73221LT — MRI Up Ext Joint Without Cont Lt
Cite this view
HANK Price Transparency. (n.d.). MRI UP EXT JOINT W/O CONT LT (OTHER 73221LT) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/73221LT?code_type=OTHER
“MRI UP EXT JOINT W/O CONT LT (OTHER 73221LT) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/73221LT?code_type=OTHER. Accessed .
“MRI UP EXT JOINT W/O CONT LT (OTHER 73221LT) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/73221LT?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $887–$2,535 (25th–75th percentile) across 13 hospitals · 47 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 73221LT — 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 | $6,067.00 | $4,550.25 | 2026-02-25 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Blue Cross HMO/POS | POS | $70.00 | $6,067.00 | $4,550.25 | 2026-02-25 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Blue Cross Open Access | Open Access | $70.00 | $6,067.00 | $4,550.25 | 2026-02-25 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $103.34 | $4,287.95 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $113.63 | $4,287.95 | — | 2026-08-17 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | Regence | — | $239.50 | $1,742.00 | $1,393.60 | 2026-07-31 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $325.35 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $331.39 | — | — | 2026-03-27 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $357.75 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $383.40 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $426.60 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Wellcare | — | — | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Humana | — | — | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Ncsehp | — | — | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Aetna | — | — | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | — | — | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Bcbs Blue Mcr | — | — | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Ppc | — | — | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| LEGENT NORTH HOUSTON SURGICAL HOSPITAL Both | Blue Cross Blue Shield Of Tx | Default | $581.40 | $1,615.00 | $807.50 | 2026-10-09 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd | — | $585.92 | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Healthy Blue | — | $585.92 | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Amerihealth Caritas | — | $585.92 | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Wellcare- Centene | — | $585.92 | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Cchn-Centene | — | $597.64 | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $643.19 | $4,287.95 | — | 2026-08-17 | MRF ↗ |
| LEGENT NORTH HOUSTON SURGICAL HOSPITAL Both | Aetna | Default | $646.00 | $1,615.00 | $807.50 | 2026-10-09 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC Medicare Advantage James B Haggin Memorial Hospital | HMO | $690.27 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | VACCN James B Haggin Memorial Hospital | HMO | $690.27 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Humana Medicare Advantage James B Haggin Memorial Hospital | HMO | $690.27 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Aetna Medicare Advantage James B Haggin Memorial Hospital | HMO | $690.27 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Medicare James B Haggin Memorial Hospital | HMO | $690.27 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC Medicare Advantage James B Haggin Memorial Hospital | HMO | $690.27 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Medicare James B Haggin Memorial Hospital | HMO | $690.27 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | VACCN James B Haggin Memorial Hospital | HMO | $690.27 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Aetna Medicare Advantage James B Haggin Memorial Hospital | HMO | $690.27 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Humana Medicare Advantage James B Haggin Memorial Hospital | HMO | $690.27 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Uhc | — | $721.49 | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| LEGENT NORTH HOUSTON SURGICAL HOSPITAL Both | Cigna | Default | $807.50 | $1,615.00 | $807.50 | 2026-10-09 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Health Team Advantage | — | $820.28 | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $849.75 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Aetna Health Inc. | Medicare Advantage | $874.50 | $1,650.00 | $1,650.00 | 2026-08-01 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Molina | Medicare Advantage | $874.50 | $1,650.00 | $1,650.00 | 2026-08-01 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr | — | $879.55 | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER Outpatient | UHC Ephraim McDowell Regional Medical Center | PPO | $880.00 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Blue Cross Blue Sheild | Bav | $907.50 | $1,650.00 | $1,650.00 | 2026-08-01 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Bcbs | — | $938.83 | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Humana Medicare Advantage James B Haggin Memorial Hospital | HMO | $951.72 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Humana Medicare Advantage James B Haggin Memorial Hospital | HMO | $951.72 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Medicare James B Haggin Memorial Hospital | HMO | $951.72 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC Medicare Advantage James B Haggin Memorial Hospital | HMO | $951.72 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Aetna Medicare Advantage James B Haggin Memorial Hospital | HMO | $951.72 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Aetna Medicare Advantage James B Haggin Memorial Hospital | HMO | $951.72 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | VACCN James B Haggin Memorial Hospital | HMO | $951.72 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC Medicare Advantage James B Haggin Memorial Hospital | HMO | $951.72 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Medicare James B Haggin Memorial Hospital | HMO | $951.72 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | VACCN James B Haggin Memorial Hospital | HMO | $951.72 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Uhc | — | $960.63 | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | United Healthcare Choice | — | $1,065.00 | $5,928.00 | $2,371.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | United Healthcare | — | $1,065.00 | $5,928.00 | $2,371.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Coventry First Health | — | $1,065.00 | $5,928.00 | $2,371.00 | 2026-07-05 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Blue Cross Blue Shield | Par | $1,072.50 | $1,650.00 | $1,650.00 | 2026-08-01 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Blue Cross Blue Shield | Ppo | $1,072.50 | $1,650.00 | $1,650.00 | 2026-08-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $1,093.43 | $4,287.95 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $1,093.43 | $4,287.95 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $1,093.43 | $4,287.95 | — | 2026-08-17 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | UHC Commercial | Comm | $1,100.00 | $3,150.00 | $2,362.50 | 2025-02-26 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Aetna Health Inc. | Commercial | $1,155.00 | $1,650.00 | $1,650.00 | 2026-08-01 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Nc Dept Of Public Safety | — | $1,171.84 | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | Premera | — | $1,188.91 | $1,742.00 | $1,393.60 | 2026-07-31 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $1,286.38 | $4,287.95 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $1,286.38 | $4,287.95 | — | 2026-08-17 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | Ultra | $1,362.60 | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Aetna | Medicare Advantage | $1,429.00 | $2,858.00 | $2,000.60 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Kaiser Foundation Health Plan Of Colorado | Default | $1,429.00 | $2,858.00 | $2,000.60 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | United Healthcare | Default | $1,429.00 | $2,858.00 | $2,000.60 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $1,429.00 | $2,858.00 | $2,000.60 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Cigna | Default | $1,429.00 | $2,858.00 | $2,000.60 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Aetna | Default | $1,429.00 | $2,858.00 | $2,000.60 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Co | Default | $1,429.00 | $2,858.00 | $2,000.60 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Co | Medicare Advantage | $1,429.00 | $2,858.00 | $2,000.60 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Umr Wausau/Uhis | Default | $1,429.00 | $2,858.00 | $2,000.60 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Golden Rule Insurance Company | Default | $1,429.00 | $2,858.00 | $2,000.60 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Geha Multiplan Network | Default | $1,429.00 | $2,858.00 | $2,000.60 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Kaiser Foundation Health Plan Of Colorado | Medicare Advantage | $1,429.00 | $2,858.00 | $2,000.60 | 2026-07-15 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Aetna | — | $1,482.00 | $5,928.00 | $2,371.00 | 2026-07-05 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Community Health Choice | Managed Medicaid | $1,494.90 | $1,650.00 | $1,650.00 | 2026-08-01 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Molina | Managed Medicaid | $1,494.90 | $1,650.00 | $1,650.00 | 2026-08-01 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Blue Cross Blue Shield | Managed Medicaid | $1,494.90 | $1,650.00 | $1,650.00 | 2026-08-01 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | Aetna | — | $1,585.22 | $1,742.00 | $1,393.60 | 2026-07-31 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC James B Haggin Memorial Hospital | PPO | $1,587.62 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC James B Haggin Memorial Hospital | PPO | $1,587.62 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $1,629.42 | $4,287.95 | — | 2026-08-17 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | Cigna | — | $1,654.90 | $1,742.00 | $1,393.60 | 2026-07-31 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | First Health | — | $1,654.90 | $1,742.00 | $1,393.60 | 2026-07-31 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Inpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $1,676.37 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Inpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $1,676.37 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Medicare | — | $1,719.00 | $5,928.00 | $2,371.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Cigna | — | $1,834.00 | $5,928.00 | $2,371.00 | 2026-07-05 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | UHC MA | MDC ADV | $1,984.50 | $3,150.00 | $2,362.50 | 2025-02-26 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | Aetna MA | MDC ADV | $1,984.50 | $3,150.00 | $2,362.50 | 2025-02-26 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | Humana MA | MDC ADV | $1,984.50 | $3,150.00 | $2,362.50 | 2025-02-26 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Hmo | — | $2,016.00 | $5,928.00 | $2,371.00 | 2026-07-05 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $2,025.00 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $2,025.00 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| BURGESS HEALTH CENTER Inpatient | Blue Cross | Commercial | — | $2,329.00 | $1,863.20 | 2026-05-23 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Ppo | — | $2,134.00 | $5,928.00 | $2,371.00 | 2026-07-05 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $2,143.97 | $4,287.95 | — | 2026-08-17 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC James B Haggin Memorial Hospital | PPO | $2,188.96 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC James B Haggin Memorial Hospital | PPO | $2,188.96 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Cigna | Hmo & Ppo | $2,248.29 | $6,813.00 | $1,362.60 | 2026-07-15 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Inpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $2,311.32 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Inpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $2,311.32 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Indemnity | — | $2,371.00 | $5,928.00 | $2,371.00 | 2026-07-05 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $2,453.91 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $2,453.91 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Inpatient | Cigna | Comm | $2,520.00 | $3,150.00 | $2,362.50 | 2025-02-26 | MRF ↗ |
| EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER Outpatient | Anthem Commercial Ephraim McDowell Regional Medical Center | PPO | $2,540.41 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER Inpatient | Anthem Commercial Ephraim McDowell Regional Medical Center | PPO | $2,579.50 | $2,465.25 | — | 2026-02-24 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Inpatient | First Care Comm | Comm | $2,677.50 | $3,150.00 | $2,362.50 | 2025-02-26 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Inpatient | Blue Cross | Comm | $2,866.50 | $3,150.00 | $2,362.50 | 2025-02-26 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Meritain | Commercial | $3,033.50 | $6,067.00 | $4,550.25 | 2026-02-25 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | CIGNA | Commercial | $3,288.31 | $6,067.00 | $4,550.25 | 2026-02-25 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $3,383.36 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $3,383.36 | $3,399.00 | — | 2026-02-24 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $3,442.50 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $3,442.50 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $3,442.50 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $3,442.50 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $3,442.50 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $3,442.50 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $3,510.00 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | Aetna HMO | HMO | $3,822.21 | $6,067.00 | $4,550.25 | 2026-02-25 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | BCBS HIX | Commercial | $3,943.55 | $6,067.00 | $4,550.25 | 2026-02-25 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $4,050.00 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $4,050.00 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $4,050.00 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Health Smart | PPO | $4,550.25 | $6,067.00 | $4,550.25 | 2026-02-25 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Humana | Commercial | $4,562.38 | $6,067.00 | $4,550.25 | 2026-02-25 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Multiplan | — | $4,742.00 | $5,928.00 | $2,371.00 | 2026-07-05 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | Aetna POS & PPO | PPO | $4,853.60 | $6,067.00 | $4,550.25 | 2026-02-25 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $5,130.00 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $5,130.00 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | UnitedHealthcare | Commercial | $5,156.95 | $6,067.00 | $4,550.25 | 2026-02-25 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | UnitedHealthcare | Commercial | $6,067.00 | $6,067.00 | $4,550.25 | 2026-02-25 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $6,750.00 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $6,750.00 | $13,500.00 | — | 2026-08-17 | MRF ↗ |