73202RT — CT Upper Ext W/wo Contrast Rt
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CT UPPER EXT W/WO CONTRAST RT (OTHER 73202RT) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/73202RT?code_type=OTHER
MLA (9th ed.)
“CT UPPER EXT W/WO CONTRAST RT (OTHER 73202RT) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/73202RT?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CT UPPER EXT W/WO CONTRAST RT (OTHER 73202RT) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/73202RT?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $606–$2,156 (25th–75th percentile) across 14 hospitals · 51 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 73202RT — 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 |
|---|---|---|---|---|---|---|---|
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $2,632.00 | $1,974.00 | 2026-02-25 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $51.34 | $2,130.45 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $56.46 | $2,130.45 | — | 2026-08-17 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Blue Cross HMO/POS | POS | $70.00 | $2,632.00 | $1,974.00 | 2026-02-25 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Blue Cross Open Access | Open Access | $70.00 | $2,632.00 | $1,974.00 | 2026-02-25 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $149.05 | — | — | 2026-03-27 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $228.95 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $251.75 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $269.80 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $276.96 | $2,130.45 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $300.20 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $319.57 | $2,130.45 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $319.57 | $2,130.45 | — | 2026-08-17 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Aetna | — | — | $6,081.00 | $1,216.20 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | — | — | $6,081.00 | $1,216.20 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Ppc | — | — | $6,081.00 | $1,216.20 | 2026-07-15 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Coventry First Health | — | $514.00 | $7,434.00 | $2,974.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | United Healthcare Choice | — | $514.00 | $7,434.00 | $2,974.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | United Healthcare | — | $514.00 | $7,434.00 | $2,974.00 | 2026-07-05 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Wellcare- Centene | — | $522.97 | $6,081.00 | $1,216.20 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Healthy Blue | — | $522.97 | $6,081.00 | $1,216.20 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Amerihealth Caritas | — | $522.97 | $6,081.00 | $1,216.20 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd | — | $522.97 | $6,081.00 | $1,216.20 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Cchn-Centene | — | $533.43 | $6,081.00 | $1,216.20 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $543.26 | $2,130.45 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $543.26 | $2,130.45 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $543.26 | $2,130.45 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $543.26 | $2,130.45 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $543.26 | $2,130.45 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $543.26 | $2,130.45 | — | 2026-08-17 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC Medicare Advantage James B Haggin Memorial Hospital | HMO | $606.41 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Medicare James B Haggin Memorial Hospital | HMO | $606.41 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Humana Medicare Advantage James B Haggin Memorial Hospital | HMO | $606.41 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Aetna Medicare Advantage James B Haggin Memorial Hospital | HMO | $606.41 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | VACCN James B Haggin Memorial Hospital | HMO | $606.41 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Medicare James B Haggin Memorial Hospital | HMO | $606.41 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Humana Medicare Advantage James B Haggin Memorial Hospital | HMO | $606.41 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Aetna Medicare Advantage James B Haggin Memorial Hospital | HMO | $606.41 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC Medicare Advantage James B Haggin Memorial Hospital | HMO | $606.41 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | VACCN James B Haggin Memorial Hospital | HMO | $606.41 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $639.13 | $2,130.45 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $639.13 | $2,130.45 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $639.13 | $2,130.45 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Commercial | $639.13 | $2,130.45 | — | 2026-09-02 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | UHC Commercial | Comm | $700.00 | $1,960.00 | $1,470.00 | 2025-02-26 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Bcbs | — | $773.50 | $6,081.00 | $1,216.20 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $809.57 | $2,130.45 | — | 2026-08-17 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Uhc | — | $857.42 | $6,081.00 | $1,216.20 | 2026-07-15 | MRF ↗ |
| GEORGE E WEEMS MEMORIAL HOSPITAL Both | Capital Health Plan | All Plans | $1,018.20 | $1,697.00 | $1,187.90 | 2026-07-15 | MRF ↗ |
| GEORGE E WEEMS MEMORIAL HOSPITAL Both | Sunshine State Health Plan Mcd Rep | All Plans | — | $1,697.00 | $1,187.90 | 2026-07-15 | MRF ↗ |
| GEORGE E WEEMS MEMORIAL HOSPITAL Both | Medicaid Florida | All Plans | — | $1,697.00 | $1,187.90 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Nc Dept Of Public Safety | — | $1,045.93 | $6,081.00 | $1,216.20 | 2026-07-15 | MRF ↗ |
| GEORGE E WEEMS MEMORIAL HOSPITAL Both | Medicare A Fl Jn | All Plans | $1,064.36 | $1,697.00 | $1,187.90 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $1,065.22 | $2,130.45 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Cigna | Commercial | $1,065.22 | $2,130.45 | — | 2026-09-02 | MRF ↗ |
| LEGENT NORTH HOUSTON SURGICAL HOSPITAL Both | Blue Cross Blue Shield Of Tx | Default | $1,080.00 | $3,000.00 | $1,500.00 | 2026-10-09 | MRF ↗ |
| GEORGE E WEEMS MEMORIAL HOSPITAL Both | Sunshine State Health Plan Mcr Adv | All Plans | $1,170.80 | $1,697.00 | $1,187.90 | 2026-07-15 | MRF ↗ |
| LEGENT NORTH HOUSTON SURGICAL HOSPITAL Both | Aetna | Default | $1,200.00 | $3,000.00 | $1,500.00 | 2026-10-09 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | Ultra | $1,216.20 | $6,081.00 | $1,216.20 | 2026-07-15 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | Aetna MA | MDC ADV | $1,234.80 | $1,960.00 | $1,470.00 | 2025-02-26 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | Humana MA | MDC ADV | $1,234.80 | $1,960.00 | $1,470.00 | 2025-02-26 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | UHC MA | MDC ADV | $1,234.80 | $1,960.00 | $1,470.00 | 2025-02-26 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $1,235.00 | $9,500.00 | — | 2026-09-02 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Umr Wausau/Uhis | Default | $1,237.50 | $2,475.00 | $1,980.00 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Aetna | Medicare Advantage | $1,237.50 | $2,475.00 | $1,980.00 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | United Healthcare | Default | $1,237.50 | $2,475.00 | $1,980.00 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $1,237.50 | $2,475.00 | $1,980.00 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Cigna | Default | $1,237.50 | $2,475.00 | $1,980.00 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Aetna | Default | $1,237.50 | $2,475.00 | $1,980.00 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Co | Default | $1,237.50 | $2,475.00 | $1,980.00 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Co | Medicare Advantage | $1,237.50 | $2,475.00 | $1,980.00 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Golden Rule Insurance Company | Default | $1,237.50 | $2,475.00 | $1,980.00 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Geha Multiplan Network | Default | $1,237.50 | $2,475.00 | $1,980.00 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Kaiser Foundation Health Plan Of Colorado | Medicare Advantage | $1,237.50 | $2,475.00 | $1,980.00 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Kaiser Foundation Health Plan Of Colorado | Default | $1,237.50 | $2,475.00 | $1,980.00 | 2026-07-15 | MRF ↗ |
| GEORGE E WEEMS MEMORIAL HOSPITAL Both | Humana Of Fl | All Plans | $1,272.75 | $1,697.00 | $1,187.90 | 2026-07-15 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Meritain | Commercial | $1,316.00 | $2,632.00 | $1,974.00 | 2026-02-25 | MRF ↗ |
| GEORGE E WEEMS MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Fl Florida Blue | Ppo | $1,366.08 | $1,697.00 | $1,187.90 | 2026-07-15 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC James B Haggin Memorial Hospital | PPO | $1,394.74 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC James B Haggin Memorial Hospital | PPO | $1,394.74 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $1,425.00 | $9,500.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $1,425.00 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $1,425.00 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | CIGNA | Commercial | $1,426.54 | $2,632.00 | $1,974.00 | 2026-02-25 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Inpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $1,472.71 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Inpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $1,472.71 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| LEGENT NORTH HOUSTON SURGICAL HOSPITAL Both | Cigna | Default | $1,500.00 | $3,000.00 | $1,500.00 | 2026-10-09 | MRF ↗ |
| HARBOR BEACH COMMUNITY HOSPITAL Both | United Healthcare Veteran Affairs Community Care Program | — | $1,552.64 | $2,426.00 | $1,941.00 | 2026-09-20 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Inpatient | Cigna | Comm | $1,568.00 | $1,960.00 | $1,470.00 | 2025-02-26 | MRF ↗ |
| HARBOR BEACH COMMUNITY HOSPITAL Both | Medicare Advantage All Plans | — | $1,649.68 | $2,426.00 | $1,941.00 | 2026-09-20 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | Aetna HMO | HMO | $1,658.16 | $2,632.00 | $1,974.00 | 2026-02-25 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Inpatient | First Care Comm | Comm | $1,666.00 | $1,960.00 | $1,470.00 | 2025-02-26 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | BCBS HIX | Commercial | $1,710.80 | $2,632.00 | $1,974.00 | 2026-02-25 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Inpatient | Blue Cross | Comm | $1,783.60 | $1,960.00 | $1,470.00 | 2025-02-26 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Cigna | — | $1,834.00 | $7,434.00 | $2,974.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Aetna | — | $1,859.00 | $7,434.00 | $2,974.00 | 2026-07-05 | MRF ↗ |
| MOUNTAINVIEW MEDICAL CENTER Inpatient | University Health | All Plans | $1,916.20 | $2,017.05 | $1,613.64 | 2026-07-13 | MRF ↗ |
| MOUNTAINVIEW MEDICAL CENTER Inpatient | United Healthcare | All Plans | $1,916.20 | $2,017.05 | $1,613.64 | 2026-07-13 | MRF ↗ |
| MOUNTAINVIEW MEDICAL CENTER Inpatient | Blue Cross Blue Shield | All Plans | $1,916.20 | $2,017.05 | $1,613.64 | 2026-07-13 | MRF ↗ |
| MOUNTAINVIEW MEDICAL CENTER Inpatient | Allegiance | All Plans | $1,916.20 | $2,017.05 | $1,613.64 | 2026-07-13 | MRF ↗ |
| BURGESS HEALTH CENTER Inpatient | Blue Cross | Commercial | — | $1,921.00 | $1,536.80 | 2026-05-23 | MRF ↗ |
| MOUNTAINVIEW MEDICAL CENTER Outpatient | University Health | All Plans | $1,956.54 | $2,017.05 | $1,613.64 | 2026-07-13 | MRF ↗ |
| MOUNTAINVIEW MEDICAL CENTER Inpatient | Mountain Health Coop | All Plans | $1,956.54 | $2,017.05 | $1,613.64 | 2026-07-13 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Health Smart | PPO | $1,974.00 | $2,632.00 | $1,974.00 | 2026-02-25 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Humana | Commercial | $1,979.26 | $2,632.00 | $1,974.00 | 2026-02-25 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Cigna | Hmo & Ppo | $2,006.73 | $6,081.00 | $1,216.20 | 2026-07-15 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | Aetna POS & PPO | PPO | $2,105.60 | $2,632.00 | $1,974.00 | 2026-02-25 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $2,155.79 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $2,155.79 | $2,165.75 | — | 2026-02-24 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Medicare | — | $2,156.00 | $7,434.00 | $2,974.00 | 2026-07-05 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | UnitedHealthcare | Commercial | $2,237.20 | $2,632.00 | $1,974.00 | 2026-02-25 | MRF ↗ |
| HARBOR BEACH COMMUNITY HOSPITAL Both | Blue Care Network Commercial | — | $2,297.42 | $2,426.00 | $1,941.00 | 2026-09-20 | MRF ↗ |
| HARBOR BEACH COMMUNITY HOSPITAL Both | Blue Cross Blue Shield Of Michigan Commercial | — | $2,297.42 | $2,426.00 | $1,941.00 | 2026-09-20 | MRF ↗ |
| HARBOR BEACH COMMUNITY HOSPITAL Both | United Healthcare Commercial | — | $2,353.22 | $2,426.00 | $1,941.00 | 2026-09-20 | MRF ↗ |
| HARBOR BEACH COMMUNITY HOSPITAL Both | Health Alliance Plan Commercial Includes Asr | — | $2,353.22 | $2,426.00 | $1,941.00 | 2026-09-20 | MRF ↗ |
| HARBOR BEACH COMMUNITY HOSPITAL Both | Priority Commercial | — | $2,353.22 | $2,426.00 | $1,941.00 | 2026-09-20 | MRF ↗ |
| HARBOR BEACH COMMUNITY HOSPITAL Both | Aetna Cofinity | All Commercial Plans | $2,353.22 | $2,426.00 | $1,941.00 | 2026-09-20 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $2,422.50 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $2,422.50 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $2,422.50 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $2,422.50 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $2,422.50 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $2,422.50 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $2,422.50 | $9,500.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $2,422.50 | $9,500.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $2,422.50 | $9,500.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $2,470.00 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Hmo | — | $2,528.00 | $7,434.00 | $2,974.00 | 2026-07-05 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | UnitedHealthcare | Commercial | $2,632.00 | $2,632.00 | $1,974.00 | 2026-02-25 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Ppo | — | $2,676.00 | $7,434.00 | $2,974.00 | 2026-07-05 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,850.00 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $2,850.00 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Commercial | $2,850.00 | $9,500.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,850.00 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $2,850.00 | $9,500.00 | — | 2026-09-02 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Indemnity | — | $2,974.00 | $7,434.00 | $2,974.00 | 2026-07-05 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $3,610.00 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $3,610.00 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $4,750.00 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $4,750.00 | $9,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Cigna | Commercial | $4,750.00 | $9,500.00 | — | 2026-09-02 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Multiplan | — | $5,947.00 | $7,434.00 | $2,974.00 | 2026-07-05 | MRF ↗ |