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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A9616 — Gallium Gozellix 1 Millicuri

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 $1,308

Usually $1,171–$2,210 (25th–75th percentile) across 426 hospitals · 654 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A9616 — 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
COX MONETT HOSPITAL OutpatientFacility None $1.00 $0.31 2026-04-24 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility Molina Managed Medicaid - Non-Cap $146.41 2026-04-01 MRF ↗
Nationwide Children’s Hospital Toledo, Llc OutpatientFacility UHC Managed Medicaid $146.41 2026-04-01 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility UHC Managed Medicaid $146.41 2026-04-01 MRF ↗
Nationwide Children’s Hospital Toledo, Llc OutpatientFacility Molina Managed Medicaid - Non-Cap $146.41 2026-04-01 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility BCHP Managed Medicaid - Non-Cap $147.82 2026-04-01 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility Anthem Managed Medicaid - Non-Cap $147.82 2026-04-01 MRF ↗
Nationwide Children’s Hospital Toledo, Llc OutpatientFacility BCHP Managed Medicaid - Non-Cap $147.82 2026-04-01 MRF ↗
Nationwide Children’s Hospital Toledo, Llc OutpatientFacility Amerihealth Managed Medicaid - Non-Cap $147.82 2026-04-01 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility Humana Managed Medicaid $147.82 2026-04-01 MRF ↗
Nationwide Children’s Hospital Toledo, Llc OutpatientFacility Humana Managed Medicaid $147.82 2026-04-01 MRF ↗
Nationwide Children’s Hospital Toledo, Llc OutpatientFacility Anthem Managed Medicaid - Non-Cap $147.82 2026-04-01 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility Amerihealth Managed Medicaid - Non-Cap $147.82 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient BLUE CROSS MEDICAID [1612] DCH ILLINOIS MEDICAID $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient COUNTYCARE IL COOK CO [1607] DCH ILLINOIS MEDICAID $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient HEALTH ALLIANCE MEDICAID [1310] DCH ILLINOIS MEDICAID $2,321.00 $1,624.70 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient BLUE CROSS MEDICAID [1612] VWH ILLINOIS MEDICAID $160.15 $2,321.00 $1,624.70 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient FAMILY HEALTH NETWORK HMO [1610] VWH ILLINOIS MEDICAID $160.15 $2,321.00 $1,624.70 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] VWH ILLINOIS MEDICAID $160.15 $2,321.00 $1,624.70 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient HEALTH ALLIANCE MEDICAID [1310] VWH ILLINOIS MEDICAID $160.15 $2,321.00 $1,624.70 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient MERIDIAN HEALTH PLAN HMO [1604] VWH ILLINOIS MEDICAID $160.15 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient FAMILY HEALTH NETWORK HMO [1610] KH ILLINOIS MEDICAID $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient MERIDIAN HEALTH PLAN HMO [1604] KH ILLINOIS MEDICAID $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient CENPATICO BEHAVIORAL HEALTH [1603] KH ILLINOIS MEDICAID $2,321.00 $1,624.70 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient COUNTYCARE IL COOK CO [1607] VWH ILLINOIS MEDICAID $160.15 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient BLUE CROSS MEDICAID [1612] CDH ILLINOIS MEDICAID $160.15 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] KH ILLINOIS MEDICAID $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient HEALTH ALLIANCE MEDICAID [1310] CDH ILLINOIS MEDICAID $160.15 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient BLUE CROSS MEDICAID [1612] KH ILLINOIS MEDICAID $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient HEALTH ALLIANCE MEDICAID [1310] KH ILLINOIS MEDICAID $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient COUNTYCARE IL COOK CO [1607] KH ILLINOIS MEDICAID $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient COUNTYCARE IL COOK CO [1607] CDH ILLINOIS MEDICAID $160.15 $2,321.00 $1,624.70 2026-04-01 MRF ↗
CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility United Healthcare Managed Medicaid $194.48 $4,862.00 $4,862.00 2026-05-15 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility Caresource Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
Nationwide Children's Hospital OutpatientFacility BCHP Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility UHC Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
Nationwide Children's Hospital OutpatientFacility Anthem Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility Humana Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility Anthem Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
Nationwide Children's Hospital OutpatientFacility Molina Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility BCHP Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
Nationwide Children's Hospital OutpatientFacility UHC Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
Nationwide Children's Hospital OutpatientFacility Humana Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility Molina Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
Nationwide Children's Hospital OutpatientFacility Amerihealth Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
Nationwide Children's Hospital OutpatientFacility Caresource Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility Amerihealth Managed Medicaid - Non-Cap $198.94 2026-04-01 MRF ↗
CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility Fidelis Managed Medicaid Managed Medicaid $207.61 $4,862.00 $4,862.00 2026-05-15 MRF ↗
CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility Wellpoint Managed Medicaid $210.04 $4,862.00 $4,862.00 2026-05-15 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] CDH BCBS BLUECHOICE PREFERRED $257.63 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] CDH BCBS BLUECHOICE OPTIONS $257.63 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] CDH BCBS BLUECHOICE SELECT $257.63 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] CDH BCBS BLUECHOICE OPTIONS $257.63 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] CDH BCBS BLUECHOICE SELECT $257.63 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] CDH BCBS BLUECHOICE PREFERRED $257.63 $2,321.00 $1,624.70 2026-04-01 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY INTERFACILITY [20513] HB FTSM Inter-Facility CCR New 6.1.25 $257.85 $1,171.00 $761.15 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY INTERFACILITY [20513] HB FTSM Inter-Facility CCR New 6.1.25 $257.85 $1,171.00 $761.15 2026-03-13 MRF ↗
CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility Aetna Better Health Managed Medicaid $262.55 $4,862.00 $4,862.00 2026-05-15 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient ALTERNATE BLUE CROSS MEDICARE ADV [2304] CDH MEDICARE $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient ALTERNATE BLUE CROSS MEDICARE ADV [2304] KH MEDICARE $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient GLOBAL EXCEL [1712] KH MEDICARE $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient GLOBAL EXCEL [1712] CDH MEDICARE $2,321.00 $1,624.70 2026-04-01 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient ALTERNATE HUMANA MEDICARE ADV [2409] MRH MEDICARE $2,321.00 $1,624.70 2026-04-01 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient ALTERNATE BLUE CROSS MEDICARE ADV [2304] MRH MEDICARE $2,321.00 $1,624.70 2026-04-01 MRF ↗
Marianjoy Rehabilitation Hospital Outpatient GLOBAL EXCEL [1712] MRH MEDICARE $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient GLOBAL EXCEL [1712] DCH MEDICARE $2,321.00 $1,624.70 2026-04-01 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility HUMANA MEDICAID CONTRACTED [320486] HB FTSM OK MANAGED MEDICAID $292.75 $1,171.00 $761.15 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB FTSM OK MANAGED MEDICAID $292.75 $1,171.00 $761.15 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB FTSM OK MANAGED MEDICAID $292.75 $1,171.00 $761.15 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB FTSM OK MANAGED MEDICAID $292.75 $1,171.00 $761.15 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB FTSM OK MANAGED MEDICAID $292.75 $1,171.00 $761.15 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility HUMANA MEDICAID CONTRACTED [320486] HB FTSM OK MANAGED MEDICAID $292.75 $1,171.00 $761.15 2026-03-13 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient GLOBAL EXCEL [1712] NLFH MEDICARE $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient AETNA HEALTH PLAN [171] CDH AETNA NM EMPLOYEES $331.90 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] DCH BCBS BLUECHOICE OPTIONS $345.83 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] DCH BCBS BLUECHOICE SELECT $345.83 $2,321.00 $1,624.70 2026-04-01 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB FTSM BCBS EXCHANGE $351.30 $1,171.00 $761.15 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB FTSM BCBS EXCHANGE $351.30 $1,171.00 $761.15 2026-03-13 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] PH BCBS BLUECHOICE PREFERRED $371.36 $2,321.00 $1,624.70 2026-04-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] PH BCBS BLUECHOICE OPTIONS SELECT $371.36 $2,321.00 $1,624.70 2026-04-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] PH BCBS BLUECHOICE OPTIONS $371.36 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient AETNA HEALTH PLAN [171] DCH AETNA NM EMPLOYEES $378.32 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient AETNA HEALTH PLAN [171] NLFH AETNA NM EMPLOYEES $385.29 $2,321.00 $1,624.70 2026-04-01 MRF ↗
VIDANT EDGECOMBE HOSPITAL Both BCBS MEDICAID - HEALTHY BLUE [1318] BCBS MEDICAID - HEALTHY BLUE [378] $397.39 $2,350.00 $1,316.00 2026-03-24 MRF ↗
VIDANT EDGECOMBE HOSPITAL Both BCBS MEDICAID - HEALTHY BLUE [1318] NCHC BCBS MEDICAID - HEALTHY BLUE [406] $397.39 $2,350.00 $1,316.00 2026-03-24 MRF ↗
VIDANT EDGECOMBE HOSPITAL Both CAROLINA COMPLETE HEALTH [1317] CAROLINA COMPLETE [377] $401.38 $2,350.00 $1,316.00 2026-03-24 MRF ↗
VIDANT EDGECOMBE HOSPITAL Both WELLCARE [1320] WELLCARE [380] $403.26 $2,350.00 $1,316.00 2026-03-24 MRF ↗
VIDANT EDGECOMBE HOSPITAL Both AMERIHEALTH MCAID ADV [1316] AMERIHEALTH [376] $405.38 $2,350.00 $1,316.00 2026-03-24 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] CDH BCBS PPO $408.50 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] CDH BCBS PPO $408.50 $2,321.00 $1,624.70 2026-04-01 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB FTSM DEC LACLEDE - NEW 07.01.25 $409.85 $1,171.00 $761.15 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB FTSM DEC WOODARD $409.85 $1,171.00 $761.15 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB FTSM DEC LACLEDE - NEW 07.01.25 $409.85 $1,171.00 $761.15 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB FTSM DEC WOODARD $409.85 $1,171.00 $761.15 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB FTSM DEC WOODARD $409.85 $1,171.00 $761.15 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC BARTEL $409.85 $1,171.00 $761.15 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC TALL TREE $409.85 $1,171.00 $761.15 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC SCHAEFER QCG $409.85 $1,171.00 $761.15 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC TALL TREE $409.85 $1,171.00 $761.15 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC SCHAEFER QCG $409.85 $1,171.00 $761.15 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC BARTEL $409.85 $1,171.00 $761.15 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB FTSM DEC WOODARD $409.85 $1,171.00 $761.15 2026-03-13 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] DCH BCBS BLUECHOICE PREFERRED $417.78 $2,321.00 $1,624.70 2026-04-01 MRF ↗
CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility Cigna Local Plus $420.08 $4,862.00 $4,862.00 2026-05-15 MRF ↗
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient AETNA HEALTH PLAN [171] KH AETNA NM EMPLOYEES $424.74 $2,321.00 $1,624.70 2026-04-01 MRF ↗
M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility Blue Cross of Minnesota PMAP $432.73 $2,124.36 $851.87 2026-02-06 MRF ↗
FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility Blue Cross of Minnesota PMAP $432.73 $2,124.36 $851.87 2026-02-05 MRF ↗
M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility Blue Cross of Minnesota PMAP $432.73 $2,124.36 $851.87 2026-02-05 MRF ↗
M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility Blue Cross of Minnesota PMAP $432.73 $2,124.36 $902.86 2026-02-06 MRF ↗
FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility Blue Cross of Minnesota PMAP $432.73 $2,124.36 $851.87 2026-01-29 MRF ↗
M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility Blue Cross of Minnesota PMAP $432.73 $2,124.36 $851.87 2026-02-06 MRF ↗
M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility Blue Cross of Minnesota PMAP $432.73 $2,124.36 $851.87 2026-02-05 MRF ↗
FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both BLUE CROSS ILLINOIS [1210] BC/BS OF ILLINOIS HMO-SSCD $437.90 $2,276.00 $505.27 2026-01-01 MRF ↗
FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both BLUE CROSS BLUE SHIELD IL [1030] BC/BS OF ILLINOIS HMO-SSCD $437.90 $2,276.00 $505.27 2026-01-01 MRF ↗
FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both BLUE CROSS [1014] BC/BS OF ILLINOIS HMO-SSCD $437.90 $2,276.00 $505.27 2026-01-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient GLOBAL EXCEL [1712] VWH MEDICARE $440.99 $2,321.00 $1,624.70 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient ALTERNATE HUMANA MEDICARE ADV [2409] VWH MEDICARE $440.99 $2,321.00 $1,624.70 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient ALTERNATE BLUE CROSS MEDICARE ADV [2304] VWH BLUE CROSS MEDICARE ADVT $440.99 $2,321.00 $1,624.70 2026-04-01 MRF ↗
M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility Health Partners Medicare Cost $443.99 $2,124.36 $851.87 2026-02-05 MRF ↗
M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility Health Partners Medicare Cost $443.99 $2,124.36 $902.86 2026-02-06 MRF ↗
M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility Health Partners Medicare Cost $443.99 $2,124.36 $851.87 2026-02-05 MRF ↗
M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility Health Partners Medicare Cost $443.99 $2,124.36 $851.87 2026-02-06 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] PH BCBS PPO $445.63 $2,321.00 $1,624.70 2026-04-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] PH BCBS PPO $445.63 $2,321.00 $1,624.70 2026-04-01 MRF ↗
M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility Health Partners PMAP $452.06 $2,124.36 $902.86 2026-02-06 MRF ↗
M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility Health Partners PMAP $452.06 $2,124.36 $851.87 2026-02-05 MRF ↗
M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility Health Partners PMAP $452.06 $2,124.36 $851.87 2026-02-05 MRF ↗
M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility Health Partners PMAP $452.06 $2,124.36 $851.87 2026-02-06 MRF ↗
M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility Health Partners Medicare Cost $460.99 $2,124.36 $851.87 2026-02-06 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient HUMANA HEALTH PLAN [130] CDH DUPAGE MEDICAL GROUP $464.20 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] CDH DUPAGE MEDICAL GROUP $464.20 $2,321.00 $1,624.70 2026-04-01 MRF ↗
M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility Health Partners PMAP $469.27 $2,124.36 $851.87 2026-02-06 MRF ↗
CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility Horizon Blue Cross Omnia $484.74 $4,862.00 $4,862.00 2026-05-15 MRF ↗
MCLAREN THUMB REGION Both Tricare Tricare $488.61 $1,375.10 $687.55 2025-12-31 MRF ↗
MCLAREN BAY REGION Both Tricare Tricare $488.61 $1,375.10 $687.55 2025-12-31 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] NLFH BCBS HMO $491.82 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] NLFH BCBS HMO $491.82 $2,321.00 $1,624.70 2026-04-01 MRF ↗
RAPIDES REGIONAL MEDICAL CENTER Outpatient United OptionsPPO $495.04 $2,210.00 $2,210.00 2026-03-01 MRF ↗
PALOS COMMUNITY HOSPITAL Outpatient AETNA HEALTH PLAN [171] PH AETNA NM EMPLOYEES $499.02 $2,321.00 $1,624.70 2026-04-01 MRF ↗
FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both BLUE CROSS BLUE SHIELD IL [1030] BC/BS OF ILLINOIS PPO-SSCD $504.82 $2,276.00 $505.27 2026-01-01 MRF ↗
FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both BLUE CROSS OUT OF STATE [1211] BC/BS OF ILLINOIS PPO-SSCD $504.82 $2,276.00 $505.27 2026-01-01 MRF ↗
FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both ALT PAYER ILLINOIS BLUE CROSS [121002] BC/BS OF ILLINOIS PPO-SSCD $504.82 $2,276.00 $505.27 2026-01-01 MRF ↗
FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both BLUE CROSS ILLINOIS [1210] BC/BS OF ILLINOIS PPO-SSCD $504.82 $2,276.00 $505.27 2026-01-01 MRF ↗
FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both BLUE CROSS [1014] BC/BS OF ILLINOIS PPO-SSCD $504.82 $2,276.00 $505.27 2026-01-01 MRF ↗
FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both ALT PAYER INDIANA BLUE CROSS [121003] BC/BS OF ILLINOIS PPO-SSCD $504.82 $2,276.00 $505.27 2026-01-01 MRF ↗
MCLAREN BAY REGION Both Detroit Medical Center Detroit Medical Center $507.41 $1,375.10 $687.55 2025-12-31 MRF ↗
KARMANOS CANCER CENTER Both Detroit Medical Center Detroit Medical Center $507.41 $1,375.10 $687.55 2025-12-31 MRF ↗
M Health Fairview Bethesda Hospital OutpatientFacility UCare PMAP $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital OutpatientFacility Health Partners Medicare Cost $524.72 $2,124.36 $851.87 2026-01-29 MRF ↗
COPLEY MEMORIAL HOSPITAL Outpatient CIGNA ONE HEALTH CIGNA ONE HEALTH $527.64 $2,549.00 $1,274.50 2026-05-07 MRF ↗
COPLEY MEMORIAL HOSPITAL Outpatient CIGNA ONE HEALTH CIGNA ONE HEALTH $527.64 $2,549.00 $1,274.50 2026-05-07 MRF ↗
M Health Fairview Bethesda Hospital OutpatientFacility Health Partners PMAP $534.06 $2,124.36 $851.87 2026-01-29 MRF ↗
THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient Vail Health COMM $534.13 $3,513.99 $3,513.99 2026-03-01 MRF ↗
CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility Horizon Blue Cross Managed Care $538.71 $4,862.00 $4,862.00 2026-05-15 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] DCH BCBS PPO $540.79 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient ALTERNATE BLUE CROSS [1402] DCH BCBS PPO $540.79 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] NLFH BCBS BLUECHOICE PREFERRED $543.11 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] NLFH BCBS BLUECHOICE OPTIONS $543.11 $2,321.00 $1,624.70 2026-04-01 MRF ↗
NORTHWESTERN LAKE FOREST HOSPITAL Outpatient BLUE CROSS BLUE SHIELD [1401] NLFH BCBS BLUECHOICE SELECT $543.11 $2,321.00 $1,624.70 2026-04-01 MRF ↗
SANFORD USD MEDICAL CENTER OutpatientFacility Health Partners State Employees $555.43 $1,658.00 $1,326.40 2026-03-04 MRF ↗
Vidant Beaufort Hospital Both BCBS MEDICAID - HEALTHY BLUE [1318] BCBS MEDICAID - HEALTHY BLUE [378] $557.42 $2,350.00 $1,245.50 2026-04-01 MRF ↗
Vidant Beaufort Hospital Both BCBS MEDICAID - HEALTHY BLUE [1318] NCHC BCBS MEDICAID - HEALTHY BLUE [406] $557.42 $2,350.00 $1,245.50 2026-04-01 MRF ↗
ECU HEALTH MEDICAL CENTER Both BCBS MEDICAID - HEALTHY BLUE [1318] BCBS MEDICAID - HEALTHY BLUE [378] $557.42 $2,350.00 $1,245.50 2026-03-24 MRF ↗
ECU HEALTH MEDICAL CENTER Both BCBS MEDICAID - HEALTHY BLUE [1318] NCHC BCBS MEDICAID - HEALTHY BLUE [406] $557.42 $2,350.00 $1,245.50 2026-03-24 MRF ↗
M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility Medica MSHO/Medicare Advantage SNP $562.96 $2,124.36 $851.87 2026-02-05 MRF ↗
FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility Medica Managed Medicaid/AccessAbility $562.96 $2,124.36 $851.87 2026-02-05 MRF ↗
FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility Medica Managed Medicaid/AccessAbility $562.96 $2,124.36 $851.87 2026-01-29 MRF ↗
FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility Medica MSHO/Medicare Advantage SNP $562.96 $2,124.36 $851.87 2026-02-05 MRF ↗
M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility Medica Managed Medicaid/AccessAbility $562.96 $2,124.36 $902.86 2026-02-06 MRF ↗
M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility Medica Managed Medicaid/AccessAbility $562.96 $2,124.36 $851.87 2026-02-05 MRF ↗
M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility Medica MSHO/Medicare Advantage SNP $562.96 $2,124.36 $902.86 2026-02-06 MRF ↗
FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility Medica MSHO/Medicare Advantage SNP $562.96 $2,124.36 $851.87 2026-01-29 MRF ↗
M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility Medica Managed Medicaid/AccessAbility $562.96 $2,124.36 $851.87 2026-02-05 MRF ↗
M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility Medica MSHO/Medicare Advantage SNP $562.96 $2,124.36 $851.87 2026-02-06 MRF ↗
M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility Medica Managed Medicaid/AccessAbility $562.96 $2,124.36 $851.87 2026-02-06 MRF ↗
M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility Medica MSHO/Medicare Advantage SNP $562.96 $2,124.36 $851.87 2026-02-05 MRF ↗
M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility Medica Managed Medicaid/AccessAbility $562.96 $2,124.36 $851.87 2026-02-06 MRF ↗
M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility Medica MSHO/Medicare Advantage SNP $562.96 $2,124.36 $851.87 2026-02-06 MRF ↗
Vidant Beaufort Hospital Both CAROLINA COMPLETE HEALTH [1317] CAROLINA COMPLETE [377] $563.06 $2,350.00 $1,245.50 2026-04-01 MRF ↗
ECU HEALTH MEDICAL CENTER Both CAROLINA COMPLETE HEALTH [1317] CAROLINA COMPLETE [377] $563.06 $2,350.00 $1,245.50 2026-03-24 MRF ↗
Vidant Beaufort Hospital Both WELLCARE [1320] WELLCARE [380] $565.88 $2,350.00 $1,245.50 2026-04-01 MRF ↗
ECU HEALTH MEDICAL CENTER Both WELLCARE [1320] WELLCARE [380] $565.88 $2,350.00 $1,245.50 2026-03-24 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility Optum Behavioral Medicaid $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility WellCare Medicare Advantage $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility Sanford Health Plan Medicare Advantage $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility Optum Behavioral Medicare $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility Optum Behavioral Commercial $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility Medica Medicare Advantage $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility Primewest Managed Medicaid $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility Security Health Plan Medicare Advantage $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility South Country Health Alliance Medicare Advantage $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility Health Partners Medicare Advantage $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility UCare Individual and Family with M Health Fairview $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility UCare Individual and Family $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility Blue Cross of Minnesota Managed Medicaid $568.05 $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility Itasca Medical Care Managed Medicaid $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility Primewest MSHO $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility Blue Cross of Minnesota Medicare Advantage $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility South Country Health Alliance PMAP $2,124.36 $851.87 2026-01-29 MRF ↗
M Health Fairview Bethesda Hospital InpatientFacility UCare Medicare Advantage/MSHO $2,124.36 $851.87 2026-01-29 MRF ↗

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