989 — Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
Cite this view
HANK Price Transparency. (n.d.). NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC (OTHER 989) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/989?code_type=OTHER
“NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC (OTHER 989) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/989?code_type=OTHER. Accessed .
“NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC (OTHER 989) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/989?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $128–$9,789 (25th–75th percentile) across 358 hospitals · 633 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 989 — 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 |
|---|---|---|---|---|---|---|---|
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $6.28 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $7.40 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Fidelis Health Plan Of New York (Plan: Harp) | — | $8.13 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Fidelis Health Plan Of New York (Plan: Essential Plan) | — | $8.13 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Fidelis Health Plan Of New York (Plan: Medicare Advantage) | — | $8.13 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Fidelis Health Plan Of New York (Plan: Chp) | — | $8.13 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Medicare B Ny Upstate Jk (Plan: Medicare Part B) | — | $8.13 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Medicare Advantage) | — | $8.13 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Fidelis Health Plan Of New York (Plan: Health Benefit Exchange) | — | $8.13 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Fidelis Health Plan Of New York (Plan: Medicaid Replacement) | — | $8.13 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Wellcare Of New York (Plan: Medicare Advantage) | — | $8.29 | $93.00 | — | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Healthsync | — | $8.42 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Essential Plan) | — | $8.54 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Epo) | — | $8.54 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Medicare Advantage) | — | $8.54 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Aso) | — | $8.54 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Commercial) | — | $8.54 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Ppo) | — | $8.54 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Commercial) | — | $8.54 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Epo) | — | $8.54 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Ppo) | — | $8.54 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Aso) | — | $8.54 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Harp) | — | $8.54 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Medicare Advantage) | — | $8.54 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Hmo) | — | $8.54 | $93.00 | — | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Hmo | — | $8.69 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Navigate | — | $8.69 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Medical Resources United Medical Resources | — | $8.69 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Core | — | $8.69 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Golden Rule Insurance | — | $8.69 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Choice | — | $8.69 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Unitedhealthcare Shared Services | — | $8.69 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Medical Resources Umr-Wausau | — | $8.69 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care All Savers | — | $8.69 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Medicare Advantage) | — | $8.80 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Fidelis Health Plan Of New York (Plan: Medicare Advantage) | — | $8.80 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Fidelis Health Plan Of New York (Plan: Medicaid Replacement) | — | $8.80 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Medicare B Ny Upstate Jk (Plan: Medicare Part B) | — | $8.80 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Fidelis Health Plan Of New York (Plan: Chp) | — | $8.80 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Fidelis Health Plan Of New York (Plan: Essential Plan) | — | $8.80 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Fidelis Health Plan Of New York (Plan: Harp) | — | $8.80 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Fidelis Health Plan Of New York (Plan: Health Benefit Exchange) | — | $8.80 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Wellcare Of New York (Plan: Medicare Advantage) | — | $8.98 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Harp) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Wellcare Of New York (Plan: Medicaid Replacement) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: United Healthcare (Plan: Chp W/ Beacon Health) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: United Healthcare (Plan: Medicaid Replacement W/ Beacon Health) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Healthy New York A/B) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Medicaid Replacement) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Chp) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Medicaid Replacement) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Wellcare Of New York (Plan: Fhp) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Chp) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: United Healthcare (Plan: Fhp W/ Beacon Health) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Chp) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Essential Plan) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Hmo) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Wellcare Of New York (Plan: Chp) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Medicaid Replacement) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Medicaid New York (Plan: Nysdoh) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Aetna (Plan: Managed Choice Pos) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Fhp) | — | $9.11 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Essential Plan) | — | $9.24 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Epo) | — | $9.24 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Commercial) | — | $9.24 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Harp) | — | $9.24 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Hmo) | — | $9.24 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Medicare Advantage) | — | $9.24 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Aso) | — | $9.24 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Commercial) | — | $9.24 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Ppo) | — | $9.24 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Medicare Advantage) | — | $9.24 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Mvp Healthplan Of Ny (Plan: Epo) | — | $9.24 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Ppo) | — | $9.24 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cigna (Plan: Aso) | — | $9.24 | $19.00 | — | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Hmo | — | $9.41 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Federal | — | $9.41 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Ppo | — | $9.41 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Out Of State Blue Cross In Out Of State | — | $9.41 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna | — | $10.28 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Choice Ppo | — | $10.28 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Hmo/Pos | — | $10.28 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Oap/Pos State Of Illinois | — | $10.28 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Qchp State Of Illinois | — | $10.28 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Meritain Health | — | $10.28 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare | — | $10.97 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Unitedhealthcare Shared Services | — | $10.97 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care United Medical Resources | — | $10.97 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Ppo | — | $10.97 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Golden Rule Insurance | — | $10.97 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Navigate | — | $10.97 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Medical Resources Umr-Wausau | — | $10.97 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Choice | — | $10.97 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Medical Resources United Medical Resources | — | $10.97 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Ppo) | — | $11.05 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Pos) | — | $11.05 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Aso) | — | $11.05 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Hmo) | — | $11.05 | $93.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Tricare For Life (Plan: Tricare For Life) | — | $11.40 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Tricare North (Plan: Tricare North) | — | $11.40 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Tricare East Region (Plan: Tricare East) | — | $11.40 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Tricare West Uhc Military And Veterans (Plan: Tricare West) | — | $11.40 | $19.00 | — | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care National Assoc Of Letter Carriers | — | $11.53 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Cigna Cigna Ppo | — | $11.53 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Cigna Cigna Oa Plus | — | $11.53 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Phcs Generic | — | $11.71 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Aso) | — | $11.72 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Pos) | — | $11.72 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Ppo) | — | $11.72 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Blue Cross Blue Shield Of Ny Utica Watertown (Plan: Hmo) | — | $11.72 | $19.00 | — | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Humana Humana Choice Pos | — | $11.95 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Hmo/Pos | — | $12.47 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Meritain Health | — | $12.47 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Choice Ppo | — | $12.47 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna | — | $12.47 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Oap/Pos State Of Illinois | — | $12.47 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Ppo | — | $12.61 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Choice Care | — | $12.61 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Choice Pos | — | $12.61 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Traditional Indemnity | — | $13.13 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Empire Healthchoice (Plan: Medicaid Advantage) | — | $13.30 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Empire Healthchoice (Plan: Medicaid Advantage Plus) | — | $13.30 | $19.00 | — | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare | — | $13.58 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Ppo | — | $13.58 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Hmo Illinois | — | $13.58 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Blue Advantage Hmo | — | $13.58 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Hammond Clinic Attn Hmo | — | $13.58 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Blue Cross Blue Shield Il Ppo | — | $14.30 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cdphp (Plan: Medicaid Advantage) | — | $14.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Aetna (Plan: Aetna Choice Pos Ii) | — | $14.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Aetna (Plan: Qpos) | — | $14.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Aetna (Plan: Elect Choice) | — | $14.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Aetna (Plan: Select) | — | $14.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cdphp (Plan: Medicare Advantage) | — | $14.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Cdphp (Plan: Commercial) | — | $14.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Aetna (Plan: National Advantage) | — | $14.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Aetna (Plan: Medicare Advantage Hmo) | — | $14.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Aetna (Plan: Open Choice Ppo) | — | $14.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Aetna (Plan: Medicare Advantage Ppo) | — | $14.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Aetna (Plan: Medicare Advantage Pos) | — | $14.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Aetna (Plan: Hmo) | — | $14.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Healthnow Bcbs Northeastern Ny (Plan: Idemnity) | — | $16.15 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Healthnow Bcbs Northeastern Ny (Plan: Pos) | — | $16.15 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Healthnow Bcbs Northeastern Ny (Plan: Hmo) | — | $16.15 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Healthnow Bcbs Northeastern Ny (Plan: Ppo) | — | $16.15 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: United Healthcare (Plan: Commercial W/ Beacon Health) | — | $16.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: United Healthcare (Plan: Mcr Essential W/ Beacon Health) | — | $16.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: United Healthcare (Plan: Opt/Ppo W/ Beacon Health) | — | $16.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: United Healthcare (Plan: Dual Complete Medicare W/ Beacon Health) | — | $16.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: United Healthcare (Plan: Aarp Mcr W/ Beacon Health) | — | $16.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: United Healthcare (Plan: Mcr Choice Ppo W/ Beacon Health) | — | $16.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage W/ Beacon Health) | — | $16.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage Rdp W/ Beacon Health) | — | $16.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE | Payer Negotiated Charge: Oxford Health Plans (Plan: Oxford Uhc) | — | $16.63 | $19.00 | — | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Work Comp Franciscan Alliance Emp | — | $18.10 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Medicaid Hosp Presumptive Elig | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Gold Plus Mc Replacement | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Medicaid In Traditional | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Medicare Choice Pffs | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Oak Street | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Illinois Molina Healthcare Of Illinois | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A & B | — | $18.10 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A Only | — | $18.10 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Bcbs Il Medicare Sel Replacement | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Medicaid Package E Only | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid United Healthcare Care Connect | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Medicare Plus Hmo | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Cenpatico - Mhs Behavioral Health | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Optum Medicare Replacement | — | $18.10 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Meridian Mmai | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Healthlink Ppo | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Us Dept Of Labor | — | $18.10 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Cigna Healthspring Mmai | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Communicare Advantage Plan | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Aetna Medicare Replacement | — | $18.10 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Gold Plus Mc Replacement | — | $18.10 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Mdwise Excel Hip | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Wellcare Medicare Replacement | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Medicare Choice Pffs | — | $18.10 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Commercial Third Party Liability | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Workers Comp Generic Indiana | — | $18.10 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Work Comp Corvel | — | $18.10 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Workers Comp Workers Comp Generic Indiana | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Medicare Part A & B | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Caresource Hip | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Caresource Hhw | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Workers Comp Workers Comp Generic Illinois | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Commercial Allied Benefit Systems,Inc | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Medicare Part A Only | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Medicare Part B | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Aetna Better Health Premier Plan Mmai | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Anthem Ppo | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Out Of State Blue Cross In Out Of State | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Anthem Federal | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Cigna Cigna Oa Plus | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Communicare Advantage Plan | — | $18.10 | $18.10 | $4.96 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Commercial Mva Liability Insurance | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Cigna Cigna Ppo | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement United Healthcare Mc Replacement | — | $18.10 | $18.10 | $5.14 | 2026-07-31 | 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.