72187-0401-01 — Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution
Cite this view
HANK Price Transparency. (n.d.). TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION (OTHER 72187-0401-01) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/72187-0401-01?code_type=OTHER
“TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION (OTHER 72187-0401-01) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/72187-0401-01?code_type=OTHER. Accessed .
“TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION (OTHER 72187-0401-01) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/72187-0401-01?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $58,483–$93,857 (25th–75th percentile) across 3 hospitals · 22 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 72187-0401-01 — 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 |
|---|---|---|---|---|---|---|---|
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $13,386.20 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $14,425.90 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $14,425.90 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $14,461.35 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $14,461.35 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $14,874.87 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $16,280.83 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $16,280.83 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $19,730.76 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $19,730.76 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $25,165.58 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $25,165.58 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $38,268.23 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $40,761.16 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $44,530.09 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | $53,166.73 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | $53,166.73 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $53,722.02 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $53,722.02 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $53,722.02 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $53,722.02 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $53,722.02 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $53,722.02 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $53,722.02 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $53,722.02 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $58,010.81 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $58,483.40 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $58,483.40 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $58,483.40 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $58,483.40 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $58,483.40 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $58,483.40 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $60,019.33 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $61,020.21 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $64,071.81 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership | $64,745.26 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $64,745.26 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $65,455.83 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $66,564.74 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $66,838.17 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $66,838.17 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $66,838.17 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $66,838.17 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $66,838.17 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $66,838.17 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $66,838.17 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $66,838.17 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $66,838.17 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $67,828.93 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $68,927.71 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $69,707.49 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $69,707.49 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $69,707.49 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos | $71,479.71 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $71,716.01 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $71,716.01 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $72,543.04 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $73,488.23 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Maine Community Health Options | Mcho Indiv - Exchange | $75,260.45 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $75,414.05 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $75,414.05 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $75,792.12 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $76,666.42 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $77,410.75 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $77,820.90 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont Non-Managed Care Plans | $78,923.05 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $79,159.35 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $80,813.42 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $80,813.42 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $81,010.90 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | $81,049.72 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $82,940.09 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $85,066.76 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Maine Community Health Options | Mcho Shop - Exchange | $86,838.99 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $87,193.43 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $87,193.43 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $87,193.43 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $89,674.54 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $89,674.54 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $90,477.95 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity | $90,477.95 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity | $90,477.95 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $90,477.95 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $90,513.40 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $90,513.40 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $90,737.88 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $93,856.99 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership | $93,856.99 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont Non-Managed Care Plans | $93,856.99 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $93,856.99 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership | $93,856.99 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont Non-Managed Care Plans | $93,856.99 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $94,181.06 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $96,763.44 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity | $96,952.48 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $96,952.48 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | $100,426.04 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | $100,426.04 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | First Health/Hcvm | First Health/Hcvm | $102,789.00 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Coventry | Coventry- Workers Comp | $102,789.00 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $102,839.64 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $102,954.41 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $104,373.88 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $104,647.31 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $104,966.31 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $105,011.88 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Phcs | Phcs | $106,333.45 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Phcs | Phcs - Ppo | $106,333.45 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Phcs | Phcs | $106,333.45 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $108,338.60 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Corvel | Corvel - Workers Comp | $108,696.42 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $109,341.17 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $109,371.55 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Ccmsi | Ccmsi - Workers Comp | $112,240.87 | $118,148.28 | $36,153.37 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $115,113.56 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $118,148.28 | $118,148.28 | $32,608.93 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $118,148.28 | $118,148.28 | $32,608.93 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $118,789.66 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $120,308.70 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $131,245.86 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $143,550.16 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $144,309.68 | $151,904.93 | $69,420.55 | 2026-05-23 | MRF ↗ |