93654 — Compre Ep Eval Tx Vt
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Compre ep eval tx vt (OTHER 93654) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93654?code_type=OTHER
MLA (9th ed.)
“Compre ep eval tx vt (OTHER 93654) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93654?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Compre ep eval tx vt (OTHER 93654) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93654?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,488–$27,788 (25th–75th percentile) across 213 hospitals · 593 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 93654 — 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 |
|---|---|---|---|---|---|---|---|
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $6.82 | $50,000.00 | $16,500.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $6.82 | $50,000.00 | $16,500.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $6.82 | $50,000.00 | $16,500.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $6.82 | $50,000.00 | $16,500.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $6.89 | $50,000.00 | $16,500.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $6.89 | $50,000.00 | $16,500.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $6.96 | $50,000.00 | $16,500.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $6.96 | $50,000.00 | $16,500.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $7.02 | $50,000.00 | $16,500.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $7.02 | $50,000.00 | $16,500.00 | 2026-05-13 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $32.71 | — | — | 2026-05-27 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $40.09 | $50,000.00 | $16,500.00 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $40.09 | $50,000.00 | $16,500.00 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $40.49 | $50,000.00 | $16,500.00 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $40.89 | $50,000.00 | $16,500.00 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $41.29 | $50,000.00 | $16,500.00 | 2026-05-09 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $96.79 | — | — | 2026-05-27 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $102.08 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $102.08 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $102.37 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $110.32 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $110.32 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $113.75 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $114.93 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $114.93 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $134.39 | $35,830.00 | $3,583.00 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $134.39 | $35,830.00 | $3,583.00 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $134.39 | $35,830.00 | $3,583.00 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $134.39 | $35,830.00 | $3,583.00 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $134.39 | $35,830.00 | $3,583.00 | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $135.34 | — | — | 2026-05-27 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $139.28 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $139.28 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $177.64 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $177.64 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $45,397.00 | $31,777.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $45,397.00 | $31,777.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $45,397.00 | $31,777.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $45,397.00 | $31,777.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $292.64 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $311.71 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Sentara | Comm. | $319.00 | $31,152.00 | $15,576.00 | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Sentara | Comm. | $319.00 | $31,152.00 | $15,576.00 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $324.97 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $340.53 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicare | — | $1,153.20 | $807.24 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Medicaid | — | $1,153.20 | $807.24 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Commercial | — | $1,153.20 | $807.24 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Select Health | Medicaid | — | $1,153.20 | $807.24 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Devoted Health | Medicare | — | $1,153.20 | $807.24 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicaid | — | $1,153.20 | $807.24 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Commercial | — | $1,153.20 | $807.24 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Medicaid | — | $1,153.20 | $807.24 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Commercial | — | $1,153.20 | $807.24 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Blue Choice Of Sc | Medicaid | — | $1,153.20 | $807.24 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Medicare | $345.96 | $1,153.20 | $807.24 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Medicare | — | $1,153.20 | $807.24 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $348.59 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $355.95 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $355.95 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $355.95 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $355.95 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $355.95 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $355.95 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $355.95 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $355.95 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $355.95 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | $375.30 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | $375.30 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $379.22 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $379.22 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $379.22 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $379.22 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $379.22 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $379.22 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $379.22 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $379.22 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | United Healthcare | Medicare | $380.56 | $1,153.20 | $807.24 | 2026-05-08 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Fep Heart Clinic Professional | $391.60 | $712.00 | $712.00 | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | United Healthcare | Commercial | $396.26 | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $408.29 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $412.26 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $412.83 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $412.83 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $412.83 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $412.83 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $412.83 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $412.83 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $414.44 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Medcost | Medcost | $422.00 | $31,152.00 | $15,576.00 | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Medcost | Medcost | $422.00 | $31,152.00 | $15,576.00 | 2026-05-06 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $431.43 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Phcs | Phcs | $432.00 | $31,152.00 | $15,576.00 | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Aetna | Wc | $432.00 | $31,152.00 | $15,576.00 | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Aetna | Wc | $432.00 | $31,152.00 | $15,576.00 | 2026-05-08 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Phcs | Phcs | $432.00 | $31,152.00 | $15,576.00 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $443.62 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $453.03 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $458.98 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $476.66 | — | — | 2026-05-13 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | America'S Ppo | Americas Ppo Professional | $477.04 | $712.00 | $712.00 | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $489.97 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $492.06 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $492.06 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership | $495.12 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $495.12 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $501.57 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $506.24 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $506.24 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $506.67 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $506.67 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $506.67 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $506.67 | — | — | 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 | $506.67 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $506.67 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $506.67 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $506.67 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $506.67 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $506.67 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $509.03 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $515.32 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $518.70 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $521.87 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $527.10 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny | Managed Medicaid | — | $75,707.00 | $75,707.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny | Managed Medicaid | — | $75,707.00 | $75,707.00 | 2026-05-22 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Medicaid Rate | — | $530.69 | $32,776.00 | $24,582.00 | 2026-05-13 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $530.69 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $530.69 | — | — | 2026-05-09 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Medicaid Rate | — | $530.69 | $32,776.00 | $24,582.00 | 2026-05-24 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $532.34 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $532.34 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $533.06 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $537.53 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $537.53 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $537.53 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $537.53 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $537.53 | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $542.74 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos | $546.62 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $547.68 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $547.96 | — | — | 2026-05-08 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $551.92 | — | — | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $553.18 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $554.75 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $555.85 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $557.31 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $559.01 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $559.25 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $561.98 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $570.46 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $570.46 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $573.13 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $573.13 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Maine Community Health Options | Mcho Indiv - Exchange | $575.53 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $576.96 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $579.60 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $582.30 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $582.47 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $589.94 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $589.94 | — | — | 2026-05-24 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $601.79 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont Non-Managed Care Plans | $603.54 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Blue Cross And Blue Shield Of Alabama | Blue Advantage (Medicare Advantage) | — | $25,475.49 | $21,654.17 | 2026-05-23 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Blue Cross And Blue Shield Of Alabama | Commercial Ppo | — | $25,475.49 | $21,654.17 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $605.34 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $613.05 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | First Health | First Health Professional | $613.74 | $712.00 | $712.00 | 2026-05-14 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $615.49 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $615.49 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | $619.80 | $903.50 | $276.47 | 2026-05-08 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Healthpartners | Healthpartners Pmap Professional | $624.10 | $712.00 | $712.00 | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $627.92 | $1,963.00 | $981.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $627.92 | $1,963.00 | $981.50 | 2026-05-09 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional Facility | $627.92 | $1,963.00 | $981.50 | 2026-05-09 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional Facility | $627.92 | $1,963.00 | $981.50 | 2026-05-09 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $627.92 | $1,963.00 | $981.50 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $627.92 | $1,963.00 | $981.50 | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $627.92 | $1,963.00 | $981.50 | 2026-05-23 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Fep Radiology Professional | $629.27 | $712.00 | $712.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Fep Multispecialty Professional | $629.27 | $712.00 | $712.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Fep Pathology Professional | $629.27 | $712.00 | $712.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Fep Audiology Professional | $629.27 | $712.00 | $712.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medica | Medica Narrow Professional | $630.12 | $712.00 | $712.00 | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $632.62 | $808.98 | $369.70 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $633.01 | $834.00 | $230.18 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $633.01 | $834.00 | $230.18 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $634.10 | $1,966.00 | $983.00 | 2026-05-08 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Medicaid | Professional | $634.10 | $1,966.00 | $983.00 | 2026-05-08 | MRF ↗ |
| Sparrow Specialty Hospital Inpatient | Medicaid | Professional | $634.10 | $1,966.00 | $983.00 | 2026-05-08 | 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.