73723LT — Mr Lwr Ex Any Jt Low Lt W/wo C
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MR LWR EX ANY JT LOW LT W/WO C (OTHER 73723LT) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/73723LT?code_type=OTHER
MLA (9th ed.)
“MR LWR EX ANY JT LOW LT W/WO C (OTHER 73723LT) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/73723LT?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“MR LWR EX ANY JT LOW LT W/WO C (OTHER 73723LT) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/73723LT?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $976–$3,218 (25th–75th percentile) across 13 hospitals · 41 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 73723LT — 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 | $325.35 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $357.75 | $13,500.00 | — | 2026-08-17 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Molina | Managed Medicaid | $368.43 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Scott & White | Managed Medicaid | $368.43 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | United Healthcare | Managed Medicaid | $368.43 | $1,628.00 | $1,628.00 | 2026-07-15 | 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 ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | Regence | — | $513.00 | $3,423.00 | $2,738.40 | 2026-07-31 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Scott & White | Commercial | $550.00 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | — | — | $6,795.00 | $1,359.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Uhc | — | — | $6,795.00 | $1,359.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Ppc | — | — | $6,795.00 | $1,359.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Aetna | — | — | $6,795.00 | $1,359.00 | 2026-07-15 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $572.22 | — | — | 2026-03-27 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd | — | $584.37 | $6,795.00 | $1,359.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Wellcare- Centene | — | $584.37 | $6,795.00 | $1,359.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Healthy Blue | — | $584.37 | $6,795.00 | $1,359.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Amerihealth Caritas | — | $584.37 | $6,795.00 | $1,359.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Cchn-Centene | — | $596.06 | $6,795.00 | $1,359.00 | 2026-07-15 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Molina | Medicare Advantage | $862.84 | $1,628.00 | $1,628.00 | 2026-08-01 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Aetna Health Inc. | Medicare Advantage | $862.84 | $1,628.00 | $1,628.00 | 2026-08-01 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Blue Cross Blue Sheild | Bav | $895.40 | $1,628.00 | $1,628.00 | 2026-08-01 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Bcbs | — | $936.35 | $6,795.00 | $1,359.00 | 2026-07-15 | 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 | VACCN 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 | Medicare 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 | VACCN 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 | 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 | 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 ↗ |
| RANDOLPH HOSPITAL Both | Uhc | — | $958.10 | $6,795.00 | $1,359.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Blue Cross Blue Shield | Bav | $967.70 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | United Healthcare | Commercial | $1,000.00 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Blue Cross Blue Shield | Par | $1,058.20 | $1,628.00 | $1,628.00 | 2026-08-01 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Blue Cross Blue Shield | Ppo | $1,058.20 | $1,628.00 | $1,628.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | United Healthcare Choice | — | $1,065.00 | $7,297.00 | $2,919.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Coventry First Health | — | $1,065.00 | $7,297.00 | $2,919.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | United Healthcare | — | $1,065.00 | $7,297.00 | $2,919.00 | 2026-07-05 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | UHC Commercial | Comm | $1,100.00 | $3,850.00 | $2,887.50 | 2025-02-26 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Blue Cross Blue Shield | Hmo | $1,104.00 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Aetna Health Inc. | Commercial | $1,139.60 | $1,628.00 | $1,628.00 | 2026-08-01 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Humana | Commercial | $1,139.60 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Nc Dept Of Public Safety | — | $1,168.74 | $6,795.00 | $1,359.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Blue Cross Blue Shield | Ppo | $1,235.75 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Blue Cross Blue Shield | Par | $1,235.75 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | Ultra | $1,359.00 | $6,795.00 | $1,359.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Triwest | Medicare Advantage | $1,448.92 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Humana | Medicare Advantage | $1,448.92 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Scott & White | Medicare Advantage | $1,448.92 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | United Healthcare | Medicare Advantage | $1,448.92 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Molina | Medicare Advantage | $1,448.92 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Both | Molina | Him | $1,448.92 | $1,628.00 | $1,628.00 | 2026-07-15 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Blue Cross Blue Shield | Managed Medicaid | $1,474.97 | $1,628.00 | $1,628.00 | 2026-08-01 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Molina | Managed Medicaid | $1,474.97 | $1,628.00 | $1,628.00 | 2026-08-01 | MRF ↗ |
| PALACIOS COMMUNITY MEDICAL CENTER Both | Community Health Choice | Managed Medicaid | $1,474.97 | $1,628.00 | $1,628.00 | 2026-08-01 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $1,755.00 | $13,500.00 | — | 2026-09-02 | MRF ↗ |
| LEGENT NORTH HOUSTON SURGICAL HOSPITAL Both | Blue Cross Blue Shield Of Tx | Default | $1,800.00 | $5,000.00 | $2,500.00 | 2026-10-09 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Aetna | — | $1,824.00 | $7,297.00 | $2,919.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Cigna | — | $1,834.00 | $7,297.00 | $2,919.00 | 2026-07-05 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Aetna | Medicare Advantage | $1,834.50 | $3,669.00 | $2,568.30 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Kaiser Foundation Health Plan Of Colorado | Medicare Advantage | $1,834.50 | $3,669.00 | $2,568.30 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $1,834.50 | $3,669.00 | $2,568.30 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | United Healthcare | Default | $1,834.50 | $3,669.00 | $2,568.30 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Cigna | Default | $1,834.50 | $3,669.00 | $2,568.30 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Aetna | Default | $1,834.50 | $3,669.00 | $2,568.30 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Co | Default | $1,834.50 | $3,669.00 | $2,568.30 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Co | Medicare Advantage | $1,834.50 | $3,669.00 | $2,568.30 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Umr Wausau/Uhis | Default | $1,834.50 | $3,669.00 | $2,568.30 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Golden Rule Insurance Company | Default | $1,834.50 | $3,669.00 | $2,568.30 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Geha Multiplan Network | Default | $1,834.50 | $3,669.00 | $2,568.30 | 2026-07-15 | MRF ↗ |
| KEEFE MEMORIAL HOSPITAL Both | Kaiser Foundation Health Plan Of Colorado | Default | $1,834.50 | $3,669.00 | $2,568.30 | 2026-07-15 | MRF ↗ |
| LEGENT NORTH HOUSTON SURGICAL HOSPITAL Both | Aetna | Default | $2,000.00 | $5,000.00 | $2,500.00 | 2026-10-09 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $2,025.00 | $13,500.00 | — | 2026-08-17 | 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 ↗ |
| BURGESS HEALTH CENTER Inpatient | Blue Cross | Commercial | — | $3,116.00 | $2,492.80 | 2026-05-23 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Medicare | — | $2,116.00 | $7,297.00 | $2,919.00 | 2026-07-05 | 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 | $2,242.35 | $6,795.00 | $1,359.00 | 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 ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | Premera | — | $2,336.20 | $3,423.00 | $2,738.40 | 2026-07-31 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | Aetna MA | MDC ADV | $2,425.50 | $3,850.00 | $2,887.50 | 2025-02-26 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | Humana MA | MDC ADV | $2,425.50 | $3,850.00 | $2,887.50 | 2025-02-26 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Outpatient | UHC MA | MDC ADV | $2,425.50 | $3,850.00 | $2,887.50 | 2025-02-26 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Hmo | — | $2,481.00 | $7,297.00 | $2,919.00 | 2026-07-05 | MRF ↗ |
| LEGENT NORTH HOUSTON SURGICAL HOSPITAL Both | Cigna | Default | $2,500.00 | $5,000.00 | $2,500.00 | 2026-10-09 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Ppo | — | $2,627.00 | $7,297.00 | $2,919.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL | Blue Cross Indemnity | — | $2,919.00 | $7,297.00 | $2,919.00 | 2026-07-05 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Inpatient | Cigna | Comm | $3,080.00 | $3,850.00 | $2,887.50 | 2025-02-26 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | Aetna | — | $3,114.93 | $3,423.00 | $2,738.40 | 2026-07-31 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | First Health | — | $3,251.85 | $3,423.00 | $2,738.40 | 2026-07-31 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER | Cigna | — | $3,251.85 | $3,423.00 | $2,738.40 | 2026-07-31 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Inpatient | First Care Comm | Comm | $3,272.50 | $3,850.00 | $2,887.50 | 2025-02-26 | 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-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $3,442.50 | $13,500.00 | — | 2026-09-02 | 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) | 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) | 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) | Managed Care | $3,442.50 | $13,500.00 | — | 2026-09-02 | MRF ↗ |
| STONEWALL MEMORIAL HOSPITAL DISTRICT Inpatient | Blue Cross | Comm | $3,503.50 | $3,850.00 | $2,887.50 | 2025-02-26 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $3,510.00 | $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 ↗ |
| 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 ↗ |
| 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 | 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 ↗ |
| NORTHWEST TEXAS HOSPITAL | Multiplan | — | $5,838.00 | $7,297.00 | $2,919.00 | 2026-07-05 | 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 ↗ |