67104 — Descriptor Not Available
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Descriptor not available (HCPCS 67104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/67104?code_type=HCPCS
MLA (9th ed.)
“Descriptor not available (HCPCS 67104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/67104?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Descriptor not available (HCPCS 67104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/67104?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,786–$21,615 (25th–75th percentile) across 16 hospitals · 68 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 67104 — 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 |
|---|---|---|---|---|---|---|---|
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Medicaid Hmo Apr Drg | Medicaid Hmo Apr Drg | $129.72 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Complete Care | Magellan Complete Care | $138.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $522.27 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $522.27 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $824.64 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Oscar Health (Hie) | Oscar Health (Hie) | $1,236.96 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Ppo | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Devoted Health | Devoted Health Medicare Hmo | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Aetna Health | Aetna Workers Comp | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | United Healthcare | United Options Ppo | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Msmc | Cigna | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Traditional | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Network Blue | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Humana | Humana | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension Plus | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Solis Health | Solis Health Medicare Hmo | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Hmo | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Doctors Healthcare | Doctors Healthcare Medicare Hmo | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Clear Spring Health | Clear Spring Health | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Humana | Humana Humx | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Mmm Of Florida | Mmm Of Fl Medicare Hmo | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | United Healthcare | United Healthcare | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Aetna Health | Aetna | $1,511.84 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension International | $1,649.28 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Corvel Healthcare | Corvel Healthcare | $1,661.65 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Care Management Network | Care Management Network | $1,786.72 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Workmans Compensation | Workmans Compensation | $1,786.72 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Corvel Healthcare | Corvel Healthcare | $1,917.29 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension | $1,924.16 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Behavioral Services Network | Behavioral Services Network | $1,924.16 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Beech Street | Beech Street | $1,924.16 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $1,924.16 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Coventry | Coventry | $1,951.65 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Seasons Hospice | Seasons Hospice | $2,061.60 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Workmans Compensation | Workmans Compensation | $2,061.60 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Beech Street | Beech Street | $2,061.60 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $2,061.60 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Multiplan | Multiplan | $2,061.60 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $2,199.04 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Aetna International Ppo | Aetna International Ppo | $2,336.48 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Wellcare | Wellcare | $2,336.48 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | First Health Network | First Health | $2,336.48 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Behavioral Health | Magellan Behavioral Health | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Mental Health Associates | Mental Health Associates | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Rehab Ppo | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | University Of Miami Behavioral Health | University Of Miami Behavioral Health | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | New Directions Behavioral Health | New Directions Behavioral Health | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Vitas Healthcare Of Fl | Vitas | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Med Onc | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicaid | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Miscellaneous Insurances | Miscellaneous Insurances | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health Medicare | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Tricare | Tricare | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicare | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Simply Medicare | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cenpatico Behavioral Health | Cenpatico Behavioral Health | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Concordia Behavioral Health | Concordia Behavioral Health | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Value Options | Value Options Behavioral Health | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Careplus Medicare | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Humana Medicare | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Coventry Medicare | $2,748.80 | $2,748.80 | $2,748.80 | 2026-05-22 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Anthem | Exchange | $4,052.00 | — | — | 2025-12-15 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | United Healthcare | HMO/POS/PPO | $4,344.00 | — | — | 2026-04-30 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Anthem | HMO EPO | $5,154.00 | — | — | 2025-12-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Aetna | Aetna Whole Health | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Aetna | Aetna HMO/POS/PPO-Q | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Kaiser | Kaiser_SF-AGA | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Multiplan | Multiplan PPO | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Aetna | Aetna Whole Health | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Kaiser | Kaiser_SF-NAPS/CVG/NPCPS/UPS | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Multiplan Workers Comp | Multiplan Workers Comp | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Kaiser | Kaiser_SF-GYNONC | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Kaiser | Kaiser_SF-BARIATRIC | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Kaiser | Kaiser_SF-GPG/NOAS | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Kaiser | Kaiser_SF-THOR SURG | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Aetna | Aetna HMO/POS/PPO | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Kaiser | Kaiser_SF-GCS | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Kaiser | Kaiser_SF-AGA | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Kaiser | Kaiser_SF | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Aetna | Aetna HMO/POS/PPO-G | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Aetna | Aetna Whole Health-G | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Kaiser | Kaiser_SF-VASC SURG | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | MedLien Healthcare Services | MedLien Healthcare Services | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Aetna | Aetna Whole Health-G | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Kaiser | Kaiser_SF-THOR SURG | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Kaiser | Kaiser_SF | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Aetna | Aetna HMO/POS/PPO | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Kaiser | Kaiser_SF-AGA | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Kaiser | Kaiser_SF-BARIATRIC | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Kaiser | Kaiser_SF-GYNONC | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Aetna | Aetna HMO/POS/PPO-Q | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | CareIQ | CareIQ | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Kaiser | Kaiser_SF-MELANOMA | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Kaiser | Kaiser_SF-GPG/NOAS | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Kaiser | Kaiser_SF-GYNONC | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Kaiser | Kaiser_SF-MELANOMA | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Kaiser | Kaiser_SF-BARIATRIC | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Kaiser | Kaiser_SF-AGA | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Rabun County BOC | Rabun County BOC | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Institutional Veterans Evaluation Services | Institutional Veterans Evaluation Services | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Institutional Marietta Surgery Center | Institutional Marietta Surgery Center | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Kaiser | Kaiser_SF-VASC SURG | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | MedLien Healthcare Services | MedLien Healthcare Services | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Kaiser | Kaiser_SF-BARIATRIC | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Dekalb_Department of Health | Dekalb_Department of Health | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Aetna | Aetna Whole Health-G | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Aetna | Aetna HMO/POS/PPO-G | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Aetna | Aetna HMO/POS/PPO | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Aetna | Aetna Whole Health-G | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Aetna | Aetna Whole Health | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Georgia Reproductive Specialists | Georgia Reproductive Specialists (SGF) | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Institutional Marietta Surgery Center | Institutional Marietta Surgery Center | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | FIFA | FIFA | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Institutional Veterans Evaluation Services | Institutional Veterans Evaluation Services | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Aetna | Aetna HMO/POS/PPO-G | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Med Care Solutions | Med Care Solutions | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Rabun County BOC | Rabun County BOC | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | CareIQ | CareIQ | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Beech Steet | Beech Street | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Kaiser | Kaiser_SF-MELANOMA | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Kaiser | Kaiser_SF-VASC SURG | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Kaiser | Kaiser_SF-NAPS/CVG/NPCPS/UPS | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | MedLien Healthcare Services | MedLien Healthcare Services | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Kaiser | Kaiser_SF-THOR SURG | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Kaiser | Kaiser_SF-NAPS/CVG/NPCPS/UPS | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Multiplan | Multiplan PPO | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | FIFA | FIFA | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Kaiser | Kaiser_SF-GPG/NOAS | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Georgia Reproductive Specialists | Georgia Reproductive Specialists (SGF) | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Kaiser | Kaiser_SF-MELANOMA | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Multiplan | Multiplan PPO | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Kaiser | Kaiser_SF | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Multiplan Workers Comp | Multiplan Workers Comp | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | FIFA | FIFA | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Institutional Marietta Surgery Center | Institutional Marietta Surgery Center | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Institutional Veterans Evaluation Services | Institutional Veterans Evaluation Services | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Multiplan | Multiplan PPO | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Georgia Reproductive Specialists | Georgia Reproductive Specialists (SGF) | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Aetna | Aetna HMO/POS/PPO-G | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Aetna | Aetna Whole Health | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Med Care Solutions | Med Care Solutions | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Dekalb_Department of Health | Dekalb_Department of Health | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Aetna | Aetna HMO/POS/PPO | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Aetna | Aetna HMO/POS/PPO-Q | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | CareIQ | CareIQ | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | MedLien Healthcare Services | MedLien Healthcare Services | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Kaiser | Kaiser_SF-THOR SURG | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Med Care Solutions | Med Care Solutions | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Beech Steet | Beech Street | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional Veterans Evaluation Services | Institutional Veterans Evaluation Services | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Kaiser | Kaiser_SF-GYNONC | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional Marietta Surgery Center | Institutional Marietta Surgery Center | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Kaiser | Kaiser_SF-THOR SURG | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Multiplan Workers Comp | Multiplan Workers Comp | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Aetna | Aetna HMO/POS/PPO-Q | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Kaiser | Kaiser_SF-GPG/NOAS | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Georgia Reproductive Specialists | Georgia Reproductive Specialists (SGF) | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Kaiser | Kaiser_SF-GPG/NOAS | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | FIFA | FIFA | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Rabun County BOC | Rabun County BOC | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Kaiser | Kaiser_SF-GCS | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Dekalb_Department of Health | Dekalb_Department of Health | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Kaiser | Kaiser_SF-MELANOMA | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Multiplan | Multiplan PPO | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | CareIQ | CareIQ | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Kaiser | Kaiser_SF-GYNONC | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Kaiser | Kaiser_SF-NAPS/CVG/NPCPS/UPS | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Kaiser | Kaiser_SF-GCS | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | MedLien Healthcare Services | MedLien Healthcare Services | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Kaiser | Kaiser_SF | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Med Care Solutions | Med Care Solutions | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Kaiser | Kaiser_SF-VASC SURG | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Institutional Veterans Evaluation Services | Institutional Veterans Evaluation Services | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Rabun County BOC | Rabun County BOC | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Institutional Marietta Surgery Center | Institutional Marietta Surgery Center | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Dekalb_Department of Health | Dekalb_Department of Health | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Multiplan Workers Comp | Multiplan Workers Comp | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Dekalb_Department of Health | Dekalb_Department of Health | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Georgia Reproductive Specialists | Georgia Reproductive Specialists (SGF) | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Beech Steet | Beech Street | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | FIFA | FIFA | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Kaiser | Kaiser_SF-NAPS/CVG/NPCPS/UPS | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Rabun County BOC | Rabun County BOC | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Multiplan Workers Comp | Multiplan Workers Comp | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Aetna | Aetna HMO/POS/PPO-Q | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Aetna | Aetna Whole Health-G | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | CareIQ | CareIQ | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Kaiser | Kaiser_SF-GCS | $5,305.00 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Beech Steet | Beech Street | — | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Beech Steet | Beech Street | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Med Care Solutions | Med Care Solutions | — | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Kaiser | Kaiser_SF | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Kaiser | Kaiser_SF-GCS | $5,305.00 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Kaiser | Kaiser_SF-VASC SURG | $5,305.00 | — | — | 2026-02-15 | 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.