76844 — Rmv Icd W Rplc Mult Ld
Cite this view
HANK Price Transparency. (n.d.). RMV ICD W RPLC MULT LD (CDM 76844) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/76844?code_type=CDM
“RMV ICD W RPLC MULT LD (CDM 76844) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/76844?code_type=CDM. Accessed .
“RMV ICD W RPLC MULT LD (CDM 76844) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/76844?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $56,466–$142,898 (25th–75th percentile) across 9 hospitals · 42 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 76844 — 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 |
|---|---|---|---|---|---|---|---|
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $8,228.18 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $8,228.18 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $8,408.18 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $8,408.18 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $10,823.08 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Aetna | MGMCR | $12,251.51 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Aetna | MGMCR | $13,231.63 | $88,210.87 | $88,210.87 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Aetna | MGMCR | $13,476.69 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Aetna | MGMCR | $14,824.36 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Lifeworks | MCR | $15,518.58 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $16,037.59 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $16,693.91 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $16,693.91 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Lifeworks | MCR | $16,760.07 | $88,210.87 | $88,210.87 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | IFP | $16,988.76 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Lifeworks | MCR | $17,070.47 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | IFP | $18,687.67 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Lifeworks | MCR | $18,777.52 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Universal Healthcare Group | MCR | $19,765.81 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $19,944.67 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $19,944.67 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Universal Healthcare Group | MCR | $21,742.39 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $22,109.25 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $23,878.05 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | OptionsPPO | $27,521.79 | $88,210.87 | $88,210.87 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | HMO | $27,525.06 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | PPO | $27,525.06 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | OptionsPPO | $27,672.13 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | OptionsPPO | $27,672.13 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | NPR | $27,698.54 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $28,005.05 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | OptionsPPO | $28,015.12 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Aetna | MGMCR | $29,538.60 | $196,924.00 | $196,924.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $30,245.53 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | PPO | $30,277.62 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | HMO | $30,277.62 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Aetna | MGMCR | $30,598.05 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Aetna | MGMCR | $30,598.05 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $32,426.90 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Aetna | MGMCR | $32,492.46 | $216,616.40 | $216,616.40 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $35,021.14 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $36,754.53 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Lifeworks | MCR | $37,415.56 | $196,924.00 | $196,924.00 | 2024-10-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $37,473.58 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Maine Community Health | Individual | $37,473.58 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Lifeworks | MCR | $38,757.53 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Lifeworks | MCR | $38,757.53 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | CareFirst | HMO | $38,812.78 | $88,210.87 | $88,210.87 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | CareFirst | RPN | $38,812.78 | $88,210.87 | $88,210.87 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $39,694.89 | $88,210.87 | $88,210.87 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $40,430.06 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Lifeworks | MCR | $41,157.12 | $216,616.40 | $216,616.40 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | United | OptionsPPO | $42,429.30 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | United | OptionsPPO | $42,429.30 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Cigna | HMO | $43,082.14 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CareFirst | HMO | $43,484.78 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CareFirst | RPN | $43,484.78 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | United | GlobalBenefitPlan | $44,473.07 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Universal Healthcare Group | MCR | $44,877.14 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $44,877.14 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $45,052.36 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $45,052.36 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $45,052.36 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $49,006.04 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Cigna | PPO | $49,518.20 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Kaiser Reston | COMM | $50,312.96 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $51,588.25 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $52,449.07 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $52,449.07 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Anthem | INDEMNITY | $52,539.20 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $52,926.52 | $88,210.87 | $88,210.87 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $53,906.75 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | IFP | $54,941.80 | $196,924.00 | $196,924.00 | 2024-10-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | United | AllPayerAppendix | $55,034.81 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $55,715.45 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | FreedomBenefitPlans | $55,919.64 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | FreedomBenefitPlans | $55,919.64 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $58,103.25 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $58,807.25 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $58,807.25 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $58,807.25 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $59,105.39 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $59,297.42 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $60,652.59 | $196,924.00 | $196,924.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $60,652.59 | $216,616.40 | $216,616.40 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $62,629.72 | $88,210.87 | $88,210.87 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $62,629.72 | $88,210.87 | $88,210.87 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $62,629.72 | $88,210.87 | $88,210.87 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $63,493.62 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $63,511.83 | $88,210.87 | $88,210.87 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $63,816.44 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $63,816.44 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $63,816.44 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $63,816.44 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $64,688.10 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $64,688.10 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $64,688.10 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $66,327.75 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $67,791.69 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | PPO | $68,686.07 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $68,923.40 | $196,924.00 | $196,924.00 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Three Rivers Provider Network | WC | $69,425.22 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Three Rivers Provider Network | COMM | $69,425.22 | $81,676.73 | $81,676.73 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | COMM | $70,168.62 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | ULTRA | $70,168.62 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $70,168.62 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | CorVel | WorkersComp | $71,156.91 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $71,395.45 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Virginia Health Network | ULTRA | $71,395.45 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $71,634.15 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $71,875.66 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $73,697.50 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $74,285.85 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $74,285.85 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Virginia Health Network | WC | $74,571.00 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Three Rivers Provider Network | COMM | $74,979.24 | $88,210.87 | $88,210.87 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Three Rivers Provider Network | WC | $74,979.24 | $88,210.87 | $88,210.87 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | POS | $75,131.06 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $75,815.74 | $216,616.40 | $216,616.40 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | EPO | $75,919.14 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | PPO | $75,919.14 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | HMO | $75,919.14 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Aetna | POS | $75,919.14 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $76,734.83 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $76,734.83 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $76,734.83 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $76,734.83 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $79,063.23 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | United | OptionsPPO | $79,202.84 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $79,593.50 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | 4Most Health Network | COMM | $80,860.12 | $89,844.58 | $89,844.58 | 2024-10-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | SmallGroup | $83,267.01 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | SmallGroup | $83,267.01 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | Individual | $83,267.01 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Maine Community Health | Individual | $83,267.01 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $85,918.52 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $85,918.52 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Value Options | COMM | $88,437.00 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $88,437.00 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $88,615.80 | $196,924.00 | $196,924.00 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | 4Most Health Network | COMM | $88,946.14 | $98,829.04 | $98,829.04 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $90,408.33 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem | INDEMNITY | $90,408.33 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $90,408.33 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Anthem Maine | INDEMNITY | $90,408.33 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $91,794.15 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | United | GlobalBenefitPlan | $91,794.15 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $93,469.56 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $93,469.56 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $95,512.20 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Cigna | HMO | $96,927.38 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Cigna | HMO | $96,927.38 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $97,477.38 | $216,616.40 | $216,616.40 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $97,674.30 | $196,924.00 | $196,924.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | HMO | $97,674.30 | $196,924.00 | $196,924.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Graham-White Manufacturing | COMM | $103,176.50 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Nursing Center | COMM | $103,176.50 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | EverNorth | COMM | $105,078.40 | $131,348.00 | $131,348.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | WC | $106,124.40 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CorVel | WorkersComp | $106,124.40 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $106,124.40 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $108,143.05 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $108,143.05 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | GM Southwest | COMM | $110,546.25 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Retirement Community | COMM | $110,546.25 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Community Care Network | COMM | $110,546.25 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Graham-White Manufacturing | COMM | $111,430.90 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Nursing Center | COMM | $111,430.90 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | AllPayerAppendix | $111,839.28 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | AllPayerAppendix | $111,839.28 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Cigna | PPO | $112,105.56 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Cigna | PPO | $112,105.56 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $113,022.77 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | WC | $113,022.77 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CorVel | WorkersComp | $114,614.64 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Kaiser | COMM | $116,185.16 | $196,924.00 | $196,924.00 | 2024-10-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Anthem | INDEMNITY | $116,366.11 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Anthem | INDEMNITY | $116,366.11 | $266,284.00 | $266,284.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $116,734.90 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $116,734.90 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $117,916.00 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | John W Hancock | COMM | $117,916.00 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | POS | $117,916.00 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | PPO | $117,916.00 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CSX Hotels | Product | $117,916.00 | $147,395.00 | $147,395.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $118,154.40 | $196,924.00 | $196,924.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Retirement Community | COMM | $119,390.25 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Community Care Network | COMM | $119,390.25 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $122,392.20 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Value Options | COMM | $122,392.20 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Greenvbrier Sporting Club | COMM | $122,392.20 | $203,987.00 | $203,987.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CSX Hotels | Product | $127,349.60 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | POS | $127,349.60 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | PPO | $127,349.60 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $127,349.60 | $159,187.00 | $159,187.00 | 2026-03-07 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Kaiser | COMM | $127,803.68 | $216,616.40 | $216,616.40 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $129,183.91 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | EPO | $129,183.91 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $129,183.91 | $204,082.00 | $204,082.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | HMO | $129,183.91 | $204,082.00 | $204,082.00 | 2026-03-01 | 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.