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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96116 — Nubhvl Xm Phys/qhp 1st Hr

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 $245

Usually $104–$303 (25th–75th percentile) across 37 hospitals · 194 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER 96116 — 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
Ft Worth Neuropsychiatric Hosp Cigna_Behavioral_Health_Ppo_100101206 — $40.00 $367.00 $220.20 2026-07-31 MRF ↗
JPS HEALTH NETWORK Cigna_Behavioral_Health_Ppo_100101206 — $40.00 $367.00 $220.20 2026-07-30 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $45.59 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $45.59 — — 2026-05-14 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both Medicaid Professional Facility $50.27 $182.00 $91.00 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient Medicaid Professional $50.48 $157.00 $78.50 2026-05-13 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient Medicaid Professional $50.48 $157.00 $78.50 2026-05-08 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $52.31 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $52.31 — — 2026-05-24 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both Medicaid Professional $58.36 $182.00 $91.00 2026-05-09 MRF ↗
JOHN H STROGER JR HOSPITAL Both Aetna Hmo $59.25 $189.00 $132.30 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Aetna Hmo $59.25 $189.00 $132.30 2026-05-22 MRF ↗
JOHN H STROGER JR HOSPITAL Both Aetna Ppo $59.25 $189.00 $132.30 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Aetna Ppo $59.25 $189.00 $132.30 2026-05-22 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient University Of Pittsburgh Medical Ctr Health Plan University Of Pittsburgh Medical Ctr Health Plan — $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Caresource Caresource — $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Humana Managed Medicaid — $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Blue Cross Blue Shield Ppo Blue Cross Blue Shield Ppo — $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Cigna Cigna — $1,006.00 $503.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Multiplan Multiplan — $496.00 $248.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Amerihealth Caritas Pa Medicaid Amerihealth Caritas Pa Medicaid — $496.00 $248.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Health Plan Of The Upper Ohio Valley Health Plan Of The Upper Ohio Valley — $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Aetna Aetna — $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient United Healthcare United Healthcare — $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Aetna Better Health — $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Wellpoint West Virginia Mgd Mcaid $59.70 $1,006.00 $503.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Health Plan Of The Upper Ohio Valley Health Plan Of The Upper Ohio Valley — $496.00 $248.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Cigna Cigna — $496.00 $248.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Highmark Health Options West Va Mgd Mcaid $59.70 $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Aetna Rental First Health — $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Blue Cross Blue Shield Traditional Blue Cross Blue Shield Traditional — $1,006.00 $503.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Geisinger Pennsylvania Mgd Medicaid — $496.00 $248.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Wellpoint West Virginia Mgd Mcaid $59.70 $496.00 $248.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Caresource Oh Managed Medicaid — $1,006.00 $503.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Caresource Caresource — $496.00 $248.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient 4 Most Zelis Stratose 4 Most Zelis Stratose — $496.00 $248.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Aetna Rental First Health — $496.00 $248.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Highmark Health Options West Va Mgd Mcaid $59.70 $496.00 $248.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient 4 Most Zelis Stratose 4 Most Zelis Stratose — $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Multiplan Multiplan — $1,006.00 $503.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Health Partners Managed Medicaid — $496.00 $248.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Aetna Better Health — $496.00 $248.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Buckeye Oh Managed Medicaid — $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Amerihealth Caritas Oh Managed Medicaid — $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Anthem Pathway Anthem Pathway — $1,006.00 $503.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Molina Oh Managed Medicaid — $1,006.00 $503.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient The Health Plan Wv Mgd Mcaid $60.56 $496.00 $248.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient The Health Plan Wv Mgd Mcaid $60.56 $1,006.00 $503.00 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Aetna Better Health Mgd Medicaid $60.84 $496.00 $248.00 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Aetna Better Health Wv Mgd Medicaid $60.84 $1,006.00 $503.00 2026-05-13 MRF ↗
OCHSNER CHOCTAW GENERAL Outpatient Humana � Military Tri-Care All Payor $60.92 $175.00 $133.00 2026-05-27 MRF ↗
OCHSNER CHOCTAW GENERAL Outpatient Blue Cross And Blue Shield Of Alabama All Payor $61.22 $175.00 $133.00 2026-05-27 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Coventry 1St Health All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Multiplan-Phcs All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Oh Network All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Anthem Pathways Hpn All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Anthem Pathways Hmo All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both United Mco All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Wellcare Mco All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Beech Street All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Great West All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Comm Care All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Sagamore All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Plan Vista All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Passport Molina Mco All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Uhc Plan 2 All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Uhc Plan 1 All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Humana Mco All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Aetna Better Health Mco All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Uhc Options Ppo All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Anthem All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Encore All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Centercare Aetna All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Centercare Cigna All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Ccn 1Source All Plans — $315.53 $205.09 2026-05-08 MRF ↗
OWENSBORO HEALTH REGIONAL HOSPITAL Both Centercare All Plans — $315.53 $205.09 2026-05-08 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Multiplan Commercial — $404.00 $303.00 2026-05-13 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Healthscope Benefits Commercial — $404.00 $303.00 2026-05-24 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Cigna Lifesource Medicare Advantage — $404.00 $303.00 2026-05-24 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Humana Commercial — $404.00 $303.00 2026-05-24 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Tricare Commercial $65.27 $404.00 $303.00 2026-05-24 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Cigna Lifesource Transplant — $404.00 $303.00 2026-05-24 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Cigna Lifesource Medicare Advantage — $404.00 $303.00 2026-05-13 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Municipal Health Benefit Fund — $404.00 $303.00 2026-05-24 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Aetna Commercial — $404.00 $303.00 2026-05-24 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Humana Commercial — $404.00 $303.00 2026-05-13 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Aetna Commercial — $404.00 $303.00 2026-05-13 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Tricare Commercial $65.27 $404.00 $303.00 2026-05-13 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Multiplan Commercial — $404.00 $303.00 2026-05-24 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Cigna Lifesource Transplant — $404.00 $303.00 2026-05-13 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Municipal Health Benefit Fund — $404.00 $303.00 2026-05-13 MRF ↗
University Of Arkansas Medical Sciences-transplant Both Healthscope Benefits Commercial — $404.00 $303.00 2026-05-13 MRF ↗
JPS HEALTH NETWORK Uhc_Medicaid_100105515 — $68.70 $367.00 $220.20 2026-07-30 MRF ↗
Ft Worth Neuropsychiatric Hosp Cigna_Healthspring_Medicaid_100102702 — $68.70 $367.00 $220.20 2026-07-31 MRF ↗
JPS HEALTH NETWORK Molina_Cmmty_Hlth_100106701 — $68.70 $367.00 $220.20 2026-07-30 MRF ↗
JPS HEALTH NETWORK Superior_Behavioral_Health_Medicaid_170004602 — $68.70 $367.00 $220.20 2026-07-30 MRF ↗
Ft Worth Neuropsychiatric Hosp Superior_Behavioral_Health_Medicaid_170004602 — $68.70 $367.00 $220.20 2026-07-31 MRF ↗
Ft Worth Neuropsychiatric Hosp Uhc_Medicaid_100105515 — $68.70 $367.00 $220.20 2026-07-31 MRF ↗
Ft Worth Neuropsychiatric Hosp Molina_Cmmty_Hlth_100106701 — $68.70 $367.00 $220.20 2026-07-31 MRF ↗
Ft Worth Neuropsychiatric Hosp Aetna_Chip_100100305 — $68.70 $367.00 $220.20 2026-07-31 MRF ↗
Ft Worth Neuropsychiatric Hosp Aetna_Chip_Perinate_100100308 — $68.70 $367.00 $220.20 2026-07-31 MRF ↗
JPS HEALTH NETWORK Aetna_Star_Kids_100100310 — $68.70 $367.00 $220.20 2026-07-30 MRF ↗
Ft Worth Neuropsychiatric Hosp Aetna_Star_100100307 — $68.70 $367.00 $220.20 2026-07-31 MRF ↗
Ft Worth Neuropsychiatric Hosp Aetna_Star_Kids_100100310 — $68.70 $367.00 $220.20 2026-07-31 MRF ↗
JPS HEALTH NETWORK Unicare_Medicaid_100105403 — $68.70 $367.00 $220.20 2026-07-30 MRF ↗
Ft Worth Neuropsychiatric Hosp Unicare_Medicaid_100105403 — $68.70 $367.00 $220.20 2026-07-31 MRF ↗
JPS HEALTH NETWORK Aetna_Chip_100100305 — $68.70 $367.00 $220.20 2026-07-30 MRF ↗
JPS HEALTH NETWORK Aetna_Star_100100307 — $68.70 $367.00 $220.20 2026-07-30 MRF ↗
JPS HEALTH NETWORK Aetna_Chip_Perinate_100100308 — $68.70 $367.00 $220.20 2026-07-30 MRF ↗
JPS HEALTH NETWORK Cigna_Healthspring_Medicaid_100102702 — $68.70 $367.00 $220.20 2026-07-30 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $70.64 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $70.64 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $70.64 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $70.64 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $71.39 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $71.39 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $71.81 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $71.81 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $71.81 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $71.81 — — 2026-05-14 MRF ↗
OCHSNER CHOCTAW GENERAL Outpatient Cigna Healthcare � Cigna Healthspring � Medicare Advantage Product(S) All Payor $73.55 $175.00 $133.00 2026-05-27 MRF ↗
OCHSNER CHOCTAW GENERAL Outpatient Optum Va Ccn All Payor $73.55 $175.00 $133.00 2026-05-27 MRF ↗
OCHSNER CHOCTAW GENERAL Outpatient United Healthcare - Medicare Advantage All Payor $73.55 $175.00 $133.00 2026-05-27 MRF ↗
OCHSNER CHOCTAW GENERAL Outpatient Molina Healthcare Of Mississippi � Managed Medicaid All Payor $73.55 $175.00 $133.00 2026-05-27 MRF ↗
OCHSNER CHOCTAW GENERAL Outpatient Magnolia Health Plan � Wellcare By All Well Of Mississippi All Payor $73.55 $175.00 $133.00 2026-05-27 MRF ↗
OCHSNER CHOCTAW GENERAL Outpatient Humana � Medicare Advantage All Payor $73.55 $175.00 $133.00 2026-05-27 MRF ↗
OCHSNER CHOCTAW GENERAL Outpatient Primewell Health Services � Medicare Advantage All Payor $73.55 $175.00 $133.00 2026-05-27 MRF ↗
OCHSNER CHOCTAW GENERAL Outpatient Simpra Medicare Advantage All Payor $74.29 $175.00 $133.00 2026-05-27 MRF ↗
OCHSNER CHOCTAW GENERAL Outpatient Molina Healthcare Of Mississippi � Medicare Advantage Product(S) All Payor $74.29 $175.00 $133.00 2026-05-27 MRF ↗
OCHSNER CHOCTAW GENERAL Outpatient Patrius Health Medicare Advantage � Ahs All Payor $75.02 $175.00 $133.00 2026-05-27 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $75.15 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $75.15 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $75.15 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $75.15 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $75.15 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $75.15 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $75.15 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $75.15 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $75.15 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $75.15 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $75.15 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $75.15 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $75.15 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $75.15 — — 2026-05-14 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient Medicare Professional $75.28 $157.00 $78.50 2026-05-13 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient Medicare Professional $75.28 $157.00 $78.50 2026-05-08 MRF ↗
JPS HEALTH NETWORK Molina_Star_100106706 — $75.57 $367.00 $220.20 2026-07-30 MRF ↗
JPS HEALTH NETWORK Molina_Chip_Perinatal_100106707 — $75.57 $367.00 $220.20 2026-07-30 MRF ↗
Ft Worth Neuropsychiatric Hosp Molina_Star_100106706 — $75.57 $367.00 $220.20 2026-07-31 MRF ↗
Ft Worth Neuropsychiatric Hosp Molina_Chip_100106708 — $75.57 $367.00 $220.20 2026-07-31 MRF ↗
JPS HEALTH NETWORK Molina_Starplus_100106705 — $75.57 $367.00 $220.20 2026-07-30 MRF ↗
Ft Worth Neuropsychiatric Hosp Molina_Chip_Perinatal_100106707 — $75.57 $367.00 $220.20 2026-07-31 MRF ↗
Ft Worth Neuropsychiatric Hosp Molina_Starplus_100106705 — $75.57 $367.00 $220.20 2026-07-31 MRF ↗
JPS HEALTH NETWORK Molina_Chip_100106708 — $75.57 $367.00 $220.20 2026-07-30 MRF ↗
CLARION HOSPITAL Outpatient Upmc Medicaid $75.59 — — 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Upmc Medicaid $75.59 — — 2026-05-13 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $75.98 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $75.98 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $75.98 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $75.98 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $75.98 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $75.98 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $75.98 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $75.98 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $75.98 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $75.98 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $75.98 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $75.98 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $75.98 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $75.98 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $75.98 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $75.98 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $75.98 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $75.98 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $75.98 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $75.98 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $75.98 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $75.98 — — 2026-05-14 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Choicecare Ma Ppo $76.19 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both American Health Medadv Hmo Isnp $76.19 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Humana Ma Hmo Ppo Pffs $76.19 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Nhc Medicare Advantage $76.19 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Blue Cross Medicare Advantage $76.19 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Humana Ma Hmo Ppo Pffs $76.19 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellcare Medicare Advantage $76.19 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Nhc Medicare Advantage $76.19 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Wellcare Medicare Advantage $76.19 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Choicecare Ma Ppo $76.19 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both Blue Cross Medicare Advantage $76.19 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Both American Health Medadv Hmo Isnp $76.19 — — 2026-05-13 MRF ↗
NEW LONDON HOSPITAL Outpatient Martin'S Point Health Care Martin'S Point - Us Family Health Plan $76.58 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Unitedhealthcare Uhc - Medicare Advantage $76.58 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem - Medicare Advantage $76.58 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Martin'S Point Generations Advantage Martin'S Point - Medicare Advantage $76.58 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $76.65 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $76.65 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $76.65 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $76.65 — — 2026-05-23 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Outpatient Uhc Hmo $76.71 $552.00 $386.40 2026-05-22 MRF ↗
JOHN H STROGER JR HOSPITAL Outpatient Uhc Ppo $76.71 $552.00 $386.40 2026-05-14 MRF ↗

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