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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81162 — Brca1&2 Gen Full Seq Dup/del

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 $1,916

Usually $1,825–$2,965 (25th–75th percentile) across 222 hospitals · 710 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER 81162 — 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
NEW LONDON HOSPITAL Outpatient Cigna Cigna Hmo-Pos-Ppo $5.00 2026-05-23 MRF ↗
NORTH RUNNELS HOSPITAL Both United Healthcare Default $20.00 $222.00 $155.40 2026-05-13 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $20.40 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $20.40 $85.00 $51.00 2026-05-24 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both All Sentara Ip Plans $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Gateway Health Ip $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Gateway Health Ip $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both All Sentara Op Plans $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Medcost Op $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Aetna Meritain Centra Employee Ip Op Plans $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Cigna Ip Hmo Ppo Healthpartners Plans $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Aetna Better Health Medicaid Plans $23.85 $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Aetna Meritain Centra Employee Ip Op Plans $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Aetna Ppo Meritain Health Carilion Employee Exchange Ip Plans $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Aetna Better Health Medicaid Plans $23.85 $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Aetna Ppo Meritain Health Carilion Employee Exchange Op Plans $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Anthem Healthkeepers Medicaid Plans $23.85 $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Anthem Healthkeepers Medicaid Plans $23.85 $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both United Healthcare Comm. $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Gateway Health Op $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Cigna Hmo Ppo Healthpartners Plans $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Medcost Ip $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Medcost Op $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Gateway Health Op $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Cigna Op Hmo Ppo Healthpartners Plans $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Medcost Ip $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Aetna Ppo Meritain Health Carilion Employee Exchange Ip Plans $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Aetna Ppo Meritain Health Carilion Employee Exchange Op Plans $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both All Sentara Comm. Plans $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both United Healthcare Comm. $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Standard_Charge|Sentara_Medicaid| Negotiated_Dollar $24.09 $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Standard_Charge|Sentara_Medicaid| Negotiated_Dollar $24.09 $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar $24.33 $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar $24.33 $6,450.00 $2,128.50 2026-05-13 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Molina Medicaid $24.57 $6,450.00 $2,128.50 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Molina Medicaid $24.57 $6,450.00 $2,128.50 2026-05-13 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Springfield Health Commercial $69.70 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Springfield Health Commercial $69.70 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Trilogy Commercial $72.25 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Commercial $72.25 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Trilogy Commercial $72.25 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Current Commercial $72.25 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Current Commercial $72.25 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Consociate Commercial $72.25 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Commercial $72.25 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Consociate Commercial $72.25 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $75.65 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $75.65 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Blue Choice Commercial $76.50 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Humana Commercial $76.50 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Hfn Commercial $76.50 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Blue Choice Commercial $76.50 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Hfn Commercial $76.50 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Healthlink Commercial $76.50 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Healthlink Commercial $76.50 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Current Health Commercial $76.50 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient United Healthcare Commercial $76.50 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Humana Commercial $76.50 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient United Healthcare Commercial $76.50 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Current Health Commercial $76.50 $85.00 $51.00 2026-05-24 MRF ↗
Ballard Rehabilitation Hospital Inpatient Standard_Charge |Blue_Shield|65_Plus_Medicare_Advantage|Negotiated_Percentage $77.80 $22,035.15 $22,035.15 2026-05-08 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Healthlink Commercial $79.90 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Healthlink Commercial $79.90 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Preferred Plan Commercial $80.75 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Preferred Plan Commercial $80.75 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $85.00 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $85.00 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $85.00 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $85.00 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $85.00 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Blue Cross Blue Shield Commercial $85.00 $85.00 $51.00 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $85.00 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $85.00 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $85.00 $85.00 $51.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Inpatient Blue Cross Blue Shield Commercial $85.00 $85.00 $51.00 2026-05-24 MRF ↗
BRIDGEPORT HOSPITAL Outpatient Medicaid Managed UHC All Plans $92.98 $10,949.28 $5,584.13 2025-01-10 MRF ↗
NORTH RUNNELS HOSPITAL Both Superior Health Plan Of Tx Mcd Rep Medicaid Replacement $97.90 $222.00 $155.40 2026-05-13 MRF ↗
BRIDGEPORT HOSPITAL Outpatient Harvard Pilgrim All Plans $100.32 $10,949.28 $5,584.13 2025-01-10 MRF ↗
NORTH RUNNELS HOSPITAL Both Medicare A Tx And Indian Health Services Jh Default $106.60 $222.00 $155.40 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Blue Cross All Plans $111.43 $100.29 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Blue Cross All Plans $111.43 $100.29 2026-05-13 MRF ↗
BRIDGEPORT HOSPITAL Outpatient Harvard Pilgrim All Plans $120.93 $10,949.28 $5,584.13 2025-01-10 MRF ↗
Arkansas Children's Hospital Outpatient Arkansas Total Care Medicaid $125.20 $125.20 $112.68 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Summitt Medicaid $125.20 $125.20 $112.68 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Care Source Medicaid $125.20 $125.20 $112.68 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Summitt Medicaid $125.20 $125.20 $112.68 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Empower Medicaid $125.20 $125.20 $112.68 2026-05-23 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Empower Medicaid $125.20 $125.20 $112.68 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient Arkansas Total Care Medicaid $125.20 $125.20 $112.68 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Care Source Medicaid $125.20 $125.20 $112.68 2026-05-13 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Summitt Medicaid $125.20 $125.20 $112.68 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Arkansas Total Care Medicaid $125.20 $125.20 $112.68 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Care Source Medicaid $125.20 $125.20 $112.68 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient Empower Medicaid $125.20 $125.20 $112.68 2026-05-13 MRF ↗
DONALSONVILLE HOSPITAL INC Both Blue Cross Blue Shield Of Ga Anthem Default $4,888.00 $4,154.80 2026-05-08 MRF ↗
DONALSONVILLE HOSPITAL INC Both United Healthcare Default $4,888.00 $4,154.80 2026-05-08 MRF ↗
DONALSONVILLE HOSPITAL INC Both Ambetter Hmo $130.00 $4,888.00 $4,154.80 2026-05-08 MRF ↗
DONALSONVILLE HOSPITAL INC Both Humana Default $4,888.00 $4,154.80 2026-05-08 MRF ↗
DONALSONVILLE HOSPITAL INC Both Umr United Medical Resources Default $4,888.00 $4,154.80 2026-05-08 MRF ↗
DONALSONVILLE HOSPITAL INC Both Aetna Default $4,888.00 $4,154.80 2026-05-08 MRF ↗
DONALSONVILLE HOSPITAL INC Both Alliant Health Plans Default $140.00 $4,888.00 $4,154.80 2026-05-08 MRF ↗
UNIONTOWN HOSPITAL Outpatient University Of Pittsburgh Medical Ctr Health Plan University Of Pittsburgh Medical Ctr Health Plan $171.55 $2,400.00 $1,200.00 2026-05-13 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Bcbs Commercial $174.01 2026-05-09 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Bcbs Exchange $174.01 2026-05-09 MRF ↗
NORTH RUNNELS HOSPITAL Both Blue Cross Blue Shield Of Tx Default $199.80 $222.00 $155.40 2026-05-13 MRF ↗
NORTH RUNNELS HOSPITAL Both Medicare B Tx Jh Default $217.56 $222.00 $155.40 2026-05-13 MRF ↗
NORTH RUNNELS HOSPITAL Both Cigna Default $222.00 $222.00 $155.40 2026-05-13 MRF ↗
LAWRENCE & MEMORIAL HOSPITAL Outpatient Medicaid Managed - UHC All Plans $248.05 $10,949.28 $3,941.74 2026-01-01 MRF ↗
Arkansas Children's Hospital Outpatient Ambetter, Qualchoice Novasys All Plans $369.79 $332.81 2026-05-23 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Care Source Medicaid $369.79 $369.79 $332.81 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient American Lifecare All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient First Community Bank Corp Benefit All Plans $369.79 $332.81 2026-05-13 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Zelis All Plans $369.79 $332.81 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient Sharp All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient American Ppo Inc. All Plans $369.79 $332.81 2026-05-23 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient American Lifecare All Plans $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Sharp All Plans $369.79 $332.81 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient Usa Managed Care All Plans $369.79 $332.81 2026-05-23 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient American Ppo Inc. All Plans $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Healthscope Benefits All Plans $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Vantage Health All Plans $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Usa Managed Care All Plans $369.79 $332.81 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient Municipal Health Benefit Fund All Plans $369.79 $332.81 2026-05-23 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Arkansas Total Care Medicaid $369.79 $369.79 $332.81 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient Empower Medicaid $369.79 $369.79 $332.81 2026-05-13 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Empower Medicaid $369.79 $369.79 $332.81 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient Cigna Accn Network All Plans $369.79 $332.81 2026-05-23 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient First Community Bank Corp Benefit All Plans $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Cigna Accn Network All Plans $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Municipal Health Benefit Fund All Plans $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Three Rivers Provider Network All Plans $369.79 $332.81 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient Vantage Health All Plans $369.79 $332.81 2026-05-23 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient White River Health System All Plans $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Ambetter, Qualchoice And Novasys Health All Plan $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Vantos Health System All Plans $369.79 $332.81 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient White River Health System All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Healthscope Benefits All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Vantos Health System All Plans $369.79 $332.81 2026-05-13 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Ppo Plus (Stratose) All Plans $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Summitt Medicaid $369.79 $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Mercy Managed Care All Plans $369.79 $332.81 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient First Community Bank Corp Benefit All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Cigna All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Summitt Medicaid $369.79 $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Multiplan All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient United Healthcare All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Vantos Health System All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Ppo Plus (Stratose) All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient First Health All Plans $369.79 $332.81 2026-05-13 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Health Partners Pho All Plans $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Phcs All Plans $369.79 $332.81 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient Ppo Plus (Stratose) All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Care Source Medicaid $369.79 $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Three Rivers Provider Network All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Aetna All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Health Partners Pho All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Ambetter, Qualchoice Novasys All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Phcs All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Mercy Managed Care All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Blue Cross All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Phcs All Plans $369.79 $332.81 2026-05-23 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Cigna All Plans $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient United Healthcare All Plans $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Multiplan All Plans $369.79 $332.81 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient First Health All Plans $369.79 $332.81 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient Mercy Managed Care All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Blue Cross All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Municipal Health Benefit Fund All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Cigna Accn Network All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Health Partners Pho All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Usa Managed Care All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient American Ppo Inc. All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Summitt Medicaid $369.79 $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Care Source Medicaid $369.79 $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Vantage Health All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient American Lifecare All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient White River Health System All Plans $369.79 $332.81 2026-05-23 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Aetna All Plans $369.79 $332.81 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient Cigna All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Arkansas Total Care Medicaid $369.79 $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Empower Medicaid $369.79 $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient United Healthcare All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Healthscope Benefits All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Three Rivers Provider Network All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Arkansas Total Care Medicaid $369.79 $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Zelis All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Multiplan All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Aetna All Plans $369.79 $332.81 2026-05-23 MRF ↗
Arkansas Children's Hospital Outpatient Zelis All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Sharp All Plans $369.79 $332.81 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient First Health All Plans $369.79 $332.81 2026-05-23 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Arkansas Total Care Medicaid $376.72 $376.72 $339.05 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Care Source Medicaid $376.72 $376.72 $339.05 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Empower Medicaid $376.72 $376.72 $339.05 2026-05-09 MRF ↗
ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient Summitt Medicaid $376.72 $376.72 $339.05 2026-05-09 MRF ↗
Arkansas Children's Hospital Outpatient Empower Medicaid $376.72 $376.72 $339.05 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Care Source Medicaid $376.72 $376.72 $339.05 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Arkansas Total Care Medicaid $376.72 $376.72 $339.05 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Summitt Medicaid $376.72 $376.72 $339.05 2026-05-13 MRF ↗
Arkansas Children's Hospital Outpatient Arkansas Total Care Medicaid $376.72 $376.72 $339.05 2026-05-23 MRF ↗

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