74681 — Revasc Tib W Stntplc Ini
Cite this view
HANK Price Transparency. (n.d.). REVASC TIB W STNTPLC INI (CDM 74681) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74681?code_type=CDM
“REVASC TIB W STNTPLC INI (CDM 74681) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74681?code_type=CDM. Accessed .
“REVASC TIB W STNTPLC INI (CDM 74681) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74681?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $25,751–$62,322 (25th–75th percentile) across 6 hospitals · 38 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 74681 — 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 |
|---|---|---|---|---|---|---|---|
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $2,821.62 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $2,821.62 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $3,004.34 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $3,004.34 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $5,186.25 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $5,602.15 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $5,602.15 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $5,747.03 | $50,724.00 | $50,724.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $6,569.25 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $7,101.36 | $50,724.00 | $50,724.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $7,282.36 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $7,282.36 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $7,606.50 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $12,101.25 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $13,864.58 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $15,558.75 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | PPO | $16,111.95 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $17,287.50 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $17,600.90 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $17,600.90 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Anthem | INDEMNITY | $20,238.88 | $50,724.00 | $50,724.00 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Maine Community Health | Individual | $20,416.41 | $50,724.00 | $50,724.00 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Maine Community Health | SmallGroup | $20,416.41 | $50,724.00 | $50,724.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | FreedomBenefitPlans | $20,417.83 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | FreedomBenefitPlans | $20,417.83 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $20,745.00 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Value Options | COMM | $20,745.00 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $21,415.57 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $21,415.57 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $21,415.57 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $21,415.57 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Cigna | IFP | $23,245.08 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Cigna | IFP | $23,245.08 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Graham-White Manufacturing | COMM | $24,202.50 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Nursing Center | COMM | $24,202.50 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Aetna | MGMCR | $24,382.95 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Aetna | MGMCR | $24,382.95 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CorVel | WorkersComp | $24,894.00 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $24,894.00 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | WC | $24,894.00 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $24,928.90 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $24,928.90 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | United | AllPayerAppendix | $25,412.72 | $50,724.00 | $50,724.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $25,750.74 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $25,750.74 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $25,750.74 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $25,750.74 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Retirement Community | COMM | $25,931.25 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Community Care Network | COMM | $25,931.25 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | GM Southwest | COMM | $25,931.25 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Cigna | COMM | $25,945.33 | $50,724.00 | $50,724.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | POS | $27,660.00 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $27,660.00 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | John W Hancock | COMM | $27,660.00 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | PPO | $27,660.00 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CSX Hotels | Product | $27,660.00 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $28,832.61 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $28,832.61 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $30,339.30 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $30,339.30 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $30,339.30 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $30,339.30 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | Individual | $30,403.12 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | SmallGroup | $30,403.12 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | Individual | $30,403.12 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | SmallGroup | $30,403.12 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Patients Choice | COMM | $30,426.00 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Lifeworks | MCR | $30,885.07 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Lifeworks | MCR | $30,885.07 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Star Transportation | COMM | $31,117.50 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | PHCS | COMM | $31,117.50 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | 4Most | COMM | $31,117.50 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Alleghany Highland Community | COMM | $31,117.50 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | American Postal Workers Union | COMM | $31,117.50 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | C&O Employees Hospital Assn | COMM | $31,117.50 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $31,366.59 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $31,366.59 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Tufts Health Plan | HMO | $33,254.65 | $50,724.00 | $50,724.00 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Tufts Health Plan | POS | $33,254.65 | $50,724.00 | $50,724.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | United | OptionsPPO | $33,811.02 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | United | OptionsPPO | $33,811.02 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Cigna | HMO | $34,136.13 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Cigna | PPO | $34,136.13 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Cigna | HMO | $34,136.13 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Cigna | PPO | $34,136.13 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $34,575.00 | $34,575.00 | $34,575.00 | 2024-10-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Maine Community Health | LargeGroup | $34,619.13 | $50,724.00 | $50,724.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Cigna | HMO | $35,390.90 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Cigna | HMO | $35,390.90 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Universal Healthcare Group | MCR | $35,761.66 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $35,761.66 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Tufts Health Plan | PPO | $36,125.63 | $50,724.00 | $50,724.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $36,290.73 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $36,290.73 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | United | OptionsPPO | $36,622.73 | $50,724.00 | $50,724.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $39,173.99 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $39,173.99 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | AllPayerAppendix | $40,835.65 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | AllPayerAppendix | $40,835.65 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Cigna | PPO | $40,932.88 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Cigna | PPO | $40,932.88 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Anthem | INDEMNITY | $42,488.53 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Anthem | INDEMNITY | $42,488.53 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | HMO | $43,351.64 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | PPO | $43,351.64 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | HMO | $43,351.64 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $43,351.64 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | EPO | $43,351.64 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | PPO | $43,351.64 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $43,351.64 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | EPO | $43,351.64 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $45,200.76 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $45,200.76 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | CorVel | WorkersComp | $49,309.92 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | CorVel | WorkersComp | $49,309.92 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | LargeGroup | $51,520.98 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | LargeGroup | $51,520.98 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | EverNorth | COMM | $54,788.80 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Mutual of Omaha | COMM | $54,788.80 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | EverNorth | COMM | $54,788.80 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Mutual of Omaha | COMM | $54,788.80 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Claritev (MultiPlan) | COMM | $55,473.66 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Claritev (MultiPlan) | COMM | $55,473.66 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Tufts Health Plan | POS | $55,614.27 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Tufts Health Plan | POS | $55,614.27 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $56,893.55 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Virginia Health Network | ULTRA | $56,893.55 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Tufts Health Plan | HMO | $57,286.59 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Tufts Health Plan | PPO | $57,286.59 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Tufts Health Plan | HMO | $57,286.59 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Tufts Health Plan | PPO | $57,286.59 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | HMO | $57,850.51 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | HMO | $57,850.51 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | OptionsPPO | $59,017.24 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | OptionsPPO | $59,017.24 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | First Health | PPO | $62,322.26 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Healthcare Value Mgmt | COMM | $62,322.26 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Healthcare Value Mgmt | COMM | $62,322.26 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | First Health | PPO | $62,322.26 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | PPO | $64,948.14 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | POS | $64,948.14 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | EPO | $64,948.14 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | EPO | $64,948.14 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | POS | $64,948.14 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Aetna | PPO | $64,948.14 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Oxford Health Plans | COMM | $65,061.70 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Oxford Health Plans | COMM | $65,061.70 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $68,486.00 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $68,486.00 | $68,486.00 | $68,486.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | CorVel | WorkersComp | $70,003.98 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | CorVel | WorkersComp | $70,003.98 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | United | GlobalBenefitPlan | $73,148.85 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $73,148.85 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | EverNorth | COMM | $77,782.20 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | EverNorth | COMM | $77,782.20 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Healthcare Value Mgmt | COMM | $81,671.31 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Healthcare Value Mgmt | COMM | $81,671.31 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | First Health | PPO | $82,643.59 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | First Health | PPO | $82,643.59 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Oxford Health Plans | COMM | $92,366.36 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Oxford Health Plans | COMM | $92,366.36 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $97,227.75 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $97,227.75 | $97,227.75 | $97,227.75 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Greenvbrier Sporting Club | COMM | $97,531.80 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $97,531.80 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Value Options | COMM | $97,531.80 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Virginia Health Network | WC | $105,659.45 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $105,659.45 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Virginia Health Network | WC | $105,659.45 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Naphcare | GVT | $105,659.45 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Virginia Health Network | COMM | $105,659.45 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | CorVel | WorkersComp | $117,038.16 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | CorVel | WorkersComp | $117,038.16 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $130,042.40 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Evernorth | COMM | $130,042.40 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | OccuNet Workers Comp | WorkersComp | $130,042.40 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Multiplan | PHCS | $146,297.70 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | 4Most Health Nework | COMM | $146,297.70 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Multiplan | PHCS | $146,297.70 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | 4Most Health Nework | COMM | $146,297.70 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $162,553.00 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | United Behavioral Health | VACCN | $162,553.00 | $162,553.00 | $162,553.00 | 2026-03-01 | MRF ↗ |