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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92990 — Revision Of Pulmonary Valve

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 $10,258

Usually $4,815–$16,398 (25th–75th percentile) across 29 hospitals · 139 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER 92990 — 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
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $538.04 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $538.04 — — 2026-05-24 MRF ↗
NEW LONDON HOSPITAL Outpatient Wellsense Health Plan Wellsense - Nh Managed Medicaid $608.96 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Granite State Health Plan New Hampshire Healthy Families - Nh Managed Medicaid $608.96 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Amerihealth Caritas Nh Amerihealth Caritas - Nh Managed Medicaid $614.87 — — 2026-05-23 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Arkansas Medicaid Rate — $646.25 $15,336.00 $11,502.00 2026-05-13 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Arkansas Medicaid Rate — $646.25 $15,336.00 $11,502.00 2026-05-24 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both Medicaid Professional Facility $687.56 $2,149.00 $1,074.50 2026-05-09 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $798.12 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $798.12 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $798.12 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $798.12 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Commercial $803.62 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Commercial $803.62 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $806.61 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $806.61 — — 2026-05-14 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Tricare Commercial $818.93 $15,336.00 $11,502.00 2026-05-13 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Tricare Commercial $818.93 $15,336.00 $11,502.00 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $826.36 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $826.36 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $826.36 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $826.36 — — 2026-05-24 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Superior Medicaid $845.22 $21,886.00 $8,754.40 2026-05-08 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Superior Medicaid $845.22 $21,886.00 $8,754.40 2026-05-08 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Molina Medicaid $845.22 $21,886.00 $8,754.40 2026-05-08 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Superior Medicaid $845.22 $21,886.00 $8,754.40 2026-05-08 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Molina Medicaid $845.22 $21,886.00 $8,754.40 2026-05-08 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Molina Medicaid $845.22 $21,886.00 $8,754.40 2026-05-08 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $845.58 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $845.58 — — 2026-05-14 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Amerigroup Medicaid $848.16 $21,886.00 $8,754.40 2026-05-08 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Amerigroup Medicaid $848.16 $21,886.00 $8,754.40 2026-05-08 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Amerigroup Medicaid $848.16 $21,886.00 $8,754.40 2026-05-08 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $849.06 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $849.06 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $849.06 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $849.06 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $849.06 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $849.06 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $849.06 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $849.06 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $849.06 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $849.06 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $849.06 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $849.06 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $849.06 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $849.06 — — 2026-05-14 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Tenncare Select $857.30 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Tenncare Select $857.30 — — 2026-05-13 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $866.04 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $866.04 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $866.04 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $866.04 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Humana Mcr Advantage $874.54 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Uhc Mcr Advantage $874.54 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Humana Mcr Advantage $874.54 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $874.54 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Uhc Mcr Advantage $874.54 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $874.54 — — 2026-05-14 MRF ↗
NEW LONDON HOSPITAL Outpatient Martin'S Point Health Care Martin'S Point - Us Family Health Plan $874.62 — — 2026-05-23 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $896.73 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $896.73 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $896.73 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $896.73 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $896.73 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $896.73 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $896.73 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $896.73 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $896.73 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $896.73 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $896.73 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $896.73 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $896.73 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $896.73 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $896.73 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $896.73 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $896.73 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $896.73 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $896.73 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $896.73 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $896.73 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $896.73 — — 2026-05-24 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcr Advantage $916.99 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcr Advantage $916.99 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Security Blue Mcr Adv $925.48 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Security Blue Mcr Adv $925.48 — — 2026-05-23 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Blue Cross Coverkids $928.98 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Blue Cross Coverkids $928.98 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Bluecare Commercial (Tenncare) $934.87 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Bluecare Commercial (Tenncare) $934.87 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Medicare Advantage $957.41 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Medicare Advantage $957.41 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Dsnp $964.31 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Dsnp $964.31 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Choicecare Ma Ppo $973.29 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Humana Ma Hmo Ppo Pffs $973.29 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellcare Medicare Advantage $973.29 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Blue Cross Medicare Advantage $973.29 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Humana Ma Hmo Ppo Pffs $973.29 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both American Health Medadv Hmo Isnp $973.29 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Nhc Medicare Advantage $973.29 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Choicecare Ma Ppo $973.29 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both American Health Medadv Hmo Isnp $973.29 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Blue Cross Medicare Advantage $973.29 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Nhc Medicare Advantage $973.29 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellcare Medicare Advantage $973.29 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Cigna Medicare Advantage $980.33 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Cigna Medicare Advantage $980.33 — — 2026-05-24 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Arkansas Total Care Passe $982.30 $15,336.00 $11,502.00 2026-05-13 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Caresource Passe $982.30 $15,336.00 $11,502.00 2026-05-13 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Empower Passe $982.30 $15,336.00 $11,502.00 2026-05-13 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Summit Community Care Passe $982.30 $15,336.00 $11,502.00 2026-05-13 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Caresource Passe $982.30 $15,336.00 $11,502.00 2026-05-24 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Summit Community Care Passe $982.30 $15,336.00 $11,502.00 2026-05-24 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Arkansas Total Care Passe $982.30 $15,336.00 $11,502.00 2026-05-24 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Empower Passe $982.30 $15,336.00 $11,502.00 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Aetna Medicare Advantage $992.76 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Aetna Medicare Advantage $992.76 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Signature Medicare Advantage $1,002.49 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Signature Medicare Advantage $1,002.49 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellpoint Medicare Advantage $1,002.49 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellpoint Medicare Advantage $1,002.49 — — 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc Health Plan (Individual/Employer Provided) $1,009.23 $39,609.00 $9,569.53 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc First Care $1,009.23 $39,609.00 $9,569.53 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc First Care $1,009.23 $39,609.00 $9,569.53 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc Advantage � Premium Network (Bronze/Silver/Gold/Platinum) $1,009.23 $39,609.00 $9,569.53 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc Advantage � Premium Network (Bronze/Silver/Gold/Platinum) $1,009.23 $39,609.00 $9,569.53 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc Total Advantage $1,009.23 $39,609.00 $9,569.53 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc My Care Advantage $1,009.23 $39,609.00 $9,569.53 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc Health Plan (Individual/Employer Provided) $1,009.23 $39,609.00 $9,569.53 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc My Care Advantage $1,009.23 $39,609.00 $9,569.53 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Upmc Upmc Total Advantage $1,009.23 $39,609.00 $9,569.53 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Tenncare $1,015.06 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Tenncare $1,015.06 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Devoted Health Medicare Advantage $1,021.96 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Devoted Health Medicare Advantage $1,021.96 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Upmc Health Plan Commercial $1,021.96 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Upmc Health Plan Commercial $1,021.96 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellpoint Tenncare $1,031.98 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellpoint Tenncare $1,031.98 — — 2026-05-24 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both Medicare Professional $1,039.15 $2,149.00 $1,074.50 2026-05-09 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem Indiv Qhp - Exchange $1,072.45 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Wellsense Health Plan Wellsense - Nh Managed Medicaid $1,074.51 $2,674.91 $1,222.43 2026-05-23 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Tenncare Select $1,097.02 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Aetna Commercial — — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Tenncare Select $1,097.02 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Coventry Hmo/Pos/Ppo — — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Coventry Hmo/Pos/Ppo — — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Aetna Commercial — — — 2026-05-24 MRF ↗
MARSHALL MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Tennessee Medicaid $1,147.90 — — 2026-05-08 MRF ↗
MARSHALL MEDICAL CENTER Outpatient Humana Commercial — — — 2026-05-08 MRF ↗
Wayne Medical Center Outpatient Blue Cross Blue Shield Of Tennessee Medicaid $1,147.90 — — 2026-05-13 MRF ↗
Wayne Medical Center Outpatient Blue Cross Blue Shield Of Tennessee Medicaid $1,147.90 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Martin'S Point Health Care Martin'S Point - Us Family Health Plan $1,152.62 $2,674.91 $1,222.43 2026-05-23 MRF ↗
JOHN H STROGER JR HOSPITAL Both Cigna Ppo $1,161.30 $2,889.00 $2,022.30 2026-05-14 MRF ↗
JOHN H STROGER JR HOSPITAL Both Cigna Hmo $1,161.30 $2,889.00 $2,022.30 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Cigna Hmo $1,161.30 $2,889.00 $2,022.30 2026-05-22 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Cigna Ppo $1,161.30 $2,889.00 $2,022.30 2026-05-22 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Commercial $1,169.63 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Commercial $1,169.63 — — 2026-05-14 MRF ↗
NEW LONDON HOSPITAL Outpatient Wellcare Health Plans Wellcare - Medicare Advantage $1,176.96 $2,674.91 $1,222.43 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Ambetter Health Ambetter Commercial - Exchange $1,176.96 $2,674.91 $1,222.43 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Unitedhealthcare Uhc - Medicare Advantage $1,176.96 $2,674.91 $1,222.43 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem Indiv Qhp - Exchange $1,176.96 $2,674.91 $1,222.43 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem - Medicare Advantage $1,176.96 $2,674.91 $1,222.43 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Aetna Aetna Medicare Advantage $1,176.96 $2,674.91 $1,222.43 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Martin'S Point Generations Advantage Martin'S Point - Medicare Advantage $1,176.96 $2,674.91 $1,222.43 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Wellsense Health Plan Wellsense - Medicare Advantage $1,176.96 $2,674.91 $1,222.43 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem Shop On Exch $1,176.96 $2,674.91 $1,222.43 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Upmc Medicaid $1,181.25 — — 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Upmc Medicaid $1,181.25 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Commercial Exchange $1,185.29 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Commercial Exchange $1,185.29 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Coverkids Tenncare $1,188.75 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Coverkids Tenncare $1,188.75 — — 2026-05-24 MRF ↗
NEW LONDON HOSPITAL Outpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Exchange $1,242.94 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Elevatehealth Qhp - Exchange $1,242.94 — — 2026-05-23 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Bluecare Tenncare $1,282.35 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Bluecare Tenncare $1,282.35 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Cigna Lcp Connect $1,306.22 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Cigna Lcp Connect $1,306.22 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Aetna Commercial $1,311.23 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Aetna Commercial $1,311.23 — — 2026-05-24 MRF ↗
CLARION HOSPITAL Outpatient Upmc Commercial $1,317.65 — — 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Upmc Commercial $1,317.65 — — 2026-05-13 MRF ↗
NEW LONDON HOSPITAL Outpatient Aetna Aetna Hmo/Pos/Ppo $1,343.09 — — 2026-05-23 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Coventry Health Hmo/Pos/Ppo $1,348.93 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Multiplan Commercial $1,348.93 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Coventry Health Hmo/Pos/Ppo $1,348.93 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Multiplan Commercial $1,348.93 — — 2026-05-24 MRF ↗
NEW LONDON HOSPITAL Outpatient Granite State Health Plan New Hampshire Healthy Families - Nh Managed Medicaid $1,350.03 $2,674.91 $1,222.43 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Hmo/Pos/Ppo $1,361.99 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Amerihealth Caritas Nh Amerihealth Caritas - Nh Managed Medicaid $1,363.13 $2,674.91 $1,222.43 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Inpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Exchange $1,370.36 $2,674.91 $1,222.43 2026-05-23 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Blue Cross Bcbs Network L $1,378.48 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Blue Cross Bcbs Network L $1,378.48 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Nx Health 1 Commercial $1,395.96 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Nx Health 1 Commercial $1,395.96 — — 2026-05-24 MRF ↗
NEW LONDON HOSPITAL Outpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Exchange $1,426.53 $2,674.91 $1,222.43 2026-05-23 MRF ↗
Wayne Medical Center Outpatient Blue Cross Blue Shield Of Tennessee Tenncare Select $1,437.18 — — 2026-05-13 MRF ↗

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