66659 — Ins Icd Gen Exst Sgl Ld
Cite this view
HANK Price Transparency. (n.d.). INS ICD GEN EXST SGL LD (CDM 66659) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/66659?code_type=CDM
“INS ICD GEN EXST SGL LD (CDM 66659) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/66659?code_type=CDM. Accessed .
“INS ICD GEN EXST SGL LD (CDM 66659) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/66659?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $38,764–$118,466 (25th–75th percentile) across 6 hospitals · 25 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 66659 — 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 |
|---|---|---|---|---|---|---|---|
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $6,100.98 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $6,100.98 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $7,784.74 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $8,228.18 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $8,228.18 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $11,535.40 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Aetna | MGMCR | $12,014.50 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $12,113.11 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $12,113.11 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Aetna | MGMCR | $12,237.00 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Aetna | MGMCR | $12,975.66 | $86,504.37 | $86,504.37 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Aetna | MGMCR | $13,215.96 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Lifeworks | MCR | $15,218.36 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Lifeworks | MCR | $15,500.20 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Lifeworks | MCR | $16,435.83 | $86,504.37 | $86,504.37 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | IFP | $16,660.10 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Lifeworks | MCR | $16,740.22 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | IFP | $16,968.64 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Universal Healthcare Group | MCR | $17,947.60 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Universal Healthcare Group | MCR | $19,383.41 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $19,944.67 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $19,944.67 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | OptionsPPO | $24,669.80 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | OptionsPPO | $25,126.65 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Aetna | MGMCR | $26,423.25 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $26,953.72 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Maine Community Health | Individual | $26,953.72 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | OptionsPPO | $26,989.36 | $86,504.37 | $86,504.37 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | PPO | $26,992.57 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | HMO | $26,992.57 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | OptionsPPO | $27,473.15 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | HMO | $27,492.47 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | PPO | $27,492.47 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Cigna | HMO | $30,987.80 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $32,404.92 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $32,404.92 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $32,404.92 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Lifeworks | MCR | $33,469.45 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Cigna | PPO | $35,617.08 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $36,043.49 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | United | OptionsPPO | $36,640.24 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $36,711.01 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Anthem | INDEMNITY | $37,790.00 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $38,057.07 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $38,057.07 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | CareFirst | RPN | $38,061.92 | $86,504.37 | $86,504.37 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | CareFirst | HMO | $38,061.92 | $86,504.37 | $86,504.37 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Universal Healthcare Group | MCR | $38,754.10 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CareFirst | RPN | $38,766.82 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CareFirst | HMO | $38,766.82 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $38,926.97 | $86,504.37 | $86,504.37 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | United | AllPayerAppendix | $39,585.03 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $39,647.89 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $45,669.21 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Kaiser Reston | COMM | $45,684.81 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $46,305.24 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $46,305.24 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $46,305.24 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $46,305.24 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $48,057.98 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $48,948.01 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $51,902.62 | $86,504.37 | $86,504.37 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $52,863.85 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $53,901.85 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $53,901.85 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | POS | $54,039.70 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | POS | $54,606.55 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | HMO | $54,606.55 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | PPO | $54,606.55 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | EPO | $54,606.55 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $55,678.83 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $55,678.83 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $55,678.83 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $55,678.83 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | FreedomBenefitPlans | $55,919.64 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | FreedomBenefitPlans | $55,919.64 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | United | OptionsPPO | $56,968.43 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $57,669.58 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $57,669.58 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $57,669.58 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $58,737.61 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $58,737.61 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $58,737.61 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $61,418.10 | $86,504.37 | $86,504.37 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $61,418.10 | $86,504.37 | $86,504.37 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $61,418.10 | $86,504.37 | $86,504.37 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Virginia Health Network | ULTRA | $61,654.25 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $62,283.15 | $86,504.37 | $86,504.37 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $62,342.52 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $62,342.52 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $62,555.56 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $62,555.56 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $62,555.56 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $63,436.62 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $65,264.02 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $65,600.33 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $65,600.33 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $65,600.33 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $65,600.33 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $66,480.21 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $67,711.42 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $67,821.56 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $67,821.56 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Three Rivers Provider Network | COMM | $68,082.14 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Three Rivers Provider Network | WC | $68,082.14 | $80,096.64 | $80,096.64 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $70,485.14 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | 4Most Health Network | COMM | $73,422.02 | $81,580.02 | $81,580.02 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Three Rivers Provider Network | WC | $73,528.71 | $86,504.37 | $86,504.37 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Three Rivers Provider Network | COMM | $73,528.71 | $86,504.37 | $86,504.37 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | EverNorth | COMM | $75,580.00 | $94,475.00 | $94,475.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $78,468.65 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $78,468.65 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | United | GlobalBenefitPlan | $79,269.75 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | 4Most Health Network | COMM | $79,295.78 | $88,106.42 | $88,106.42 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | SmallGroup | $83,267.01 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | Individual | $83,267.01 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | Individual | $83,267.01 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | SmallGroup | $83,267.01 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $84,702.90 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $84,702.90 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | EPO | $93,735.91 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | PPO | $93,735.91 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | HMO | $93,735.91 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | HMO | $93,735.91 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | PPO | $93,735.91 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | EPO | $93,735.91 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $93,735.91 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $93,735.91 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Cigna | HMO | $96,927.38 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Cigna | HMO | $96,927.38 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $97,734.12 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $97,734.12 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Greenvbrier Sporting Club | COMM | $105,693.00 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | CorVel | WorkersComp | $106,619.04 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | CorVel | WorkersComp | $106,619.04 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | AllPayerAppendix | $111,839.28 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | AllPayerAppendix | $111,839.28 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Cigna | PPO | $112,105.56 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Cigna | PPO | $112,105.56 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Virginia Health Network | WC | $114,500.75 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Virginia Health Network | COMM | $114,500.75 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Anthem | INDEMNITY | $116,366.11 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Anthem | INDEMNITY | $116,366.11 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | EverNorth | COMM | $118,465.60 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | EverNorth | COMM | $118,465.60 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Mutual of Omaha | COMM | $118,465.60 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Mutual of Omaha | COMM | $118,465.60 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Claritev (MultiPlan) | COMM | $119,946.42 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Claritev (MultiPlan) | COMM | $119,946.42 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | CorVel | WorkersComp | $126,831.60 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | First Health | PPO | $134,754.62 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Healthcare Value Mgmt | COMM | $134,754.62 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Healthcare Value Mgmt | COMM | $134,754.62 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | First Health | PPO | $134,754.62 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Oxford Health Plans | COMM | $140,677.90 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Oxford Health Plans | COMM | $140,677.90 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | OccuNet Workers Comp | WorkersComp | $140,924.00 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | LargeGroup | $141,103.89 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | LargeGroup | $141,103.89 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $148,082.00 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $148,082.00 | $148,082.00 | $148,082.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Tufts Health Plan | POS | $152,314.45 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Tufts Health Plan | POS | $152,314.45 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Tufts Health Plan | HMO | $156,894.53 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Tufts Health Plan | PPO | $156,894.53 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Tufts Health Plan | HMO | $156,894.53 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Tufts Health Plan | PPO | $156,894.53 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | HMO | $158,438.98 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | HMO | $158,438.98 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | 4Most Health Nework | COMM | $158,539.50 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Multiplan | PHCS | $158,539.50 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | OptionsPPO | $161,634.39 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | OptionsPPO | $161,634.39 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | United Behavioral Health | VACCN | $176,155.00 | $176,155.00 | $176,155.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | EPO | $177,877.71 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | POS | $177,877.71 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | PPO | $177,877.71 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | POS | $177,877.71 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | PPO | $177,877.71 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | EPO | $177,877.71 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | CorVel | WorkersComp | $191,724.48 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | CorVel | WorkersComp | $191,724.48 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | EverNorth | COMM | $213,027.20 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | EverNorth | COMM | $213,027.20 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Healthcare Value Mgmt | COMM | $223,678.56 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Healthcare Value Mgmt | COMM | $223,678.56 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | First Health | PPO | $226,341.40 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | First Health | PPO | $226,341.40 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Oxford Health Plans | COMM | $252,969.80 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Oxford Health Plans | COMM | $252,969.80 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $266,284.00 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $266,284.00 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |