C1722 — Aicd, Single Chamber
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). AICD, SINGLE CHAMBER (OTHER C1722) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C1722?code_type=OTHER
MLA (9th ed.)
“AICD, SINGLE CHAMBER (OTHER C1722) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C1722?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“AICD, SINGLE CHAMBER (OTHER C1722) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C1722?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12,778–$50,327 (25th–75th percentile) across 87 hospitals · 290 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER C1722 — 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 |
|---|---|---|---|---|---|---|---|
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Wellcare | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Aetna | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Aetna | First Health | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Prime Health | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Phcs | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Whole Health | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Community | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | First Mco | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Hst | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Naphcare | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Brighton | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Hst | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Contigo Health | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | United Community | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Multiplan | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Oxford | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Local Value | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Galaxy | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Whole Health | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Fidelis | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Pnoa | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Whole Health | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Occunet | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | First Mco | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Chn | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Healthcare | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Better Health | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Prime Health | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellcare | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | United Healthcare | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Workers Comp | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Community | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Fidelis | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Geisinger | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Longevity Health | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Oxford | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Naphcare | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Amerihealth | Local Value | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Healthcare | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Phcs | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | United Healthcare | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Three Rivers | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Three Rivers | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Amerihealth | Casualty | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Multiplan | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Multiplan | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Qualcare | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Contigo Health | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Amerihealth | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | First Health | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Amerihealth | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Amerihealth | Local Value | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Amerihealth | Casualty | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Galaxy | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Fidelis | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Whole Health | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | First Mco | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Hst | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Phcs | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Hst | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Chn | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Longevity Health | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Chn | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Pnoa | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Aetna | Workers Comp | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Hst | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Oxford | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Geisinger | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Geisinger | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Contigo Health | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Occunet | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Pnoa | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Occunet | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellcare | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Longevity Health | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Amerihealth | Casualty | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Brighton | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Geisinger | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Better Health | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Fidelis | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | First Health | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Workers Comp | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | First Mco | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | United Community | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Qualcare | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | First Mco | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Fidelis | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Geisinger | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Wellcare | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Wellcare | Medicare | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Three Rivers | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Naphcare | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Oxford | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Local Value | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Prime Health | Ppo | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Brighton | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Wellpoint | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Galaxy | Commercial | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Wellpoint | Medicaid | — | $114,880.84 | $11,488.08 | 2026-05-09 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Workers Comp | Other | $1.19 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Workers Comp | Other | $1.19 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Both | Cigna | Managed Care | $3.00 | $17.00 | $6.80 | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Both | Cigna | Managed Care | $3.43 | $17.00 | $6.80 | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Both | Humana | Managed Care | $3.74 | $17.00 | $6.80 | 2026-05-06 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Devoted Health, Inc. | Medicare Advantage | — | $28,132.50 | $23,912.63 | 2026-05-23 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Both | Humana | Managed Care | $4.00 | $17.00 | $6.80 | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Both | Av Med | Managed Care | $5.95 | $17.00 | $6.80 | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Both | Av Med | Managed Care | $6.00 | $17.00 | $6.80 | 2026-05-13 | 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.