Price Transparency 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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96112 — Devel Tst Phys/qhp 1st Hr

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $228

Usually $151–$393 (25th–75th percentile) across 1,566 hospitals · 4,348 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 96112 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What the whole episode might cost

Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$151 $228 typical $393

The middle 50% of negotiated facility rates for this procedure, measured across 1,566 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $228
Surgeon (professional fee) Estimate national typical Medicare PFS $107 × 1.22 commercial. $130
Likely subtotal $359
Surgical episode (typical) ~$359

Your recovery plan — adjust to what your surgeon told you

After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$4,143
How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Surgeon (professional fee) (estimate)
rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

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
ST BARNABAS HOSPITAL OutpatientFacility Optum Medicaid $0.83 $419.00 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Optum Medicaid $0.83 $419.00 2026-02-27 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage $3,969.24 $2,580.01 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $3,969.24 $2,580.01 2025-11-26 MRF ↗
SAN ANTONIO REGIONAL HOSPITAL Outpatient ANTHEM BLUE CROSS EXCHG ANTHEM BLUE CROSS EXCHG $1.51 $690.00 $933.00 2026-04-02 MRF ↗
GROVE HILL MEMORIAL HOSPITAL BothFacility United Healthcare All Other Plans $1.82 $2.60 $1.56 2026-05-05 MRF ↗
GROVE HILL MEMORIAL HOSPITAL BothFacility Aetna All Other Plans $1.95 $2.60 $1.56 2026-05-05 MRF ↗
GROVE HILL MEMORIAL HOSPITAL BothFacility Cigna All Plans $1.95 $2.60 $1.56 2026-05-05 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient BLUE CROSS MEDICAID [1612] DCH ILLINOIS MEDICAID $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient COUNTYCARE IL COOK CO [1607] DCH ILLINOIS MEDICAID $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient HEALTH ALLIANCE MEDICAID [1310] DCH ILLINOIS MEDICAID $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient COUNTYCARE IL COOK CO [1607] CDH ILLINOIS MEDICAID $2.00 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient HEALTH ALLIANCE MEDICAID [1310] KH ILLINOIS MEDICAID $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient COUNTYCARE IL COOK CO [1607] KH ILLINOIS MEDICAID $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient BLUE CROSS MEDICAID [1612] KH ILLINOIS MEDICAID $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient MERIDIAN HEALTH PLAN HMO [1604] KH ILLINOIS MEDICAID $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient HEALTH ALLIANCE MEDICAID [1310] CDH ILLINOIS MEDICAID $2.00 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient CENPATICO BEHAVIORAL HEALTH [1603] KH ILLINOIS MEDICAID $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient FAMILY HEALTH NETWORK HMO [1610] KH ILLINOIS MEDICAID $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient BLUE CROSS MEDICAID [1612] CDH ILLINOIS MEDICAID $2.00 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] KH ILLINOIS MEDICAID $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] CDH BCBS BLUECHOICE SELECT $3.22 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] CDH BCBS BLUECHOICE OPTIONS $3.22 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] CDH BCBS BLUECHOICE SELECT $3.22 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] CDH BCBS BLUECHOICE PREFERRED $3.22 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] CDH BCBS BLUECHOICE OPTIONS $3.22 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] CDH BCBS BLUECHOICE PREFERRED $3.22 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient GLOBAL EXCEL [1712] CDH MEDICARE $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient GLOBAL EXCEL [1712] KH MEDICARE $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient ALTERNATE BLUE CROSS MEDICARE ADV [2304] KH MEDICARE $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient ALTERNATE BLUE CROSS MEDICARE ADV [2304] CDH MEDICARE $29.00 $20.30 2026-04-01 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $3.44 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $3.46 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $3.46 2026-03-18 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Humana Choice Care Network $3.62 $1,216.00 $912.00 2026-04-01 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient ALTERNATE HUMANA MEDICARE ADV [2409] MRH MEDICARE $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient GLOBAL EXCEL [1712] DCH MEDICARE $29.00 $20.30 2026-04-01 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient GLOBAL EXCEL [1712] MRH MEDICARE $29.00 $20.30 2026-04-01 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient ALTERNATE BLUE CROSS MEDICARE ADV [2304] MRH MEDICARE $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient GLOBAL EXCEL [1712] NLFH MEDICARE $29.00 $20.30 2026-04-01 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $3.94 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $3.96 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $3.96 2026-03-18 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient AETNA HEALTH PLAN [171] CDH AETNA NM EMPLOYEES $4.15 $29.00 $20.30 2026-04-01 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $4.17 $379.93 $227.96 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $4.17 $379.93 $227.96 2025-08-11 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $4.29 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $4.32 2026-03-18 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] DCH BCBS BLUECHOICE OPTIONS $4.32 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] DCH BCBS BLUECHOICE SELECT $4.32 $29.00 $20.30 2026-04-01 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $4.32 2026-03-18 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility MVP Commercial CIGNA All Products $4.50 $6.00 $3.00 2025-12-31 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL InpatientFacility United Healthcare All Products $4.50 $6.00 $3.00 2025-12-31 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility MVP Commercial Individual_Student Health Plan $4.50 $6.00 $3.00 2025-12-31 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] PH BCBS BLUECHOICE PREFERRED $4.64 $29.00 $20.30 2026-04-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] PH BCBS BLUECHOICE OPTIONS $4.64 $29.00 $20.30 2026-04-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] PH BCBS BLUECHOICE OPTIONS SELECT $4.64 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient AETNA HEALTH PLAN [171] DCH AETNA NM EMPLOYEES $4.73 $29.00 $20.30 2026-04-01 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility Emblem SelectCare $4.80 $6.00 $3.00 2025-12-31 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility MagnaCare All Products-Transplant $4.80 $6.00 $3.00 2025-12-31 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility United Healthcare All Products $4.80 $6.00 $3.00 2025-12-31 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility Emblem_GHI Commercial_All Products $4.80 $6.00 $3.00 2025-12-31 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility Empire Plan NYSHIP All Products $4.80 $6.00 $3.00 2025-12-31 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility MagnaCare All Products $4.80 $6.00 $3.00 2025-12-31 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient AETNA HEALTH PLAN [171] NLFH AETNA NM EMPLOYEES $4.81 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] CDH BCBS PPO $5.10 $29.00 $20.30 2026-04-01 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility Multiplan PPO $5.10 $6.00 $3.00 2025-12-31 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] CDH BCBS PPO $5.10 $29.00 $20.30 2026-04-01 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $5.17 $379.93 $227.96 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $5.17 $379.93 $227.96 2025-08-11 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] DCH BCBS BLUECHOICE PREFERRED $5.22 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient AETNA HEALTH PLAN [171] KH AETNA NM EMPLOYEES $5.31 $29.00 $20.30 2026-04-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient CIGNA HEALTH PLAN [178] PH CIGNA ALTERNATIVE $5.42 $29.00 $20.30 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient ALTERNATE HUMANA MEDICARE ADV [2409] VWH MEDICARE $5.51 $29.00 $20.30 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient ALTERNATE BLUE CROSS MEDICARE ADV [2304] VWH BLUE CROSS MEDICARE ADVT $5.51 $29.00 $20.30 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient GLOBAL EXCEL [1712] VWH MEDICARE $5.51 $29.00 $20.30 2026-04-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] PH BCBS PPO $5.57 $29.00 $20.30 2026-04-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] PH BCBS PPO $5.57 $29.00 $20.30 2026-04-01 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $6.00 $6.00 $3.00 2025-12-31 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility Blue Shield Indemnity_PPO $6.00 $6.00 $3.00 2025-12-31 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility Blue Shield HMO_POS $6.00 $6.00 $3.00 2025-12-31 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility United Healthcare Veterans Affairs Community Care Network (VACCN) $6.00 $6.00 $3.00 2025-12-31 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient CIGNA HEALTH PLAN [178] NLFH CIGNA ALTERNATIVE $6.09 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] NLFH BCBS HMO $6.15 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] NLFH BCBS HMO $6.15 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient CIGNA HEALTH PLAN [178] CDH CIGNA ALTERNATIVE $6.21 $29.00 $20.30 2026-04-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient AETNA HEALTH PLAN [171] PH AETNA NM EMPLOYEES $6.24 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient CIGNA HEALTH PLAN [178] DCH CIGNA ALTERNATIVE $6.32 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] DCH BCBS PPO $6.76 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] DCH BCBS PPO $6.76 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] NLFH BCBS BLUECHOICE SELECT $6.79 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] NLFH BCBS BLUECHOICE OPTIONS $6.79 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] NLFH BCBS BLUECHOICE PREFERRED $6.79 $29.00 $20.30 2026-04-01 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $7.28 $231.00 $231.00 2026-02-13 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient AETNA HEALTH PLAN [171] VWH AETNA NM EMPLOYEES $7.37 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] NLFH BCBS PPO $7.92 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] NLFH BCBS PPO $7.92 $29.00 $20.30 2026-04-01 MRF ↗
MULESHOE AREA MEDICAL CENTER Outpatient Aetna Commercial $8.00 $20.00 $12.00 2026-05-22 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient CIGNA HEALTH PLAN [178] PH CIGNA BROAD $8.58 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient AETNA HEALTH PLAN [171] CDH AETNA BP $8.70 $29.00 $20.30 2026-04-01 MRF ↗
ABRAZO ARROWHEAD HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID $9.01 2026-04-16 MRF ↗
CROSS CREEK HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID $9.01 2026-04-16 MRF ↗
ABRAZO ARROWHEAD HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE APIPA $9.01 2026-04-16 MRF ↗
CROSS CREEK HOSPITAL OutpatientFacility MOLINA MOLINA COMPLETE CARE MEDICAID $9.01 2026-04-16 MRF ↗
ABRAZO ARROWHEAD HOSPITAL OutpatientFacility MOLINA MOLINA COMPLETE CARE MEDICAID $9.01 2026-04-16 MRF ↗
CROSS CREEK HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE APIPA $9.01 2026-04-16 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient AETNA HEALTH PLAN [171] CDH AETNA APCN/SP $9.11 $29.00 $20.30 2026-04-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHCCS WITH UFC $9.46 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHCCS WITH UFC $9.46 $688.00 2026-01-01 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility Aetna Government Program Medicare Advantage $9.63 $45.86 $22.93 2025-12-31 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient AETNA HEALTH PLAN [171] PH AETNA IL PREFERRED $9.83 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient AETNA HEALTH PLAN [171] KH AETNA NIU $9.86 $29.00 $20.30 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient AETNA HEALTH PLAN [171] VWH AETNA IL PREFERRED $10.09 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient AETNA HEALTH PLAN [171] CDH AETNA IL PREFERRED $10.15 $29.00 $20.30 2026-04-01 MRF ↗
WABASH GENERAL HOSPITAL 1 Outpatient BCBS MMAI MCR/MCAID BCBS MMAI MCR/MCAID $10.15 $34.48 $34.48 2026-03-25 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient AETNA HEALTH PLAN [171] KH AETNA IL PREFERRED $10.41 $29.00 $20.30 2026-04-01 MRF ↗
GENESIS MEDICAL CENTER-DEWITT OutpatientFacility Naphcare All Products $10.54 $31.00 $18.60 2026-03-31 MRF ↗
GENESIS MEDICAL CENTER-DEWITT OutpatientFacility Wellmark Medicare Advantage $10.54 $31.00 $18.60 2026-03-31 MRF ↗
GENESIS MEDICAL CENTER-DEWITT OutpatientFacility Wellmark Medicare Advantage $10.54 $31.00 $18.60 2026-03-31 MRF ↗
GENESIS MEDICAL CENTER-DEWITT OutpatientFacility Naphcare All Products $10.54 $31.00 $18.60 2026-03-31 MRF ↗
WABASH GENERAL HOSPITAL 1 Outpatient BCBS MCAID BCBS MCAID $10.69 $34.48 $34.48 2026-03-25 MRF ↗
WABASH GENERAL HOSPITAL 1 Outpatient UHC VA CCN UHC VA CCN $10.69 $34.48 $34.48 2026-03-25 MRF ↗
KINGMAN REGIONAL MEDICAL CENTER Outpatient HEALTH CHOICE AZ HEALTH CHOICE AZ $10.80 $395.00 $138.25 2026-02-25 MRF ↗
KINGMAN REGIONAL MEDICAL CENTER Outpatient APIPA - AHCCCS-ALL OTHER PLANS APIPA - AHCCCS-ALL OTHER PLANS $10.80 $395.00 $138.25 2026-02-25 MRF ↗
WABASH GENERAL HOSPITAL 1 Outpatient HEALTH ALLIANCE MCR ADV - ALL PLANS HEALTH ALLIANCE MCR ADV - ALL PLANS $10.90 $34.48 $34.48 2026-03-25 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility Aetna Government Program Medicare Advantage $11.17 $53.17 $26.59 2025-12-31 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility Aetna Government Program Medicare Advantage $11.17 $53.17 $26.59 2025-12-31 MRF ↗
KINGMAN REGIONAL MEDICAL CENTER Outpatient CARE 1ST MCAID CARE 1ST MCAID $11.34 $395.00 $138.25 2026-02-25 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] PH BCBS HMO $11.35 $29.00 $20.30 2026-04-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] PH BCBS HMO $11.35 $29.00 $20.30 2026-04-01 MRF ↗
KINGMAN REGIONAL MEDICAL CENTER Outpatient MERCY CARE AHCCCS DDD MERCY CARE AHCCCS DDD $11.88 $395.00 $138.25 2026-02-25 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] CDH BCBS HMO $11.91 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] CDH BCBS HMO $11.91 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient CIGNA HEALTH PLAN [178] CDH CIGNA BROAD $11.98 $29.00 $20.30 2026-04-01 MRF ↗
MULESHOE AREA MEDICAL CENTER Outpatient Superior Health Plan HMO $12.00 $20.00 $12.00 2026-05-22 MRF ↗
MULESHOE AREA MEDICAL CENTER Outpatient Superior Health Plan PPO $12.00 $20.00 $12.00 2026-05-22 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient IMAGINE HEALTH [6032] MRH IMAGINE HEALTH $12.18 $29.00 $20.30 2026-04-01 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient AETNA HEALTH PLAN [171] MRH IMAGINE HEALTH $12.18 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient AETNA HEALTH PLAN [171] NLFH AETNA $12.47 $29.00 $20.30 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient HEALTH'S FINEST NETWORK [126] VWH HFN NMH TIER ONE $13.05 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] NLFH BC LAKE COUNTY PHYS ASSOC IPA $13.05 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient HEALTH'S FINEST NETWORK [126] KH HFN NMH TIER ONE $13.05 $29.00 $20.30 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient CIGNA HEALTH PLAN [178] VWH CIGNA ALTERNATIVE $13.14 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient AETNA HEALTH PLAN [171] NLFH AETNA ASA $13.20 $29.00 $20.30 2026-04-01 MRF ↗
GENESIS MEDICAL CENTER-DEWITT InpatientFacility Wellmark All Products $13.33 $31.00 $18.60 2026-03-31 MRF ↗
GENESIS MEDICAL CENTER-DEWITT InpatientFacility Wellmark All Products $13.33 $31.00 $18.60 2026-03-31 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient AETNA HEALTH PLAN [171] MRH AETNA NM EMPLOYEES $13.63 $29.00 $20.30 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient CIGNA HEALTH PLAN [178] VWH CIGNA BROAD $14.01 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient CIGNA HEALTH PLAN [178] NLFH CIGNA BROAD $14.09 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient CIGNA HEALTH PLAN [178] DCH CIGNA BROAD $14.21 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient HEALTH'S FINEST NETWORK [126] CDH HFN NMH TIER ONE $14.50 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient CARELON BEHAVIORAL HEALTH [159] CDH VALUE OPTIONS BHS $14.50 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient HEALTH'S FINEST NETWORK [126] DCH HFN NMH TIER ONE $14.50 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient CARELON BEHAVIORAL HEALTH [159] DCH BEACON HEALTH OPTIONS BHS $14.50 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient HEALTHLINK [125] NLFH SEIU HEALTHLINK $14.50 $29.00 $20.30 2026-04-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient HEALTHLINK [125] PH SEIU HEALTHLINK $14.50 $29.00 $20.30 2026-04-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient CARELON BEHAVIORAL HEALTH [159] PH VALUE OPTIONS BHO $14.50 $29.00 $20.30 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient UNITED HEALTHCARE [158] VWH UHC CORE $14.56 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient UNITED HEALTHCARE [158] CDH UHC CORE $14.56 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient UNITED HEALTHCARE [158] KH UHC CORE $14.56 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient CIGNA HEALTH PLAN [178] KH CIGNA BROAD $15.28 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient AETNA HEALTH PLAN [171] CDH AETNA $15.31 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient CIGNA HEALTH PLAN [178] KH CIGNA ALTERNATIVE $15.40 $29.00 $20.30 2026-04-01 MRF ↗
GENESIS MEDICAL CENTER-DEWITT OutpatientFacility Wellmark All Products $15.50 $31.00 $18.60 2026-03-31 MRF ↗
GENESIS MEDICAL CENTER-DEWITT OutpatientFacility Wellmark All Products $15.50 $31.00 $18.60 2026-03-31 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient THE ALLIANCE [1703] MRH THE ALLIANCE $15.76 $29.00 $20.30 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient THE ALLIANCE [1703] VWH THE ALLIANCE $15.76 $29.00 $20.30 2026-04-01 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient BLUE CROSS BLUE SHIELD [1401] MRH BCBS BLUECHOICE PREFERRED $15.81 $29.00 $20.30 2026-04-01 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient BLUE CROSS BLUE SHIELD [1401] MRH BCBS BLUECHOICE SELECT $15.81 $29.00 $20.30 2026-04-01 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient BLUE CROSS BLUE SHIELD [1401] MRH BCBS BLUECHOICE OPTIONS $15.81 $29.00 $20.30 2026-04-01 MRF ↗
MULESHOE AREA MEDICAL CENTER Outpatient United Healthcare of Texas Commercial $16.00 $20.00 $12.00 2026-05-22 MRF ↗
MULESHOE AREA MEDICAL CENTER Outpatient Blue Cross Blue Shield of Texas Commercial $16.00 $20.00 $12.00 2026-05-22 MRF ↗
MULESHOE AREA MEDICAL CENTER Outpatient Blue Cross Blue Shield of Texas Blue Essentials $16.00 $20.00 $12.00 2026-05-22 MRF ↗
MULESHOE AREA MEDICAL CENTER Outpatient Blue Cross Blue Shield of Texas HMO $16.00 $20.00 $12.00 2026-05-22 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHCCS W/O DAP $16.04 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHCCS W/O DAP $16.04 $688.00 2026-01-01 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient BLUE CROSS BLUE SHIELD [1401] MRH BCBS PAR/INDEMNITY ADP $16.21 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] DCH BCBS PAR/INDEMNITY ADP $16.21 $29.00 $20.30 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] VWH BCBS PAR/INDEMNITY ADP $16.21 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] KH BCBS PAR/INDEMNITY ADP $16.21 $29.00 $20.30 2026-04-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC CMDP ALL PRODUCTS $16.36 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC IHS ALL PRODUCTS $16.36 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC CRS BEHAVIORAL HEALTH $16.36 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC APIPA ALL PRODUCTS $16.36 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC CRS ONLY $16.36 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC CRS PARTIAL $16.36 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC CMDP ALL PRODUCTS $16.36 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC MERCY CARE ALL PRODUCTS $16.36 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC IHS ALL PRODUCTS $16.36 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC APIPA ALL PRODUCTS $16.36 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC MERCY CARE ALL PRODUCTS $16.36 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC CRS PARTIAL $16.36 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC CRS BEHAVIORAL HEALTH $16.36 $688.00 2026-01-01 MRF ↗
PHOENIX CHILDREN'S HOSPITAL OutpatientFacility AHC CRS ONLY $16.36 $688.00 2026-01-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient AETNA HEALTH PLAN [171] PH AETNA $16.47 $29.00 $20.30 2026-04-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient FIRST HEALTH PLAN [6034] PH AETNA $16.47 $29.00 $20.30 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient MULTIPLAN/PHCS [142] CDH SAGAMORE HEALTH PPO $16.65 $29.00 $20.30 2026-04-01 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility New York State Office of Victim Services Managed Medicaid $16.68 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Blue Cross Family Health Plus Managed Medicaid $16.68 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare Managed Medicaid $16.68 2025-06-20 MRF ↗

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