73222RT — Mr Upp Ext Any Jt Up Rt With C
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MR UPP EXT ANY JT UP RT W/ C (OTHER 73222RT) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/73222RT?code_type=OTHER
MLA (9th ed.)
“MR UPP EXT ANY JT UP RT W/ C (OTHER 73222RT) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/73222RT?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“MR UPP EXT ANY JT UP RT W/ C (OTHER 73222RT) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/73222RT?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $916–$2,706 (25th–75th percentile) across 13 hospitals · 42 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 73222RT — 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 |
|---|---|---|---|---|---|---|---|
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $142.43 | $5,910.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $156.62 | $5,910.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $325.35 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Scott & White | Managed Medicaid | $328.45 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Molina | Managed Medicaid | $328.45 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | United Healthcare | Managed Medicaid | $328.45 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $357.75 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $383.00 | — | — | 2026-03-27 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $383.40 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | Regence | — | $421.50 | $5,103.00 | $4,082.40 | 2026-07-31 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $426.60 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Uhc | — | — | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Ncsehp | — | — | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Medcost | — | — | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Aetna | — | — | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Ppc | — | — | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr | — | — | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | VACCN James B Haggin Memorial Hospital | HMO | $493.64 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Medicare James B Haggin Memorial Hospital | HMO | $493.64 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC Medicare Advantage James B Haggin Memorial Hospital | HMO | $493.64 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Humana Medicare Advantage James B Haggin Memorial Hospital | HMO | $493.64 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Aetna Medicare Advantage James B Haggin Memorial Hospital | HMO | $493.64 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Humana Medicare Advantage James B Haggin Memorial Hospital | HMO | $493.64 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Medicare James B Haggin Memorial Hospital | HMO | $493.64 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | VACCN James B Haggin Memorial Hospital | HMO | $493.64 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC Medicare Advantage James B Haggin Memorial Hospital | HMO | $493.64 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Aetna Medicare Advantage James B Haggin Memorial Hospital | HMO | $493.64 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcd Wellcare- Centene | — | $520.64 | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcd Healthy Blue | — | $520.64 | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcd Amerihealth Caritas | — | $520.64 | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcd | — | $520.64 | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcd Cchn-Centene | — | $531.06 | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Scott & White | Commercial | $550.00 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Aetna Health Inc. | Medicare Advantage | $746.77 | $1,409.00 | $1,409.00 | 2026-08-01 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Molina | Medicare Advantage | $746.77 | $1,409.00 | $1,409.00 | 2026-08-01 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $768.30 | $5,910.00 | — | 2026-09-02 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Blue Cross Blue Sheild | Bav | $774.95 | $1,409.00 | $1,409.00 | 2026-08-01 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Bcbs | — | $834.24 | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Uhc | — | $853.61 | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $886.50 | $5,910.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $886.50 | $5,910.00 | — | 2026-09-02 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Blue Cross Blue Shield | Par | $915.85 | $1,409.00 | $1,409.00 | 2026-08-01 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Blue Cross Blue Shield | Ppo | $915.85 | $1,409.00 | $1,409.00 | 2026-08-01 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Blue Cross Blue Shield | Bav | $967.70 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Aetna Health Inc. | Commercial | $986.30 | $1,409.00 | $1,409.00 | 2026-08-01 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Humana | Commercial | $986.30 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | United Healthcare | Commercial | $1,000.00 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Nc Dept Of Public Safety | — | $1,041.29 | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Coventry First Health | — | $1,065.00 | $4,582.00 | $1,833.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | United Healthcare Choice | — | $1,065.00 | $4,582.00 | $1,833.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | United Healthcare | — | $1,065.00 | $4,582.00 | $1,833.00 | 2026-07-05 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | UHC Commercial | Comm | $1,100.00 | $3,500.00 | $2,625.00 | 2025-02-26 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Blue Cross Blue Shield | Hmo | $1,104.00 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC James B Haggin Memorial Hospital | PPO | $1,135.37 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | UHC James B Haggin Memorial Hospital | PPO | $1,135.37 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Aetna | — | $1,146.00 | $4,582.00 | $1,833.00 | 2026-07-05 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Inpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $1,198.84 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Inpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $1,198.84 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Medcost | Ultra | $1,210.80 | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Blue Cross Blue Shield | Ppo | $1,235.75 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Blue Cross Blue Shield | Par | $1,235.75 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Molina | Medicare Advantage | $1,254.01 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | United Healthcare | Medicare Advantage | $1,254.01 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Humana | Medicare Advantage | $1,254.01 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Scott & White | Medicare Advantage | $1,254.01 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Triwest | Medicare Advantage | $1,254.01 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Molina | Him | $1,254.01 | $1,409.00 | $1,409.00 | 2026-07-15 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Community Health Choice | Managed Medicaid | $1,276.55 | $1,409.00 | $1,409.00 | 2026-08-01 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Blue Cross Blue Shield | Managed Medicaid | $1,276.55 | $1,409.00 | $1,409.00 | 2026-08-01 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Molina | Managed Medicaid | $1,276.55 | $1,409.00 | $1,409.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Medicare | — | $1,329.00 | $4,582.00 | $1,833.00 | 2026-07-05 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Aetna | Default | $1,371.00 | $2,742.00 | $1,919.40 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Co | Default | $1,371.00 | $2,742.00 | $1,919.40 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Co | Medicare Advantage | $1,371.00 | $2,742.00 | $1,919.40 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Umr Wausau/Uhis | Default | $1,371.00 | $2,742.00 | $1,919.40 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Golden Rule Insurance Company | Default | $1,371.00 | $2,742.00 | $1,919.40 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Geha Multiplan Network | Default | $1,371.00 | $2,742.00 | $1,919.40 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Kaiser Foundation Health Plan Of Colorado | Medicare Advantage | $1,371.00 | $2,742.00 | $1,919.40 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Aetna | Medicare Advantage | $1,371.00 | $2,742.00 | $1,919.40 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Cigna | Default | $1,371.00 | $2,742.00 | $1,919.40 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $1,371.00 | $2,742.00 | $1,919.40 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | United Healthcare | Default | $1,371.00 | $2,742.00 | $1,919.40 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Kaiser Foundation Health Plan Of Colorado | Default | $1,371.00 | $2,742.00 | $1,919.40 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $1,507.05 | $5,910.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $1,507.05 | $5,910.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $1,507.05 | $5,910.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $1,507.05 | $5,910.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $1,507.05 | $5,910.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $1,507.05 | $5,910.00 | — | 2026-09-02 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Hmo | — | $1,558.00 | $4,582.00 | $1,833.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Ppo | — | $1,650.00 | $4,582.00 | $1,833.00 | 2026-07-05 | MRF ↗ |
| LEGENT NORTH HOUSTON SURGICAL HOSPITAL Both | Blue Cross Blue Shield Of Tx | Default | $1,744.20 | $4,845.00 | $2,422.50 | 2026-10-09 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $1,754.89 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| THE JAMES B. HAGGIN MEMORIAL HOSPITAL Outpatient | Anthem Commercial Traditional James B Haggin Memorial Hospital | PPO | $1,754.89 | $1,763.00 | — | 2026-02-24 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $1,755.00 | $13,500.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $1,773.00 | $5,910.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $1,773.00 | $5,910.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $1,773.00 | $5,910.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Commercial | $1,773.00 | $5,910.00 | — | 2026-09-02 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Indemnity | — | $1,833.00 | $4,582.00 | $1,833.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Cigna | — | $1,834.00 | $4,582.00 | $1,833.00 | 2026-07-05 | MRF ↗ |
| LEGENT NORTH HOUSTON SURGICAL HOSPITAL Both | Aetna | Default | $1,938.00 | $4,845.00 | $2,422.50 | 2026-10-09 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Cigna | Hmo & Ppo | $1,997.82 | $6,054.00 | $1,210.80 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $2,025.00 | $13,500.00 | — | 2026-09-02 | 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 | — | $2,316.00 | $1,852.80 | 2026-05-23 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | Aetna MA | MDC ADV | $2,205.00 | $3,500.00 | $2,625.00 | 2025-02-26 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | UHC MA | MDC ADV | $2,205.00 | $3,500.00 | $2,625.00 | 2025-02-26 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | Humana MA | MDC ADV | $2,205.00 | $3,500.00 | $2,625.00 | 2025-02-26 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $2,245.80 | $5,910.00 | — | 2026-08-17 | MRF ↗ |
| LEGENT NORTH HOUSTON SURGICAL HOSPITAL Both | Cigna | Default | $2,422.50 | $4,845.00 | $2,422.50 | 2026-10-09 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Inpatient | Cigna | Comm | $2,800.00 | $3,500.00 | $2,625.00 | 2025-02-26 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $2,955.00 | $5,910.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Cigna | Commercial | $2,955.00 | $5,910.00 | — | 2026-09-02 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Inpatient | First Care Comm | Comm | $2,975.00 | $3,500.00 | $2,625.00 | 2025-02-26 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Inpatient | Blue Cross | Comm | $3,185.00 | $3,500.00 | $2,625.00 | 2025-02-26 | 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) | 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) | 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-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $3,442.50 | $13,500.00 | — | 2026-09-02 | 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-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $3,442.50 | $13,500.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $3,442.50 | $13,500.00 | — | 2026-09-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | Premera | — | $3,482.80 | $5,103.00 | $4,082.40 | 2026-07-31 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $3,510.00 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Multiplan | — | $3,666.00 | $4,582.00 | $1,833.00 | 2026-07-05 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $4,050.00 | $13,500.00 | — | 2026-09-02 | 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 ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $4,050.00 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Commercial | $4,050.00 | $13,500.00 | — | 2026-09-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | Aetna | — | $4,643.73 | $5,103.00 | $4,082.40 | 2026-07-31 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | Cigna | — | $4,847.85 | $5,103.00 | $4,082.40 | 2026-07-31 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | First Health | — | $4,847.85 | $5,103.00 | $4,082.40 | 2026-07-31 | 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 ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Cigna | Commercial | $6,750.00 | $13,500.00 | — | 2026-09-02 | 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 ↗ |