9504 — Rbc Deglycerolized
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RBC deglycerolized (CPT 9504) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9504?code_type=CPT
MLA (9th ed.)
“RBC deglycerolized (CPT 9504) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9504?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RBC deglycerolized (CPT 9504) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9504?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $654–$32,638 (25th–75th percentile) across 20 hospitals · 39 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 9504 — 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 |
|---|---|---|---|---|---|---|---|
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Uhc Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Uhc Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $617.78 | — | — | 2026-05-24 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $617.78 | — | — | 2026-05-06 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $617.78 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $617.78 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Prominence | Managed Care | $653.74 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicare | $653.74 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Caremore Health | Medicare | $653.74 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Aetna | Medicare | $653.74 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Select Health | Medicare | $653.74 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Humana | Senioradvantage Medicare | $653.74 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $653.74 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $653.74 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Prominence | Medicare | $653.74 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Humana | Medicare | $653.74 | — | — | 2026-05-06 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Humana | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Prominence | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Prominence | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Palomar | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Superior | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Superior | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Cigna | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Cigna | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Humana | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Humana | Senioradvantage Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Select Health | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Aetna | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Caremore Health | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Blue Shield | Promise Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Epic Health Plan | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Iehp | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Primecare | Medicare | $653.74 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Anthem Blue Cross Blue Shield | Medicare | $653.74 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Molina | Medicare | $653.74 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | United Healthcare | Medicare | $653.74 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Humana | Senioradvantage Medicare | $653.74 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Select Health | Medicare | $653.74 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Aetna | Medicare | $653.74 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Caremore Health | Medicare | $653.74 | — | — | 2026-05-13 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Epic Health Plan | Medicare | $653.74 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicaid | $653.74 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicare | $653.74 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicaid | $653.74 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Epic Health Plan | Medicare | $653.74 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicare | $653.74 | — | — | 2026-05-23 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Caremore Health | Medicare | $653.74 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Aetna | Medicare | $653.74 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Molina | Medicare | $653.74 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | United Healthcare | Medicare | $653.74 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Anthem Blue Cross Blue Shield | Medicare | $653.74 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Select Health | Medicare | $653.74 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Humana | Senioradvantage Medicare | $653.74 | — | — | 2026-05-24 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Humana | Gold Medicare | $666.81 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $666.81 | — | — | 2026-05-06 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Alignment Health | Medicare | $666.81 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Humana | Gold Medicare | $666.81 | — | — | 2026-05-24 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Blue Cross Blue Shield Of Tx | Medicare | $666.81 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Alignment Health | Medicare | $666.81 | — | — | 2026-05-13 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Kaiser | Medicare | $666.81 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Aetna | Medicare | $666.81 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Humana | Gold Medicare | $666.81 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Molina | Medicare | $666.81 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Humana | Gold Medicare | $666.81 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $666.81 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Heritage | Medicare | $666.81 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Kaiser | Medicaid | $666.81 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $666.81 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $666.81 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $666.81 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Kaiser | Medicaid | $666.81 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Heritage | Medicare | $666.81 | — | — | 2026-05-23 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Blue Cross Blue Shield Of Tx | Medicare | $666.81 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $666.81 | — | — | 2026-05-23 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Wellmed | Medicare | $667.08 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Wellmed | Medicare | $667.08 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Blue Shield | Medicaid | $670.08 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Blue Shield | Medicaid | $670.08 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $673.35 | — | — | 2026-05-23 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Easy Choice | Medicare | $673.35 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Aetna | Medicare | $673.35 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Unitedhealthcare | Medicare | $673.35 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Aetna | Medicare | $673.35 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | United Healthcare | Medicare | $673.35 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $673.35 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $673.35 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Easy Choice | Medicare | $673.35 | — | — | 2026-05-14 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Aetna | Medicare | $673.35 | — | — | 2026-05-06 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Easy Choice | Medicare | $673.35 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $673.35 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $676.62 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $676.62 | — | — | 2026-05-23 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Brand New Day | Medicare | $676.62 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Medicare | $676.62 | — | — | 2026-05-14 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | United Healthcare | Medicare | $676.62 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Medicare | $676.62 | — | — | 2026-05-23 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Silver Summit | Medicare | $679.89 | — | — | 2026-05-13 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Silver Summit | Medicare | $679.89 | — | — | 2026-05-24 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Medicare | $679.89 | — | — | 2026-05-06 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Medicare | $679.89 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Superior | Medicare | $686.43 | — | — | 2026-05-06 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Medicare | $686.43 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Amerigroup | Medicare | $686.43 | — | — | 2026-05-06 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Medicare | $686.43 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | United Healthcare | Medicare | $686.43 | — | — | 2026-05-06 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Iehp | Medicaid | $699.50 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Iehp | Medicaid | $699.50 | — | — | 2026-05-14 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Qhp | $882.55 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Qhp | $882.55 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicaid | $902.16 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicaid | $902.16 | — | — | 2026-05-14 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Caprock Health Plan | Managed Care | $980.61 | — | — | 2026-05-06 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Aetna | Qhp | $1,144.05 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Aetna | Qhp | $1,144.05 | — | — | 2026-05-08 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Aetna | Qhp | $1,144.05 | — | — | 2026-05-24 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Aetna | Qhp | $1,144.05 | — | — | 2026-05-06 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Managed Care | $1,222.49 | — | — | 2026-05-08 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Managed Care | $1,222.49 | — | — | 2026-05-06 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Silver Summit | Managed Care | $1,222.49 | — | — | 2026-05-13 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Silver Summit | Managed Care | $1,222.49 | — | — | 2026-05-24 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Select Health | Managed Care | $1,255.18 | — | — | 2026-05-08 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Select Health | Managed Care | $1,255.18 | — | — | 2026-05-06 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Select Health | Managed Care | $1,255.18 | — | — | 2026-05-24 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Select Health | Managed Care | $1,255.18 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Insurance Management Services | Managed Care | $1,307.48 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Peak Health | Commercial | $10,098.04 | $13,464.06 | $13,464.06 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Commercial | $11,444.45 | $13,464.06 | $13,464.06 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Aetna | Commercial | $12,117.65 | $13,464.06 | $13,464.06 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Cigna | Commercial | $12,252.29 | $13,464.06 | $13,464.06 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | United Healthcare | Commercial | $12,737.00 | $13,464.06 | $13,464.06 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Phcs Multiplan | Commercial | $12,790.86 | $13,464.06 | $13,464.06 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Caresource | Wv Marketplace | $12,790.86 | $13,464.06 | $13,464.06 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Firsthealth | Commercial | $12,790.86 | $13,464.06 | $13,464.06 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Healthsmart | Commercial | $12,790.86 | $13,464.06 | $13,464.06 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Zelis Network | Commercial | $12,790.86 | $13,464.06 | $13,464.06 | 2026-05-06 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $32,637.73 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $32,637.73 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Min | $34,749.00 | — | — | 2026-05-09 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $41,301.63 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $41,301.63 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $41,301.63 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $41,301.63 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $41,301.63 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $41,301.63 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Bh | $42,006.06 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $42,006.06 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Cook Childrens | Medicaid | $42,006.06 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Bh | $42,006.06 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $42,006.06 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Cook Childrens | Medicaid | $42,006.06 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Molina | Medicaid | $44,605.76 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Molina | Medicaid | $44,605.76 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Molina | Medicaid | $45,366.54 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Molina | Medicaid | $45,366.54 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Aetna | Medicaid | $46,206.67 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Aetna | Medicaid | $46,206.67 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Medicaid | $56,583.23 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Medicaid | $56,583.23 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Medicaid | $57,548.30 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Medicaid | $57,548.30 | — | — | 2026-05-08 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Min | $89,062.07 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Min | $89,062.07 | — | — | 2026-05-22 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Awa | $110,830.22 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Awa | $110,830.22 | — | — | 2026-05-23 | MRF ↗ |
| AVERA ST LUKES Inpatient | Wellmark Insurance | Hmo | — | — | — | 2026-05-09 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Awa | $119,588.52 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Awa | $119,588.52 | — | — | 2026-05-22 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Pathway Small Grou | $122,624.15 | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Pathway Individual | $122,624.15 | — | — | 2026-05-26 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Awa | $128,022.01 | — | — | 2026-05-09 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $143,502.08 | — | — | 2026-05-22 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $143,502.08 | — | — | 2026-05-14 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Ppo | $144,238.91 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Ppo | $144,238.91 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Hmo | $144,238.91 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Hmo | $144,238.91 | — | — | 2026-05-13 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Hmo/Epo/Blue Prior | $148,045.78 | — | — | 2026-05-26 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Hmo | $150,990.34 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Hmo | $150,990.34 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Ppo | $150,990.34 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Ppo | $150,990.34 | — | — | 2026-05-13 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Indemnity | $174,259.25 | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Ppo | $174,259.25 | — | — | 2026-05-26 | MRF ↗ |
| AVERA QUEEN OF PEACE Inpatient | Wellmark Insurance | Ppo | $175,262.92 | — | — | 2026-05-09 | MRF ↗ |
| AVERA ST LUKES Inpatient | Wellmark Insurance | Ppo | $181,620.22 | — | — | 2026-05-09 | MRF ↗ |