANS | IOWA TOTAL CARE COMM - ALL OTHER PLANS | $46.00 | $115.00 | $69.00 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $46.00 | $115.00 | $69.00 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $46.00 | $115.00 | $69.00 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCAID | IOWA TOTAL CARE MCAID | $48.30 | $115.00 | $69.00 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCAID/CHIP | MOLINA MCAID/CHIP | $48.30 | $115.00 | $69.00 | 2025-11-18 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $49.07 | $6,149.00 | $6,149.00 | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $49.18 | $3,782.91 | $2,837.18 | 2026-08-01 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MEDICAID - ALL OTHER PLANS | AMERIGROUP MEDICAID - ALL OTHER PLANS | $49.27 | $115.00 | $69.00 | 2025-11-18 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MULTIPLAN [141] | COMMERCIAL|MULTIPLAN|MULTIPLAN/PHCS GENERIC|CDPHP COMMERCIAL | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MULTIPLAN [141] | COMMERCIAL|MULTIPLAN|MULTIPLAN/PHCS GENERIC|CDPHP COMMERCIAL | — | $6,474.79 | $4,208.61 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | HIGHMARK [114] | EMPIRE BLUE CROSS (NYC)|HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|FEDERAL BLUE CROSS & BLUE SHIELD | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | HIGHMARK [114] | HIGHMARK MEDICAID|HIGHMARK CHP | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH MEDICAID | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH MEDICAID | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | HIGHMARK [114] | EMPIRE BLUE CROSS (NYC)|HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|FEDERAL BLUE CROSS & BLUE SHIELD | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | HIGHMARK [114] | HIGHMARK MEDICAID|HIGHMARK CHP | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MULTIPLAN [141] | COMMERCIAL|MULTIPLAN|MULTIPLAN/PHCS GENERIC|CDPHP COMMERCIAL | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | HIGHMARK [114] | HIGHMARK HMO BLUE|HIGHMARK OUT OF AREA|EMPIRE PLAN B/C (KINGSTON) | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EMBLEM GHI [113] | EMBLEM GHI|GHI ALT | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EMBLEM GHI [113] | EMBLEM GHI|GHI ALT | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EMBLEM GHI [113] | EMBLEM GHI|GHI ALT | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | HIGHMARK [114] | HIGHMARK HMO BLUE|HIGHMARK OUT OF AREA|EMPIRE PLAN B/C (KINGSTON) | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | AETNA [100] | AETNA|AETNA DENTAL|MERITAIN HEALTH | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | AETNA [100] | AETNA|AETNA DENTAL|MERITAIN HEALTH | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MULTIPLAN [141] | COMMERCIAL|MULTIPLAN|MULTIPLAN/PHCS GENERIC|CDPHP COMMERCIAL | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4 | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | AETNA [100] | AETNA|AETNA DENTAL|MERITAIN HEALTH | — | $6,474.79 | $4,208.61 | 2024-12-30 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EMBLEM GHI [113] | EMBLEM GHI|GHI ALT | — | $6,474.79 | $4,208.61 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|BLUE CROSS & BLUE SHIELD|UNIVERA|EXCELLUS BCBS RIT | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP|CIGNA|GWH CIGNA|NALC CIGNA | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS INDEMNITY [127] | HEALTHY NY | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EXCELLUS INDEMNITY [127] | HEALTHY NY | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|BLUE CROSS & BLUE SHIELD|UNIVERA|EXCELLUS BCBS RIT | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP|CIGNA|GWH CIGNA|NALC CIGNA | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP GOLD PPO | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|UNIVERA ESSENTIAL 1&2 | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | AETNA [100] | AETNA|AETNA DENTAL|MERITAIN HEALTH | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MAGNACARE [115] | MAGNACARE | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO|WELLCARE DUAL | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE|UHC DUAL COMPLETE | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP GOLD HMO | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP GOLD PPO | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO|WELLCARE DUAL | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC CHPS|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | — | $6,474.79 | $4,208.61 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|UNIVERA ESSENTIAL 1&2 | — | $6,474.79 | $4,208.61 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP ESSENTIAL 1&2 | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC CHPS|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES | — | $6,474.79 | $4,208.61 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP ESSENTIAL 1&2 | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MAGNACARE [115] | MAGNACARE | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MAGNACARE [115] | MAGNACARE | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE|UHC DUAL COMPLETE | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4 | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP GOLD HMO | — | $5,710.94 | $3,712.11 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MAGNACARE [115] | MAGNACARE | — | $11,421.88 | $7,424.22 | 2024-12-30 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $51.00 | $506.00 | $253.00 | 2025-02-03 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $51.27 | $85.45 | $85.45 | 2026-03-16 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $52.00 | $506.00 | $253.00 | 2025-02-03 | MRF ↗ |
| HILLSBORO COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield of KS | Default | $52.20 | $488.00 | $292.80 | 2024-11-14 | MRF ↗ |
| HILLSBORO COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield of KS | Default | $52.20 | $488.00 | $292.80 | 2024-11-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $52.96 | $3,782.91 | $2,837.18 | 2026-08-01 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $54.18 | $90.30 | $90.30 | 2026-03-16 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Traditional | Commercial | $54.72 | $547.00 | $382.90 | 2026-07-15 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | — | — | — | $4,742.00 | $3,461.66 | 2025-03-05 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $55.35 | $410.00 | $307.50 | 2026-01-16 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $55.65 | $10,460.00 | $10,460.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $55.65 | $10,460.00 | $10,460.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $55.65 | $10,460.00 | $10,460.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $55.65 | $10,460.00 | $10,460.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $55.65 | $10,460.00 | $10,460.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $55.65 | $10,460.00 | $10,460.00 | 2026-07-15 | 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.