75000012 — Hc Dx Broncho Needle Asp Ea Addl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC DX BRONCHO NEEDLE ASP EA ADDL (CDM 75000012) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/75000012?code_type=CDM
MLA (9th ed.)
“HC DX BRONCHO NEEDLE ASP EA ADDL (CDM 75000012) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/75000012?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC DX BRONCHO NEEDLE ASP EA ADDL (CDM 75000012) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/75000012?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $541–$1,674 (25th–75th percentile) across 15 hospitals · 59 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 75000012 — 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 |
|---|---|---|---|---|---|---|---|
| MCCURTAIN MEMORIAL HOSPITAL Both | HealthChoice | Commercial | $128.39 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Blue Cross | Blue Advantage PPO | $128.39 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Blue Cross | NativeBlue | $128.39 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Blue Cross | BlueLincs HMO | $128.39 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $140.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $140.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $140.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA LOCAL PLUS | $140.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HMO | $140.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $140.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HMO | $140.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA LOCAL PLUS | $140.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Keenan | Keenan | $141.83 | $472.78 | — | 2024-12-19 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Arcadian Health Plan | Medicare | $141.91 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Blue Cross | Choice PPO | $141.91 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | UHC | Medicare | $141.91 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | ChoiceCare | Medicare | $141.91 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Cigna Healthspring | Medicare | $141.91 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Humana | Medicare | $141.91 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Blue Cross | Preferred PPO | $141.91 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA PPO | $162.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA PPO | $162.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Amish Church Fund Group | Amish Church Fund Group | $189.11 | $472.78 | — | 2024-12-19 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $219.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA PPO | $219.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA HMO | $219.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA LOCAL PLUS | $219.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $219.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | BLUE CROSS | ANTHEM HMO | $236.40 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | BLUE CROSS | ANTHEM EXCHANGE | $236.40 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Blue Cross | Traditional | $243.27 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Quality Care Partner | Quality Care Partner Commercial | $255.30 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Med Mutual Of OH | Med Mutual Of OH HMO Exchange | $255.30 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Quality Care Partner | Quality Care Partner Commercial Plus | $283.67 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Anthem BCBS | Anthem BCBS Commercial HMO | $300.69 | $472.78 | — | 2024-12-19 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BLUE CROSS | ANTHEM HMO | $307.32 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BLUE CROSS | ANTHEM EXCHANGE | $307.32 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $307.32 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Anthem BCBS | Anthem BCBS Commercial PPO | $321.02 | $472.78 | — | 2024-12-19 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CHORUS COMMUNITY HEALTH | CHORUS COMMUNITY HEALTH[585] | $340.20 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Med Mutual Of OH | Med Mutual Of OH Commercial - County Commissioners | $354.58 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Anthem BCBS | Anthem BCBS Commercial Traditional | $356.00 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Commercials - 80% of BC | Non-Contracted Commercials - 80% of BC | $378.22 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Commercial - Non-Contracted | $378.22 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | UHC | UHC Commercial | $380.12 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | The Health Plan | The Health Plan Commercial HMO | $425.50 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Medical Rental | $425.50 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Med Mutual Of OH | Med Mutual Of PPO | $430.23 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | The Health Plan | The Health Plan Commercial PPO | $434.96 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Ohio Health Choice | Ohio Health Choice | $434.96 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Med Mutual Of OH | Med Mutual Of OH HMO | $444.41 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Choice Care Humana | Choice care Humana Commercial | $444.41 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Coventry | Coventry | $449.14 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Aultcare | Aultcare | $449.14 | $472.78 | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna Commercial | $449.14 | $472.78 | — | 2024-12-19 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | QUARTZ | QUARTZ[44] | $454.50 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Ohio Health Group | Ohio Health Group | $458.60 | $472.78 | — | 2024-12-19 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MA-BEHAVIORAL HEALTH | $507.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $507.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $508.46 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $512.58 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STANDARD and WPS SELECT PLUS | WPS STANDARD and WPS SELECT PLUS[137] | $538.47 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | UHC | Commercial (PPO/HMO) | $539.92 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | ChoiceCare | Commercial (PPO/EPO/POS) | $540.60 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Humana | Commercial (PPO/EPO/POS) | $540.60 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ALLIANCE | ALLIANCE[23] | $544.23 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $548.05 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | HEALTHNET | MEDICARE ADV. | $558.25 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $558.25 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO VALUE | CENTIVO VALUE[588] | $567.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $568.40 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC | UHC[57] | $569.70 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | AETNA | Commercial (PPO/HMO) | $574.39 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Provider Network of America | Commercial (PPO/HMO) | $574.39 | $675.75 | $337.88 | 2026-01-01 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $577.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $577.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC ACA | UHC ACA[893] | $577.80 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $583.28 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $583.28 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $583.28 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $583.28 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $583.63 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO MEDIAN | CENTIVO MEDIAN[587] | $612.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | TRILOGY | TRILOGY[47] | $621.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $630.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $635.25 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $635.25 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $636.30 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $646.80 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $646.80 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $664.13 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $664.13 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS | HPS SOLUTIONS[36] | $666.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CIGNA ALT NETWORK | CIGNA ALT NETWORK[788] | $674.19 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $679.85 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST VHN | $689.50 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST VHN | $689.50 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STATEWIDE | WPS STATEWIDE[31] | $692.10 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $693.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS PLUS ADV | HPS SOLUTIONS PLUS ADV[882] | $698.40 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO BROAD | CENTIVO BROAD[586] | $702.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $705.60 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HEALTHEOS | HEALTHEOS[18] | $720.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA W PLAN | AETNA W PLAN[39] | $720.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | COVENTRY | COVENTRY[13] | $723.60 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $724.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS | HPS[37] | $738.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | FIRST HEALTH | FIRST HEALTH[16] | $759.60 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | IHG | IHG[22] | $765.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA | AETNA[27] | $765.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CIGNA | CIGNA[41] | $831.24 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | PHCS (PRIVATE HEALTH CARE SYSTEMS) | PHCS (PRIVATE HEALTH CARE SYSTEMS)[21] | $832.50 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | AETNA | AETNA | $841.19 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $875.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | SAMARITAN | MEDICARE ADV. | $875.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL[140] | $891.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE | MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE[97] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE HUMANA | MEDICARE HUMANA[100] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | COMMUNITY CARE | COMMUNITY CARE[115] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID TRILOGY | MEDICAID TRILOGY[128] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE UHC | MEDICARE UHC[99] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE | MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE[97] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM BLUE PRIORITY | ANTHEM BLUE PRIORITY[139] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM ACCESS PPO | ANTHEM ACCESS PPO[55] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID CHORUS COMMUNITY HEALTH PLANS | MEDICAID CHORUS COMMUNITY HEALTH PLANS[78] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | DEAN HEALTH ACA | DEAN HEALTH ACA[811] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE | MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE[97] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID ICARE | MEDICAID ICARE[75] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM PREFERRED HMO | ANTHEM PREFERRED HMO[56] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID MANAGED HEALTH SERVICESS (MHS) | MEDICAID MANAGED HEALTH SERVICESS (MHS)[79] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE | MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE[97] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM PATHWAY ACA | ANTHEM PATHWAY ACA[779] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID ANTHEM | MEDICAID ANTHEM[83] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID DEAN HEALTH | MEDICAID DEAN HEALTH[118] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID UHC | MEDICAID UHC[85] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | DEAN HEALTH | DEAN HEALTH[116] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | VA CCN | VA CCN[275] | $900.00 | $900.00 | $495.00 | 2025-01-01 | MRF ↗ |
| Norton Community Hospital Both | MEDCOST | MEDCOST VHN | $937.52 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | MEDCOST | MEDCOST | $937.52 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MEDCOST | MEDCOST VHN | $937.52 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MEDCOST | MEDCOST | $937.52 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $1,024.40 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $1,024.40 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $1,024.40 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $1,024.40 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $1,172.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $1,172.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | EPO | $1,225.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | SAMARITAN | EPO | $1,225.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $1,225.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | EPO | $1,225.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | EPO | $1,225.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | AETNA | AETNA | $1,268.68 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | AETNA | AETNA | $1,268.68 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | HUMANA | HUMANA | $1,347.48 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | HUMANA | HUMANA | $1,347.48 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | HUMANA | HUMANA | $1,347.48 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | HUMANA | HUMANA | $1,347.48 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | SAMARITAN CHOICE | $1,400.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | SAMARITAN CHOICE | $1,400.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | SAMARITAN | SAMARITAN CHOICE | $1,400.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | SAMARITAN | SAMARITAN CHOICE | $1,400.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | SAMARITAN | SAMARITAN CHOICE | $1,400.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | SAMARITAN CHOICE | $1,400.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | REGENCE | ALL PRODUCTS | $1,473.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | REGENCE | ALL PRODUCTS | $1,473.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,477.50 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,477.50 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | SAMARITAN GROUP | $1,487.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | SAMARITAN GROUP | $1,487.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | SAMARITAN GROUP | $1,487.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | SAMARITAN | SAMARITAN GROUP | $1,487.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,516.90 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | ALL PRODUCTS | $1,573.08 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | ALL PRODUCTS | $1,573.08 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | REGENCE | ALL PRODUCTS | $1,573.08 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | REGENCE | ALL PRODUCTS | $1,573.08 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BEECH STREET | BEECH STREET | $1,576.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | BEECH STREET | BEECH STREET | $1,576.00 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $1,645.00 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | CIGNA | ALL PRODUCTS | $1,662.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $1,662.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $1,662.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $1,662.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $1,662.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $1,662.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $1,662.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $1,662.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $1,662.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $1,662.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $1,662.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST | $1,674.50 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST | $1,674.50 | $1,970.00 | $295.50 | 2025-01-17 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | HEALTHNET | ALL PRODUCTS | $1,697.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $1,697.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $1,697.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $1,697.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HEALTHNET | ALL PRODUCTS | $1,697.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $1,697.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $1,697.50 | $1,750.00 | $1,400.00 | 2026-01-31 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.