876 — O.r. Procedures With Principal Diagnosis Of Mental Illness
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS (OTHER 876) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/876?code_type=OTHER
MLA (9th ed.)
“O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS (OTHER 876) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/876?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS (OTHER 876) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/876?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,195–$29,339 (25th–75th percentile) across 397 hospitals · 620 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 876 — 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 |
|---|---|---|---|---|---|---|---|
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Medicaid Advantage | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Traditional | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Prestige Health Choice | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Medicaid Advantage | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Florida Kid Care | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Clear Alliance | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Lighthouse Medicaid Advantage | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Healthy Kids | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicaid Advantage | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Hmo | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Youth Services | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Simply Health Medicaid Advantage | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Magellan | Medicaid | $99.40 | — | — | 2026-05-08 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $175.69 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $175.69 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $175.69 | — | — | 2026-03-01 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Blue Choice - Hospital | $215.77 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Hmo - Hospital | $215.77 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Medicaid Of Illinois | Medicaid | $215.77 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Aetna Better Health Of Illinois | Aetna Better Health - Medicaid Hmo | $215.77 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Blue Focus Hmo - Hospital | $215.77 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Aetna Better Health Of Illinois | Aetna Better Health - Medicaid Hmo | $215.77 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | County Care | County Care - Medicaid Hmo | $215.77 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Blue Focus Hmo - Hospital | $215.77 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | County Care | County Care - Medicaid Hmo | $215.77 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Medicaid Of Illinois | Medicaid | $215.77 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Blue Choice - Hospital | $215.77 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Hmo - Hospital | $215.77 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Illinois | Molina Health - Medicaid Hmo | $215.77 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Blue Cross Community Icp - Medicaid - Hmo | $215.77 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Meridian Health Plan Of Illinois | Meridian Health - Medicaid Hmo | $215.77 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Illinois | Molina Health - Medicaid Hmo | $215.77 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Broad Ppo - Hospital | $215.77 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Blue Cross Community Icp - Medicaid - Hmo | $215.77 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Broad Ppo - Hospital | $215.77 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Meridian Health Plan Of Illinois | Meridian Health - Medicaid Hmo | $215.77 | — | — | 2026-05-08 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $606.00 | — | — | 2026-08-01 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $606.00 | — | — | 2026-07-31 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $606.00 | — | — | 2026-07-31 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $606.00 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $656.00 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $656.00 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $656.00 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $656.00 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $656.00 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $656.00 | — | — | 2026-08-01 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $656.00 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $656.00 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $657.00 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Bcbs - Tx|Premier | — | $682.00 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Bcbs - Tx|Premier | — | $682.00 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Bcbs - Tx|Premier | — | $682.00 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Bcbs - Tx|Premier | — | $682.00 | — | — | 2026-07-30 | MRF ↗ |
| Baylor St Lukes Medical Center | Commercial|Bcbs - Tx|Premier | — | $683.00 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Commercial|Bcbs - Tx|Premier | — | $702.00 | — | — | 2026-07-31 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Commercial|Bcbs - Tx|Premier | — | $702.00 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Commercial|Bcbs - Tx|Premier | — | $702.00 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Commercial|Bcbs - Tx|Hmo | — | $713.00 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicare|United|All Plans | — | $715.00 | — | — | 2026-08-01 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Hmo | — | $744.00 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Commercial|Bcbs - Tx|Hmo | — | $744.00 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Commercial|Bcbs - Tx|Hmo | — | $744.00 | — | — | 2026-07-30 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Hmo | — | $744.00 | — | — | 2026-07-31 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Commercial|Bcbs - Tx|Hmo | — | $744.00 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Bcbs - Tx|Hmo | — | $744.00 | — | — | 2026-07-31 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Hmo | — | $744.00 | — | — | 2026-08-01 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Bcbs - Tx|Hmo | — | $744.00 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Commercial|Bcbs - Tx|Hmo | — | $744.00 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Bcbs - Tx|Hmo | — | $744.00 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Bcbs - Tx|Hmo | — | $744.00 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Commercial|Bcbs - Tx|Hmo | — | $744.00 | — | — | 2026-07-30 | MRF ↗ |
| Baylor St Lukes Medical Center | Commercial|Bcbs - Tx|Hmo | — | $745.00 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $767.00 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Commercial|Bcbs - Tx|Ppo Pos | — | $792.00 | — | — | 2026-08-01 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Bcbs - Tx|Ppo Trad | — | $826.00 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Commercial|Bcbs - Tx|Ppo Trad | — | $826.00 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Commercial|Bcbs - Tx|Ppo Trad | — | $826.00 | — | — | 2026-07-31 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Ppo | — | $826.00 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Bcbs - Tx|Ppo Trad | — | $826.00 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Bcbs - Tx|Ppo Trad | — | $826.00 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Commercial|Bcbs - Tx|Ppo Trad | — | $826.00 | — | — | 2026-07-30 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Ppo | — | $826.00 | — | — | 2026-08-01 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Bcbs - Tx|Ppo Trad | — | $826.00 | — | — | 2026-07-31 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Commercial|Bcbs - Tx|Ppo Trad | — | $826.00 | — | — | 2026-08-01 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Ppo | — | $826.00 | — | — | 2026-07-31 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Commercial|Bcbs - Tx|Ppo | — | $826.00 | — | — | 2026-07-30 | MRF ↗ |
| Baylor St Lukes Medical Center | Commercial|Bcbs - Tx|Ppo Trad | — | $827.00 | — | — | 2026-07-31 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $843.34 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $843.34 | — | — | 2026-03-12 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $854.81 | — | — | 2026-01-01 | MRF ↗ |
| READING HOSPITAL Outpatient | Humana Military | Tricare | $882.10 | — | — | 2026-07-15 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $906.93 | — | — | 2026-01-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $937.04 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $937.04 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $937.04 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $937.04 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $937.04 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $937.04 | — | — | 2026-03-01 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $985.12 | — | — | 2026-09-11 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $995.49 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $995.49 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $995.60 | — | — | 2026-03-01 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Keystone First | Medicare/Snp | $1,022.65 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Capital Blue Cross | Medicare | $1,023.06 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | United Healthcare | Medicare | $1,023.06 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Independence Blue Cross | Medicare | $1,023.06 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | United Healthcare | Va Community Care | $1,023.06 | — | — | 2026-07-17 | MRF ↗ |
| READING HOSPITAL Outpatient | Health America | Medicare | $1,027.17 | — | — | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Outpatient | Upmc | Medicare | $1,027.38 | — | — | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Outpatient | United Healthcare | Va Community Care | $1,037.76 | — | — | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Outpatient | Independence Blue Cross | Medicare | $1,037.76 | — | — | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Outpatient | Highmark | Medicare | $1,037.76 | — | — | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Outpatient | United Healthcare | Medicare | $1,037.76 | — | — | 2026-07-15 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | AETNA MEDICARE 1300 | AETNA MEDICARE 130001 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | AETNA MEDICARE 1300 | AETNA MEDICARE 130001 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Aetna | Medicare | $1,042.45 | — | — | 2026-09-11 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicare | $1,042.45 | — | — | 2026-09-11 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 HMO / POS | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 | HIGHMARK BCBS MEDICARE 130101 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | ELDERPLAN 1316 | ELDERPLAN 131601 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 | HIGHMARK BCBS MEDICARE 130101 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Humana | Senior Advantage Medicare | $1,042.45 | — | — | 2026-09-11 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | United Health Care | Medicare | $1,042.45 | — | — | 2026-09-11 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | AETNA MEDICARE 1300 | AETNA MEDICARE 130001 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH MEDICARE 1305 | INDEPENDENT HEALTH MEDICARE 130501 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Caremore Health | Medicare | $1,042.45 | — | — | 2026-09-11 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $1,042.45 | — | — | 2026-09-11 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 HMO / POS | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 | HIGHMARK BCBS MEDICARE 130101 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | TOTAL SENIOR CARE 1319 | TOTAL SENIOR CARE 131901 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | TOTAL SENIOR CARE 1319 | TOTAL SENIOR CARE 131901 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Select Health | Medicare | $1,042.45 | — | — | 2026-09-11 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 INDEMNITY / PPO | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 | HIGHMARK BCBS MEDICARE 130101 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 INDEMNITY / PPO | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $1,042.45 | — | — | 2026-01-01 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Devoted Health | Medicare | $1,042.70 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Provider Partners | Medicare | $1,043.52 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Vibra | Medicare | $1,043.52 | — | — | 2026-07-17 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Va Contract | Va Contract | $1,053.71 | — | — | 2026-05-06 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $1,054.17 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $1,054.17 | — | — | 2026-03-12 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $1,054.17 | — | — | 2026-03-01 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Outpatient | Humana | Medicare Advantage | $1,056.73 | — | — | 2026-07-17 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Outpatient | Keystone First | Medicare/Snp | $1,056.73 | — | — | 2026-07-17 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Outpatient | United Healthcare | Va Community Care | $1,057.15 | — | — | 2026-07-17 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Outpatient | Capital Blue Cross | Medicare | $1,057.15 | — | — | 2026-07-17 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Outpatient | Independence Blue Cross | All Medicare Plans | $1,057.15 | — | — | 2026-07-17 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Outpatient | United Healthcare | Medicare | $1,057.15 | — | — | 2026-07-17 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Outpatient | Health America | Medicare | $1,057.15 | — | — | 2026-07-17 | MRF ↗ |
| READING HOSPITAL Outpatient | Devoted Health | Medicare | $1,057.68 | — | — | 2026-07-15 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $1,063.30 | — | — | 2026-09-11 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Humana | Gold Medicare | $1,063.30 | — | — | 2026-09-11 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Highmark | Medicare | $1,063.47 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Cigna | All Medicare Plans | $1,063.98 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Geisinger | Medicare | $1,063.98 | — | — | 2026-07-17 | MRF ↗ |
| READING HOSPITAL Outpatient | Capital Blue Cross | Medicare | $1,065.91 | — | — | 2026-07-15 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Pa Health And Wellness | Medicare | $1,074.21 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Health Partners | Medicare | $1,074.21 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Upmc | Medicare | $1,074.21 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Gateway | Medicare/Dsnip | $1,074.21 | — | — | 2026-07-17 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Peak Health | Commercial | $1,075.02 | $1,433.36 | $1,433.36 | 2026-05-06 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Outpatient | Devoted Health | Medicare | $1,077.45 | — | — | 2026-07-17 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Outpatient | Vibra | Medicare | $1,078.29 | — | — | 2026-07-17 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Outpatient | Provider Partners | Medicare | $1,078.29 | — | — | 2026-07-17 | MRF ↗ |
| READING HOSPITAL Outpatient | Geisinger | Medicare | $1,079.27 | — | — | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Outpatient | Amerihealth Caritas | Medicare | $1,079.27 | — | — | 2026-07-15 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Medicare | $1,084.15 | — | — | 2026-09-11 | MRF ↗ |
| READING HOSPITAL Outpatient | Humana | Medicare | $1,089.65 | — | — | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Outpatient | Health Partners | Medicare | $1,089.65 | — | — | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Outpatient | Pa Health & Wellness | Medicare | $1,089.65 | — | — | 2026-07-15 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Humana | Medicare Hmo&Ppo | $1,094.67 | — | — | 2026-07-17 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Outpatient | Cigna | All Medicare Plans | $1,099.44 | — | — | 2026-07-17 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Outpatient | Geisinger | Medicare | $1,099.44 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Sunrise | Medicare | $1,102.86 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Aetna | Medicare | $1,104.90 | — | — | 2026-07-17 | 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.