Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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78816TC — PET Image W/ct Full Body

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $2,134

Usually $1,434–$4,008 (25th–75th percentile) across 72 hospitals · 37 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER 78816TC — 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
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Anthem PPO Products $108.62 — — 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Anthem HMO Products $108.62 — — 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Anthem HMO Products $108.62 — — 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Anthem HMO Products $108.62 — — 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Anthem HMO Products $108.62 — — 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Anthem HMO Products $108.62 — — 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Anthem PPO Products $108.62 — — 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Anthem PPO Products $108.62 — — 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Anthem PPO Products $108.62 — — 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Anthem HMO Products $108.62 — — 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Anthem PPO Products $108.62 — — 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Anthem PPO Products $108.62 — — 2026-01-02 MRF ↗
JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility UNITED HEALTH CARE Managed Medicare $160.46 — — 2025-07-01 MRF ↗
UPLAND HILLS HEALTH OutpatientFacility QUARTZ ALL PRODUCTS $614.50 — — 2026-03-20 MRF ↗
UPLAND HILLS HEALTH OutpatientFacility QUARTZ ALL PRODUCTS $614.50 — — 2026-03-20 MRF ↗
LABETTE HEALTH OutpatientFacility UHCCP Managed Medicaid $819.38 — — 2025-06-28 MRF ↗
LABETTE HEALTH OutpatientFacility UHCCP Managed Medicaid $819.38 — — 2025-06-28 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility Aetna All Products $831.25 — $1,464.10 2025-12-02 MRF ↗
LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility Aetna MEDICARE ADVANTAGE $875.00 — — 2025-09-05 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility AETNA MEDICARE ADVANTAGE $875.00 — $1,833.17 2025-08-30 MRF ↗
WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility Aetna MEDICARE ADVANTAGE $875.00 — — 2025-09-05 MRF ↗
METROPOLITAN HOSPITAL CENTER OutpatientFacility Aetna MEDICARE ADVANTAGE $875.00 — — 2025-09-05 MRF ↗
JACOBI MEDICAL CENTER OutpatientFacility Aetna MEDICARE ADVANTAGE $875.00 — — 2025-09-05 MRF ↗
BELLEVUE HOSPITAL CENTER OutpatientFacility Aetna MEDICARE ADVANTAGE $875.00 — — 2025-09-05 MRF ↗
QUEENS HOSPITAL CENTER OutpatientFacility Aetna MEDICARE ADVANTAGE $875.00 — — 2025-09-05 MRF ↗
North Central Bronx Hospital OutpatientFacility Aetna MEDICARE ADVANTAGE $875.00 — — 2025-09-05 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility AETNA MEDICARE ADVANTAGE $875.00 — $1,833.17 2025-08-30 MRF ↗
North Central Bronx Hospital OutpatientFacility Aetna MEDICARE ADVANTAGE $875.00 — — 2025-09-05 MRF ↗
JACOBI MEDICAL CENTER OutpatientFacility Aetna MEDICARE ADVANTAGE $875.00 — — 2025-09-05 MRF ↗
WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility Aetna MEDICARE ADVANTAGE $875.00 — — 2025-09-05 MRF ↗
QUEENS HOSPITAL CENTER OutpatientFacility Aetna MEDICARE ADVANTAGE $875.00 — — 2025-09-05 MRF ↗
ELMHURST HOSPITAL CENTER OutpatientFacility Aetna MEDICARE ADVANTAGE $875.00 — — 2025-09-05 MRF ↗
METROPOLITAN HOSPITAL CENTER OutpatientFacility Aetna MEDICARE ADVANTAGE $875.00 — — 2025-09-05 MRF ↗
RENOWN REGIONAL MEDICAL CENTER OutpatientFacility Anthem Blue Cross Blue Shield Healthcare Solutions Managed Medicaid $932.28 — — 2026-03-27 MRF ↗
RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility Anthem Blue Cross Blue Shield Healthcare Solutions Managed Medicaid $932.28 — — 2026-03-27 MRF ↗
RENOWN REGIONAL MEDICAL CENTER OutpatientFacility Molina Healthcare of Nevada Managed Medicaid $932.28 — — 2026-03-27 MRF ↗
CARSON VALLEY HEALTH OutpatientFacility Anthem Managed Medicaid $932.28 — — 2026-03-27 MRF ↗
RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility Molina Healthcare of Nevada Managed Medicaid $932.28 — — 2026-03-27 MRF ↗
CARSON VALLEY HEALTH OutpatientFacility Silver Summit Managed Medicaid $932.28 — — 2026-03-27 MRF ↗
RENOWN REGIONAL MEDICAL CENTER OutpatientFacility SilverSummit Healthplan Managed Medicaid $932.28 — — 2026-03-27 MRF ↗
RENOWN REGIONAL MEDICAL CENTER OutpatientFacility CareSource Network Partners Managed Medicaid $941.60 — — 2026-03-27 MRF ↗
RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility CareSource Network Partners Managed Medicaid $941.60 — — 2026-03-27 MRF ↗
OCEAN MEDICAL CENTER OutpatientFacility Horizon Managed Medicaid $957.50 — — 2024-12-31 MRF ↗
Ira Davenport Memorial Hospital OutpatientFacility Empire All Products Non MD $1,110.26 — — 2026-03-27 MRF ↗
JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility Horizon Managed Medicaid $1,110.70 — — 2024-12-31 MRF ↗
RIVERVIEW MEDICAL CENTER OutpatientFacility HORIZON MANAGED MEDICAID $1,150.00 — $1,614.45 2025-12-31 MRF ↗
RIVERVIEW MEDICAL CENTER OutpatientFacility HORIZON MANAGED MEDICAID $1,150.00 — $1,614.45 2025-12-31 MRF ↗
RIVERVIEW MEDICAL CENTER OutpatientFacility Horizon Managed Medicaid $1,150.00 — — 2024-12-31 MRF ↗
JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility ANTHEM EXCHANGE $1,155.43 — — 2025-07-01 MRF ↗
ARNOT OGDEN MEDICAL CENTER OutpatientFacility Empire All Products Non MD $1,179.66 — — 2026-03-27 MRF ↗
HENRY COUNTY HEALTH CENTER OutpatientFacility AETNA ALL PRODUCTS $1,200.00 — — 2025-06-04 MRF ↗
HENRY COUNTY HEALTH CENTER OutpatientFacility AETNA ALL PRODUCTS $1,200.00 — — 2025-06-04 MRF ↗
ARNOT OGDEN MEDICAL CENTER OutpatientFacility AmeriHealth All Products $1,207.25 — — 2026-03-27 MRF ↗
RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility HPN Managed Medicaid $1,211.96 — — 2026-03-27 MRF ↗
RENOWN REGIONAL MEDICAL CENTER OutpatientFacility HPN Managed Medicaid $1,211.96 — — 2026-03-27 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Humana Military Tricare $1,259.36 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Humana Military Tricare $1,259.36 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Humana Military Tricare $1,259.36 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Humana Military Tricare $1,259.36 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Humana Military Tricare $1,259.36 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Humana Military Tricare $1,259.36 $11,041.96 $5,520.98 2026-01-02 MRF ↗
NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility AETNA ALL PRODUCTS $1,278.72 — — 2025-12-27 MRF ↗
NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility AETNA ALL PRODUCTS $1,278.72 — — 2025-12-27 MRF ↗
MCCONE COUNTY HEALTH CENTER OutpatientFacility Align Networks Work Comp $1,290.90 — — 2026-01-01 MRF ↗
Ira Davenport Memorial Hospital OutpatientFacility Empire All Products MD $1,318.44 — — 2026-03-27 MRF ↗
ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility UNITEDHEALTHCARE ALL PRODUCTS $1,323.19 — — 2025-07-01 MRF ↗
North Central Bronx Hospital OutpatientFacility UNITED Managed Medicaid $1,333.20 — — 2025-09-05 MRF ↗
North Central Bronx Hospital OutpatientFacility UNITED Managed Medicaid $1,333.20 — — 2025-09-05 MRF ↗
BELLEVUE HOSPITAL CENTER OutpatientFacility UNITED Managed Medicaid $1,333.20 — — 2025-09-05 MRF ↗
WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility UNITED Managed Medicaid $1,333.20 — — 2025-09-05 MRF ↗
JACOBI MEDICAL CENTER OutpatientFacility UNITED Managed Medicaid $1,333.20 — — 2025-09-05 MRF ↗
ELMHURST HOSPITAL CENTER OutpatientFacility UNITED Managed Medicaid $1,333.20 — — 2025-09-05 MRF ↗
JACOBI MEDICAL CENTER OutpatientFacility UNITED Managed Medicaid $1,333.20 — — 2025-09-05 MRF ↗
LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility UNITED Managed Medicaid $1,333.20 — — 2025-09-05 MRF ↗
WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility UNITED Managed Medicaid $1,333.20 — — 2025-09-05 MRF ↗
QUEENS HOSPITAL CENTER OutpatientFacility UNITED Managed Medicaid $1,333.20 — — 2025-09-05 MRF ↗
METROPOLITAN HOSPITAL CENTER OutpatientFacility UNITED Managed Medicaid $1,333.20 — — 2025-09-05 MRF ↗
METROPOLITAN HOSPITAL CENTER OutpatientFacility UNITED Managed Medicaid $1,333.20 — — 2025-09-05 MRF ↗
QUEENS HOSPITAL CENTER OutpatientFacility UNITED Managed Medicaid $1,333.20 — — 2025-09-05 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Johns Hopkins Health Plan Tricare $1,368.87 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Johns Hopkins Health Plan Tricare $1,368.87 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Johns Hopkins Health Plan Tricare $1,368.87 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Johns Hopkins Health Plan Tricare $1,368.87 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Johns Hopkins Health Plan Tricare $1,368.87 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Johns Hopkins Health Plan Tricare $1,368.87 $11,041.96 $5,520.98 2026-01-02 MRF ↗
ARNOT OGDEN MEDICAL CENTER OutpatientFacility Empire All Products MD $1,387.83 — — 2026-03-27 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Veterans Administration Veterans Administration $1,392.69 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Veterans Administration Veterans Administration $1,392.69 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Molina Medicare Advantage $1,392.69 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Veterans Administration Veterans Administration $1,392.69 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Veterans Administration Veterans Administration $1,392.69 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Veterans Administration Veterans Administration $1,392.69 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Veterans Administration Veterans Administration $1,392.69 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Molina Medicare Advantage $1,392.69 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Molina Medicare Advantage $1,392.69 $11,041.96 $5,520.98 2026-01-02 MRF ↗
MCCONE COUNTY HEALTH CENTER OutpatientFacility Rising Medical Solutions Work Comp $1,397.20 — — 2026-01-01 MRF ↗
JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility ANTHEM Quality First $1,402.99 — — 2025-07-01 MRF ↗
JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility ANTHEM Blue Care Prime $1,402.99 — — 2025-07-01 MRF ↗
MCCONE COUNTY HEALTH CENTER OutpatientFacility Majoris Health Systems Work Comp $1,419.98 — — 2026-01-01 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient United Healthcare Medicare Advantage $1,420.54 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient United Healthcare Medicare Advantage $1,420.54 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient United Healthcare Medicare Advantage $1,420.54 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient United Healthcare Medicare Advantage $1,420.54 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $1,420.54 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient United Healthcare Medicare Advantage $1,420.54 $11,041.96 $5,520.98 2026-01-02 MRF ↗
UPLAND HILLS HEALTH OutpatientFacility UHC MEDICARE ADVANTAGE $1,426.22 — — 2026-03-20 MRF ↗
UPLAND HILLS HEALTH OutpatientFacility UHC MEDICARE ADVANTAGE $1,426.22 — — 2026-03-20 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Anthem Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Humana Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Humana Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Humana Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Anthem Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Anthem Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Aetna Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Humana Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Aetna Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Anthem Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Aetna Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Anthem Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Aetna Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Aetna Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Anthem Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Aetna Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Humana Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Humana Medicare Advantage $1,434.47 $11,041.96 $5,520.98 2026-01-02 MRF ↗
MCCONE COUNTY HEALTH CENTER OutpatientFacility Coventry Work Comp $1,442.77 — — 2026-01-01 MRF ↗
MCCONE COUNTY HEALTH CENTER OutpatientFacility Velocity National Provider Network Work Comp $1,442.77 — — 2026-01-01 MRF ↗
WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility Aetna ALL PRODUCTS $1,443.75 — — 2025-09-05 MRF ↗
JACOBI MEDICAL CENTER OutpatientFacility Aetna ALL PRODUCTS $1,443.75 — — 2025-09-05 MRF ↗
QUEENS HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $1,443.75 — — 2025-09-05 MRF ↗
LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility Aetna ALL PRODUCTS $1,443.75 — — 2025-09-05 MRF ↗
ELMHURST HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $1,443.75 — — 2025-09-05 MRF ↗
QUEENS HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $1,443.75 — — 2025-09-05 MRF ↗
BELLEVUE HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $1,443.75 — — 2025-09-05 MRF ↗
METROPOLITAN HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $1,443.75 — — 2025-09-05 MRF ↗
WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility Aetna ALL PRODUCTS $1,443.75 — — 2025-09-05 MRF ↗
JACOBI MEDICAL CENTER OutpatientFacility Aetna ALL PRODUCTS $1,443.75 — — 2025-09-05 MRF ↗
North Central Bronx Hospital OutpatientFacility Aetna ALL PRODUCTS $1,443.75 — — 2025-09-05 MRF ↗
North Central Bronx Hospital OutpatientFacility Aetna ALL PRODUCTS $1,443.75 — — 2025-09-05 MRF ↗
METROPOLITAN HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $1,443.75 — — 2025-09-05 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Sentara Health Plans Medicare Advantage $1,462.33 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Sentara Health Plans Medicare Advantage $1,462.33 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Sentara Health Plans Medicare Advantage $1,462.33 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Sentara Health Plans Medicare Advantage $1,462.33 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Sentara Health Plans Medicare Advantage $1,462.33 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Sentara Health Plans Medicare Advantage $1,462.33 $11,041.96 $5,520.98 2026-01-02 MRF ↗
BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility Corvel Managed WC $1,471.96 — — 2026-02-06 MRF ↗
BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility Coventry Workers Comp Managed WC $1,471.96 — — 2026-02-06 MRF ↗
BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility Coventry Workers Comp Managed WC $1,471.96 — — 2026-02-06 MRF ↗
BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility Corvel Managed WC $1,471.96 — — 2026-02-06 MRF ↗
BAPTIST MEDICAL CENTER BEACHES OutpatientFacility Corvel Managed WC $1,471.96 — — 2026-02-06 MRF ↗
BAPTIST MEDICAL CENTER BEACHES OutpatientFacility Coventry Workers Comp Managed WC $1,471.96 — — 2026-02-06 MRF ↗
Hackensack University Medical Center OutpatientFacility HORIZON MANAGED MEDICAID $1,486.70 — $1,717.72 2025-12-31 MRF ↗
Hackensack University Medical Center OutpatientFacility HORIZON MANAGED MEDICAID $1,486.70 — $1,717.72 2025-12-31 MRF ↗
ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility Horizon New Jersey Health_674 All Commercial Products $1,490.10 — — 2026-02-02 MRF ↗
FORT MEMORIAL HOSPITAL OutpatientFacility United Healthcare All Products Facility $1,512.80 — — 2025-07-22 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility Aetna ALL PRODUCTS $1,522.50 — $1,726.04 2026-09-05 MRF ↗
MASON DISTRICT HOSPITAL Outpatient Humana Medicare $1,530.60 $7,653.00 $6,122.40 2026-08-01 MRF ↗
MASON DISTRICT HOSPITAL Outpatient Uhc Medicare $1,530.60 $7,653.00 $6,122.40 2026-08-01 MRF ↗
MASON DISTRICT HOSPITAL Outpatient Bcbs Medicare $1,530.60 $7,653.00 $6,122.40 2026-08-01 MRF ↗
MASON DISTRICT HOSPITAL Outpatient Cigna Medicare $1,607.13 $7,653.00 $6,122.40 2026-08-01 MRF ↗
PALISADES MEDICAL CENTER OutpatientFacility Horizon Managed Medicaid $1,640.00 — — 2024-12-31 MRF ↗
JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility ANTHEM All Products $1,650.55 — — 2025-07-01 MRF ↗
HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility HEALTHPARTNERS MSHO $1,689.25 — — 2025-12-17 MRF ↗
HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility HEALTHPARTNERS MINNESOTACARE-MANAGED MEDICAID $1,750.61 — — 2025-12-17 MRF ↗
ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility Emblem_762 GHI $1,877.00 — — 2026-02-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Anthem Managed Medicaid $1,884.30 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Aetna Managed Medicaid $1,884.30 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient United Healthcare Managed Medicaid $1,884.30 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Molina Managed Medicaid $1,884.30 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient United Healthcare Managed Medicaid $1,884.30 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Molina Managed Medicaid $1,884.30 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Aetna Managed Medicaid $1,884.30 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Molina Managed Medicaid $1,884.30 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Aetna Managed Medicaid $1,884.30 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient United Healthcare Managed Medicaid $1,884.30 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Aetna Managed Medicaid $1,884.30 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient United Healthcare Managed Medicaid $1,884.30 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Anthem Managed Medicaid $1,896.15 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Aetna Managed Medicaid $1,896.15 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient United Healthcare Managed Medicaid $1,896.15 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient United Healthcare Managed Medicaid $1,896.15 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Aetna Managed Medicaid $1,896.15 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Anthem Managed Medicaid $1,896.15 $11,041.96 $5,520.98 2026-01-02 MRF ↗
ERLANGER MURPHY MEDICAL CENTER OutpatientFacility HUMANA ALL PRODUCTS $1,923.32 — — 2026-01-25 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Sentara Health Plans Managed Medicaid $1,931.78 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Sentara Health Plans Managed Medicaid $1,931.78 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Sentara Health Plans Managed Medicaid $1,931.78 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Sentara Health Plans Managed Medicaid $1,931.78 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Sentara Health Plans Managed Medicaid $1,943.93 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Sentara Health Plans Managed Medicaid $1,943.93 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Humana Managed Medicaid $1,978.51 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Humana Managed Medicaid $1,978.52 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE REGIONAL MEDICAL CENTER Outpatient Humana Managed Medicaid $1,978.52 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient Humana Managed Medicaid $1,978.52 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Humana Managed Medicaid $1,990.95 $11,041.96 $5,520.98 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Humana Managed Medicaid $1,990.95 $11,041.96 $5,520.98 2026-01-02 MRF ↗
COMMUNITY HOSPITAL ASSOCIATION OutpatientFacility United Healthcare All Products $2,015.47 — — 2026-08-21 MRF ↗
ERLANGER MEDICAL CENTER OutpatientFacility HUMANA HUMANACHOICE $2,084.63 — — 2026-01-25 MRF ↗
ERLANGER BLEDSOE HOSPITAL OutpatientFacility HUMANA HUMANACHOICE $2,084.63 — — 2026-01-25 MRF ↗

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