87901 — Nfct Agt Gntyp Alys Hiv1 Rev
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Nfct agt gntyp alys hiv1 rev (OTHER 87901) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/87901?code_type=OTHER
MLA (9th ed.)
“Nfct agt gntyp alys hiv1 rev (OTHER 87901) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/87901?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Nfct agt gntyp alys hiv1 rev (OTHER 87901) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/87901?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $257–$552 (25th–75th percentile) across 259 hospitals · 773 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 87901 — 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 |
|---|---|---|---|---|---|---|---|
| FRANKLIN HOSPITAL Both | Health Alliance Medical Plans Mcr Adv | Medicare Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Aetna Better Health Of Il Illinicare | Medicaid Replacement | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Medicare A Il J6 | Default | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Meridian Health Plan Of Il Mcd Dos Gt 06302021 | Medicaid Replacement | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Blue Cross Blue Shield Of Il | Medicaid Replacement | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Meridian Health Plan Of Il Mcd Dos Gt 06302021 | Medicaid Replacement | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Health Alliance Medical Plans Mcr Adv | Medicare Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Medicaid Illinois | Medicaid Replacement | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | United Healthcare | Medicare Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Cigna | Medicare Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Medicare A Il J6 | Default | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Molina Healthcare Of Il | Medicaid Replacement | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Aetna Better Health Of Il Illinicare | Medicaid Replacement | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Cigna | Medicare Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Alliance Coal Health Plan | Default | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Blue Cross Blue Shield Of Il | Medicaid Replacement | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Alliance Coal Health Plan | Default | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Medicaid Illinois | Medicaid Replacement | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Molina Healthcare Of Il | Medicaid Replacement | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | United Healthcare | Medicare Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $5.00 | — | — | 2026-05-23 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare Comm. | — | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Op Plans | — | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Op | — | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Cigna | Hmo Ppo Healthpartners Plans | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $5.18 | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Ip | — | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Ip | — | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Ip Plans | — | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Op | — | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Ip | — | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Ip | — | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Op | — | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Op | — | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | All Sentara Comm. Plans | — | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare Comm. | — | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $5.18 | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $5.18 | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $5.18 | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $5.23 | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $5.23 | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $5.28 | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $5.28 | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $5.34 | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $5.34 | $3,195.00 | $1,054.35 | 2026-05-13 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $18.27 | $2,151.00 | $1,097.01 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Harvard Pilgrim | All Plans | $18.54 | $2,151.00 | $1,097.01 | 2025-01-10 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $25.03 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $25.03 | — | — | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Ip | — | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Op | — | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Ip | — | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Ip Plans | — | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Op Plans | — | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $25.81 | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Op | — | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Ip Plans | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $25.81 | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Op Plans | — | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Both | Humana | Managed Care | $25.96 | $118.00 | $47.20 | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Both | Humana | Managed Care | $26.00 | $118.00 | $47.20 | 2026-05-13 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $26.33 | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $26.58 | $3,195.00 | $1,054.35 | 2026-05-09 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Humana Midlands | Commercial | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Ambetter | Commercial | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Countryside Home | Commercial | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Health Partners Midlands | Commercial | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Molina | Managed Medicaid | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Midlands Choice | Other | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Aetna | Commercial | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Mhnet | Commercial | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Blue Cross Blue Shield Of Ne | Commercial | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Coventry | Commercial | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Assurant Health | Commercial | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Midlands Choice | Commercial | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Medica | Commercial | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Cigna | Commercial | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Avera Health Plan | Commercial | — | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | United Healthcare | Commercial | $26.91 | $2,040.00 | $1,277.04 | 2026-05-14 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Harvard Pilgrim | All Plans | $27.47 | $2,151.00 | $1,097.01 | 2025-01-10 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Primecare | Managed Care | $27.89 | $184.00 | $74.00 | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Both | Av Med | Managed Care | $41.00 | $118.00 | $47.20 | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Both | Av Med | Managed Care | $41.30 | $118.00 | $47.20 | 2026-05-06 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $47.74 | $6,133.00 | $613.30 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $47.74 | $6,133.00 | $613.30 | 2026-05-27 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $47.74 | $6,133.00 | $613.30 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $47.74 | $6,133.00 | $613.30 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $47.74 | $6,133.00 | $613.30 | 2026-05-09 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $48.73 | $2,151.00 | $774.36 | 2026-01-01 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Medcost | Managed Care | $52.92 | $161.00 | $64.40 | 2026-05-06 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Health Net | Qhp | $54.00 | $184.00 | $74.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Health Net | Hmo | $57.22 | $184.00 | $74.00 | 2026-05-13 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Aetna Cofinity Meritain | All Commercial Plans | — | $91.00 | $72.80 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Blue Cross | All Commercial Plans | — | $91.00 | $72.80 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Health2Business | Tier 1 Sanilac County | — | $91.00 | $72.80 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Meritain | Domestic | — | $91.00 | $72.80 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | United Healthcare | All Commercial Plans | — | $91.00 | $72.80 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Priority Health | All Commercial Plans | — | $91.00 | $72.80 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Hap | All Commercial Plans | — | $91.00 | $72.80 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Medicare Advantage | All Plans | — | $91.00 | $72.80 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Mclaren | All Commercial Plans | — | $91.00 | $72.80 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Blue Care Network | All Commercial Plans | — | $91.00 | $72.80 | 2026-05-06 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Kaiser | Managed Care | $59.62 | $184.00 | $74.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Heritage | Managed Care | $62.82 | $184.00 | $74.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Heritage | Qhp | $62.82 | $184.00 | $74.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Cigna | Managed Care | $66.06 | $184.00 | $74.00 | 2026-05-13 | MRF ↗ |
| BEAR VALLEY COMMUNITY HOSPITAL Both | Medicare A Ca Je | Default | $66.64 | $200.00 | $140.00 | 2026-05-08 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Both | Multiplan | Managed Care | $67.00 | $118.00 | $47.20 | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $70.70 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $70.70 | — | — | 2026-05-13 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $71.77 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $71.77 | — | — | 2026-05-27 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Ppo | $72.20 | $644.00 | $450.80 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Hmo | $72.20 | $644.00 | $450.80 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Hmo | $72.20 | $644.00 | $450.80 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Ppo | $72.20 | $644.00 | $450.80 | 2026-05-14 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $73.92 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $73.92 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $73.92 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $73.92 | — | — | 2026-05-27 | MRF ↗ |
| BEAR VALLEY COMMUNITY HOSPITAL Both | Medicare A Ca Je | Default | $75.12 | $225.43 | $157.80 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $75.15 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $75.15 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $75.15 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $75.15 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $75.15 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $75.15 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $75.15 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $75.15 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $75.15 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $75.15 | — | — | 2026-05-08 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Tricare | Tricare | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Humana | Humana Medicare | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Medcost | Medcost | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Uhc | Managed Medicare 100% | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Managed Medicare 100% | Managed Medicare 100% | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Ambetter | Ambetter | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | First Health | Coventry Carelink | $75.51 | — | — | 2026-05-06 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Devoted Health | Devoted | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Crescent | Crescent - Mission Hospital | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Caresource | Caresource Hix | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Americas First Choice | Managed Medicare 100% | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Amerihealth Caritas Health Plan | Amerihealth | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Humana | Humana | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Wellpath | Wellpath - Large Group | $75.51 | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | First Health | Coventry Carelink | $75.51 | — | — | 2026-05-09 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Bcbs Of Nc | Managed Medicare 100% | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Crescent | Crescent - Wells Fargo | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Pyramid | Managed Medicare 100% | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Aetna | Managed Medicare 100% | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Wellpath | Wellpath - Small Group | $75.51 | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Universal Health Netowrk | Managed Medicare 100% | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Phcs | Phcs | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Secure Horizons | Managed Medicare 100% | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| RUTHERFORD REGIONAL MEDICAL CENTER Outpatient | Veterans Admin - Governmental | Managed Medicare 100% | — | $1,110.12 | $444.05 | 2026-05-22 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Lincs | 29030808 | $76.52 | $643.63 | $321.82 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Cn | 29030748 | $76.52 | $643.63 | $321.82 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Uhc Shared Services | 29042477 | — | $643.63 | $321.82 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Choice | 29030731 | $76.52 | $643.63 | $321.82 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Preferred | 29030781 | $76.52 | $643.63 | $321.82 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Miscellaneous United Healthcare | 28186640 | — | $643.63 | $321.82 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Advantage | 29030860 | $76.52 | $643.63 | $321.82 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl United Healthcare | 29045755 | — | $643.63 | $321.82 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Traditional | 29030835 | $76.52 | $643.63 | $321.82 | 2026-05-14 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $77.40 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Ambetter Health | Ambetter Commercial - Exchange | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $77.40 | — | — | 2026-05-23 | 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.