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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93591 — Perq Transcath Cls Aortic

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 $16,833

Usually $3,464–$27,502 (25th–75th percentile) across 32 hospitals · 145 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER 93591 — 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 $312.60 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $312.60 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $478.68 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $478.68 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $478.68 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $478.68 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $483.68 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $483.68 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $483.68 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $483.68 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $483.78 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $483.78 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $509.24 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $509.24 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $509.24 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $509.24 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $509.24 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $509.24 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $509.24 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $509.24 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $509.24 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $509.24 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $509.24 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $509.24 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $509.24 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $509.24 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $510.78 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $510.78 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $519.42 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $519.42 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $519.42 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $519.42 — — 2026-05-23 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $521.00 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $521.00 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $521.00 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $521.00 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $521.00 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $521.00 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $521.00 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $521.00 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $521.00 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $521.00 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $521.00 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $521.00 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $521.00 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $521.00 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $521.00 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $521.00 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $521.00 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $521.00 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $521.00 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $521.00 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $521.00 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $521.00 — — 2026-05-24 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Humana Mcr Advantage $524.51 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Humana Mcr Advantage $524.51 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $524.51 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $524.51 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Uhc Mcr Advantage $524.51 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Uhc Mcr Advantage $524.51 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcr Advantage $549.98 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcr Advantage $549.98 — — 2026-05-23 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both Medicaid Professional Facility $553.37 $1,730.00 $865.00 2026-05-09 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Security Blue Mcr Adv $555.07 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Security Blue Mcr Adv $555.07 — — 2026-05-14 MRF ↗
Foundation Surgical Hospital Of El Paso Outpatient Amerigroup Tx Medicaid $661.87 — — 2026-05-09 MRF ↗
Foundation Surgical Hospital Of El Paso Outpatient Medicaid Medicaid $661.87 — — 2026-05-09 MRF ↗
Foundation Surgical Hospital Of El Paso Outpatient Superior Tx Medicaid $661.87 — — 2026-05-09 MRF ↗
NEW LONDON HOSPITAL Outpatient Wellsense Health Plan Wellsense - Nh Managed Medicaid $668.68 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Granite State Health Plan New Hampshire Healthy Families - Nh Managed Medicaid $668.68 — — 2026-05-23 MRF ↗
Foundation Surgical Hospital Of El Paso Outpatient El Paso Health Medicaid $675.11 — — 2026-05-09 MRF ↗
NEW LONDON HOSPITAL Outpatient Amerihealth Caritas Nh Amerihealth Caritas - Nh Managed Medicaid $675.17 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Commercial $695.04 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Commercial $695.04 — — 2026-05-23 MRF ↗
Foundation Surgical Hospital Of El Paso Outpatient Molina Tx Medicaid $728.06 — — 2026-05-09 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Medicare Advantage $799.76 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Medicare Advantage $799.76 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Choicecare Ma Ppo $813.03 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Nhc Medicare Advantage $813.03 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Humana Ma Hmo Ppo Pffs $813.03 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Blue Cross Medicare Advantage $813.03 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both American Health Medadv Hmo Isnp $813.03 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both American Health Medadv Hmo Isnp $813.03 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellcare Medicare Advantage $813.03 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Blue Cross Medicare Advantage $813.03 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellcare Medicare Advantage $813.03 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Nhc Medicare Advantage $813.03 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Humana Ma Hmo Ppo Pffs $813.03 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Choicecare Ma Ppo $813.03 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Cigna Medicare Advantage $828.18 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Cigna Medicare Advantage $828.18 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Aetna Medicare Advantage $829.29 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Aetna Medicare Advantage $829.29 — — 2026-05-13 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both Medicare Professional $830.01 $1,730.00 $865.00 2026-05-09 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Tenncare Select $834.04 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Tenncare Select $834.04 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Signature Medicare Advantage $837.42 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellpoint Medicare Advantage $837.42 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Signature Medicare Advantage $837.42 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellpoint Medicare Advantage $837.42 — — 2026-05-24 MRF ↗
NEW LONDON HOSPITAL Outpatient Martin'S Point Health Care Martin'S Point - Us Family Health Plan $842.57 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Unitedhealthcare Uhc - Medicare Advantage $842.57 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Martin'S Point Generations Advantage Martin'S Point - Medicare Advantage $842.57 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem - Medicare Advantage $842.57 — — 2026-05-23 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Devoted Health Medicare Advantage $853.68 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Upmc Health Plan Commercial $853.68 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Upmc Health Plan Commercial $853.68 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Devoted Health Medicare Advantage $853.68 — — 2026-05-24 MRF ↗
NEW LONDON HOSPITAL Outpatient Wellcare Health Plans Wellcare - Medicare Advantage $867.84 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem Indiv Qhp - Exchange $867.85 — — 2026-05-23 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellpoint Tenncare $884.14 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellpoint Tenncare $884.14 — — 2026-05-24 MRF ↗
NEW LONDON HOSPITAL Outpatient Wellsense Health Plan Wellsense - Medicare Advantage $884.69 — — 2026-05-23 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Dsnp $889.19 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Dsnp $889.19 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Bluecare Commercial (Tenncare) $922.77 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Bluecare Commercial (Tenncare) $922.77 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Tenncare $935.99 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Tenncare $935.99 — — 2026-05-24 MRF ↗
NEW LONDON HOSPITAL Outpatient Aetna Aetna Medicare Advantage $968.95 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Elevatehealth Qhp - Exchange $1,000.36 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Exchange $1,000.36 — — 2026-05-23 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Tenncare Select $1,053.96 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Tenncare Select $1,053.96 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Commercial Exchange $1,066.58 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Uhc Commercial Exchange $1,066.58 — — 2026-05-24 MRF ↗
NEW LONDON HOSPITAL Outpatient Ambetter Health Ambetter Commercial - Exchange $1,095.34 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Hmo/Pos/Ppo $1,096.17 — — 2026-05-23 MRF ↗
MARSHALL MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Tennessee Medicaid $1,102.85 — — 2026-05-08 MRF ↗
Wayne Medical Center Outpatient Blue Cross Blue Shield Of Tennessee Medicaid $1,102.85 — — 2026-05-23 MRF ↗
Wayne Medical Center Outpatient Blue Cross Blue Shield Of Tennessee Medicaid $1,102.85 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Cigna Lcp Connect $1,108.95 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Cigna Lcp Connect $1,108.95 — — 2026-05-13 MRF ↗
JOHN H STROGER JR HOSPITAL Both Aetna Ppo $1,111.24 $2,039.00 $1,427.30 2026-05-14 MRF ↗
JOHN H STROGER JR HOSPITAL Both Aetna Hmo $1,111.24 $2,039.00 $1,427.30 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Aetna Hmo $1,111.24 $2,039.00 $1,427.30 2026-05-22 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Aetna Ppo $1,111.24 $2,039.00 $1,427.30 2026-05-22 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Aetna Commercial $1,120.39 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Aetna Commercial $1,120.39 — — 2026-05-13 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Medicaid|Texas Childrens (Tch)|Starkids — $1,121.47 $19,047.00 $6,666.45 2026-07-31 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Medicaid|Texas Childrens (Tch)|Starkids — $1,121.47 $19,047.00 $6,666.45 2026-07-30 MRF ↗
Baylor St Lukes Medical Center Medicaid|Texas Childrens (Tch)|Starkids — $1,121.47 $19,047.00 $6,666.45 2026-07-31 MRF ↗
ST LUKE'S HOSPITAL AT THE VINTAGE Medicaid|Texas Childrens (Tch)|Starkids — $1,121.47 $19,047.00 $6,666.45 2026-07-30 MRF ↗
Baylor St Lukes Medical Center Medicaid|United|Chip — $1,121.47 $19,047.00 $6,666.45 2026-07-31 MRF ↗
ST LUKE'S SUGAR LAND HOSPITAL Medicaid|Texas Childrens (Tch)|Starkids — $1,121.47 $19,047.00 $6,666.45 2026-07-31 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Coverkids Tenncare $1,142.09 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Coverkids Tenncare $1,142.09 — — 2026-05-13 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Medicaid|United|Chip — $1,155.11 $19,047.00 $6,666.45 2026-07-31 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Medicaid|United|Starkids — $1,155.11 $19,047.00 $6,666.45 2026-07-30 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Medicaid|United|Chip — $1,155.11 $19,047.00 $6,666.45 2026-07-30 MRF ↗
ST LUKE'S HOSPITAL AT THE VINTAGE Medicaid|United|Starkids — $1,155.11 $19,047.00 $6,666.45 2026-07-30 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Medicaid|United|Starkids — $1,155.11 $19,047.00 $6,666.45 2026-07-31 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Medicaid|United|Starplus — $1,155.11 $19,047.00 $6,666.45 2026-07-31 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Medicaid|Amerigroup|Starkids — $1,155.11 $19,047.00 $6,666.45 2026-07-30 MRF ↗
ST LUKE'S HOSPITAL AT THE VINTAGE Medicaid|United|Chip — $1,155.11 $19,047.00 $6,666.45 2026-07-30 MRF ↗
Baylor St Lukes Medical Center Medicaid|Amerigroup|Chip — $1,155.11 $19,047.00 $6,666.45 2026-07-31 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Medicaid|Amerigroup|Chip — $1,155.11 $19,047.00 $6,666.45 2026-07-30 MRF ↗
ST LUKE'S SUGAR LAND HOSPITAL Medicaid|United|Starkids — $1,155.11 $19,047.00 $6,666.45 2026-07-31 MRF ↗
ST LUKE'S SUGAR LAND HOSPITAL Medicaid|Amerigroup|Starkids — $1,155.11 $19,047.00 $6,666.45 2026-07-31 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Medicaid|Amerigroup|Starkids — $1,155.11 $19,047.00 $6,666.45 2026-07-31 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Medicaid|Amerigroup|Chip — $1,155.11 $19,047.00 $6,666.45 2026-07-31 MRF ↗
Baylor St Lukes Medical Center Medicaid|Amerigroup|Starkids — $1,155.11 $19,047.00 $6,666.45 2026-07-31 MRF ↗
ST LUKE'S HOSPITAL AT THE VINTAGE Medicaid|Amerigroup|Chip — $1,155.11 $19,047.00 $6,666.45 2026-07-30 MRF ↗
Baylor St Lukes Medical Center Medicaid|United|Starkids — $1,155.11 $19,047.00 $6,666.45 2026-07-31 MRF ↗
ST LUKE'S HOSPITAL AT THE VINTAGE Medicaid|Amerigroup|Starkids — $1,155.11 $19,047.00 $6,666.45 2026-07-30 MRF ↗
ST LUKE'S SUGAR LAND HOSPITAL Medicaid|United|Chip — $1,155.11 $19,047.00 $6,666.45 2026-07-31 MRF ↗
ST LUKE'S SUGAR LAND HOSPITAL Medicaid|Amerigroup|Chip — $1,155.11 $19,047.00 $6,666.45 2026-07-31 MRF ↗
NEW LONDON HOSPITAL Outpatient Cigna Cigna Hmo-Pos-Ppo $1,158.53 — — 2026-05-23 MRF ↗
Baylor St Lukes Medical Center Medicaid|Bcbs - Tx|All Plans — $1,177.54 $19,047.00 $6,666.45 2026-07-31 MRF ↗
ST LUKE'S SUGAR LAND HOSPITAL Medicaid|Bcbs - Tx|All Plans — $1,177.54 $19,047.00 $6,666.45 2026-07-31 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Medicaid|Bcbs - Tx|All Plans — $1,177.54 $19,047.00 $6,666.45 2026-07-31 MRF ↗
ST LUKE'S HOSPITAL AT THE VINTAGE Medicaid|Bcbs - Tx|All Plans — $1,177.54 $19,047.00 $6,666.45 2026-07-30 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Medicaid|Bcbs - Tx|All Plans — $1,177.54 $19,047.00 $6,666.45 2026-07-30 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem Shop On Exch $1,179.59 — — 2026-05-23 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Nx Health 1 Commercial $1,185.14 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Nx Health 1 Commercial $1,185.14 — — 2026-05-13 MRF ↗
NEW LONDON HOSPITAL Outpatient Unitedhealthcare Uhc - Hmo/Pos/Ppo $1,226.76 — — 2026-05-23 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Bluecare Tenncare $1,232.02 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Blue Cross Bluecare Tenncare $1,232.02 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Blue Cross Bcbs Network L $1,257.38 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Blue Cross Bcbs Network L $1,257.38 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Humana Cpos $1,266.76 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Humana Cpos $1,266.76 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Humana Choice Pos $1,267.12 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Humana Choice Pos $1,267.12 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Nx Health 2 Commercial $1,269.79 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Nx Health 2 Commercial $1,269.79 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Humana Comm Hmo Ppo Pos $1,325.09 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Humana Comm Hmo Ppo Pos $1,325.09 — — 2026-05-13 MRF ↗
JOHN H STROGER JR HOSPITAL Both Bcbs Ppo $1,325.35 $2,039.00 $1,427.30 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Bcbs Ppo $1,325.35 $2,039.00 $1,427.30 2026-05-22 MRF ↗
JOHN H STROGER JR HOSPITAL Both Uhc Hmo $1,338.32 $2,039.00 $1,427.30 2026-05-14 MRF ↗
JOHN H STROGER JR HOSPITAL Both Uhc Ppo $1,338.32 $2,039.00 $1,427.30 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Uhc Ppo $1,338.32 $2,039.00 $1,427.30 2026-05-22 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Uhc Hmo $1,338.32 $2,039.00 $1,427.30 2026-05-22 MRF ↗
JOHN H STROGER JR HOSPITAL Both Cigna Hmo $1,357.81 $2,039.00 $1,427.30 2026-05-14 MRF ↗
JOHN H STROGER JR HOSPITAL Both Cigna Ppo $1,357.81 $2,039.00 $1,427.30 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Cigna Ppo $1,357.81 $2,039.00 $1,427.30 2026-05-22 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Cigna Hmo $1,357.81 $2,039.00 $1,427.30 2026-05-22 MRF ↗
Wayne Medical Center Outpatient Blue Cross Blue Shield Of Tennessee Tenncare Select $1,380.77 — — 2026-05-23 MRF ↗

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