C9765 — Revasc Intra Lithotrip-stent
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Revasc intra lithotrip-stent (OTHER C9765) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C9765?code_type=OTHER
MLA (9th ed.)
“Revasc intra lithotrip-stent (OTHER C9765) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C9765?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Revasc intra lithotrip-stent (OTHER C9765) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C9765?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,052–$22,859 (25th–75th percentile) across 185 hospitals · 502 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER C9765 — 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 |
|---|---|---|---|---|---|---|---|
| DEBORAH HEART AND LUNG CENTER Outpatient | Horizon | Managed Medicaid | — | $106,837.00 | $106,837.00 | 2026-05-16 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $42,417.00 | $21,208.50 | 2026-05-13 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $51,239.00 | $35,867.30 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $28,613.00 | $20,029.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $31,972.00 | $22,380.40 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $28,613.00 | $20,029.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $51,239.00 | $35,867.30 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $31,972.00 | $22,380.40 | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Sentara | Comm. | $320.00 | $47,060.00 | $23,530.00 | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Sentara | Comm. | $320.00 | $47,060.00 | $23,530.00 | 2026-05-08 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Medcost | Medcost | $423.00 | $47,060.00 | $23,530.00 | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Medcost | Medcost | $423.00 | $47,060.00 | $23,530.00 | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Phcs | Phcs | $433.00 | $47,060.00 | $23,530.00 | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Phcs | Phcs | $433.00 | $47,060.00 | $23,530.00 | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Aetna | Wc | $433.00 | $47,060.00 | $23,530.00 | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Aetna | Wc | $433.00 | $47,060.00 | $23,530.00 | 2026-05-08 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Ghi | Bmp | $850.00 | $41,217.00 | $41,217.00 | 2026-05-17 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Ghi | Bmp | $850.00 | $41,217.00 | $41,217.00 | 2026-05-17 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Valueoptions | Medicaid | $901.25 | $41,217.00 | $41,217.00 | 2026-05-17 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Valueoptions | Medicaid | $901.25 | $41,217.00 | $41,217.00 | 2026-05-17 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Valueoptions | Commercial/Medicare | $901.25 | $41,217.00 | $41,217.00 | 2026-05-17 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Valueoptions | Commercial/Medicare | $901.25 | $41,217.00 | $41,217.00 | 2026-05-17 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $951.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $951.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $951.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $951.00 | — | — | 2026-05-22 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Aetna | Ppo | $993.00 | — | — | 2026-05-17 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,050.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,050.00 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Commercial | $1,068.87 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Commercial | $1,068.87 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,103.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $1,268.57 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $1,268.57 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $1,268.57 | — | — | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Aetna | Better Health | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Tenncare Select | $1,365.86 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Tenncare Select | $1,365.86 | — | — | 2026-05-14 | MRF ↗ |
| NORTHERN NEVADA MEDICAL CENTER Both | Aetna | First Health | $1,404.00 | $75,415.00 | $30,166.00 | 2026-05-06 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $1,478.00 | — | — | 2026-05-08 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Bcbs Of Tennessee | Medicaid | $1,478.00 | — | — | 2026-05-06 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $1,478.00 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $1,478.00 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $1,482.88 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $1,482.88 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $1,482.88 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $1,482.88 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $1,482.88 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $1,482.88 | — | — | 2026-05-13 | MRF ↗ |
| HARRIS HEALTH Outpatient | Uhc | Commercial | $1,573.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Uhc | Commercial | $1,573.00 | — | — | 2026-05-22 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Bcbs Of Tennessee | Tenncare Select | $1,800.00 | — | — | 2026-05-06 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Tenncare Select | $1,800.00 | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Tenncare Select | $1,800.00 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Tenncare Select | $1,800.00 | — | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Truecare – Medicaid Mscan | Truecare – Medicaid Mscan | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | United Healthcare Children'S | Managed Medicaid | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | United Healthcare Children'S | Managed Medicaid | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Magnolia | Medicaid Mscan | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Molina Children'S | Managed Medicaid | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicaid | [State] | — | $47,853.00 | $14,355.90 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Magnolia | Medicaid Mscan | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Tricare Humana & Behavior Health | Commercial | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Tricare Humana & Behavior Health | Commercial | — | $47,853.00 | $14,355.90 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Molina | Medicaid Mscan | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicare Advantage | Generic | — | $47,853.00 | $14,355.90 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Molina Children'S Health | Managed Medicaid | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Truecare – Medicaid Mscan | Truecare – Medicaid Mscan | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Magnolia | Medicaid Mscan | — | $47,853.00 | $14,355.90 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicare Advantage | Generic | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicaid | [State] | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicare | Government | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicaid | [State] | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicare | Government | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Aetna | Commercial | $1,831.00 | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Truecare – Medicaid Mscan | Truecare – Medicaid Mscan | — | $47,853.00 | $14,355.90 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicaid Hmo | Generic | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Aetna | Commercial | $1,831.00 | $47,853.00 | $14,355.90 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Molina Children'S | Managed Medicaid | — | $47,853.00 | $14,355.90 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | United Healthcare | Medicaid Mscan | — | $47,853.00 | $14,355.90 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Molina | Medicaid Mscan | — | $47,853.00 | $14,355.90 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicaid Hmo | Generic | — | $47,853.00 | $14,355.90 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | United Healthcare Children'S | Managed Medicaid | — | $47,853.00 | $14,355.90 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Aetna | Commercial | $1,831.00 | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicare | Government | — | $47,853.00 | $14,355.90 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | United Healthcare | Medicaid Mscan | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Tricare Humana & Behavior Health | Commercial | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicaid Hmo | Generic | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | United Healthcare | Medicaid Mscan | — | $47,853.00 | $14,355.90 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Emblem Ghi | Commercial | $1,868.16 | — | — | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | Medicaid | $1,887.00 | $51,239.00 | $35,867.30 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $1,887.00 | $31,972.00 | $22,380.40 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $1,887.00 | $28,613.00 | $20,029.10 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | Medicaid | $1,887.00 | $31,972.00 | $22,380.40 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | Medicaid | $1,887.00 | $51,239.00 | $35,867.30 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | Medicaid | $1,887.00 | $28,613.00 | $20,029.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | Medicaid | $1,887.00 | $28,613.00 | $20,029.10 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $1,887.00 | $51,239.00 | $35,867.30 | 2026-05-06 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | Medicaid | $1,887.00 | $31,972.00 | $22,380.40 | 2026-05-08 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Hotel Trades Council | Dental Or | $1,912.00 | $41,217.00 | $41,217.00 | 2026-05-17 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Hotel Trades Council | Dental Or | $1,912.00 | $41,217.00 | $41,217.00 | 2026-05-17 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Both | Anthem Blue Cross Blue Shield | Hmo | $1,972.00 | $46,159.00 | $18,463.60 | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Both | Aetna | Firsthealth | $1,980.00 | $54,428.00 | $21,771.20 | 2026-05-06 | MRF ↗ |
| SINGING RIVER GULFPORT Outpatient | Molina | Medicaid Mscan | — | $53,723.00 | $10,744.60 | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Outpatient | Truecare – Medicaid Mscan | Truecare – Medicaid Mscan | — | $53,723.00 | $10,744.60 | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Outpatient | Aetna | Commercial | $2,010.00 | $53,723.00 | $10,744.60 | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Outpatient | United Healthcare Children'S | Managed Medicaid | — | $53,723.00 | $10,744.60 | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Outpatient | Magnolia | Medicaid Mscan | — | $53,723.00 | $10,744.60 | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Outpatient | First Choice | Commercial | — | $53,723.00 | $10,744.60 | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Outpatient | United Healthcare | Medicaid Mscan | — | $53,723.00 | $10,744.60 | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Outpatient | Humana | Commercial | — | $53,723.00 | $10,744.60 | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Outpatient | Cigna | Commercial | — | $53,723.00 | $10,744.60 | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Outpatient | Molina Children'S | Managed Medicaid | — | $53,723.00 | $10,744.60 | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Outpatient | Tricare Humana & Behavior Health | Commercial | — | $53,723.00 | $10,744.60 | 2026-05-09 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | $2,226.00 | $51,652.00 | $51,652.00 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Indemnity | — | $51,652.00 | $51,652.00 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Omnia | — | $51,652.00 | $51,652.00 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | — | $51,652.00 | $51,652.00 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | $2,226.00 | $51,652.00 | $51,652.00 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | — | $51,652.00 | $51,652.00 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | — | $51,652.00 | $51,652.00 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Ppo Hmo | — | $51,652.00 | $51,652.00 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Rp | — | $51,652.00 | $51,652.00 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | — | $51,652.00 | $51,652.00 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Ppo Hmo | — | $51,652.00 | $51,652.00 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Omnia | — | $51,652.00 | $51,652.00 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Indemnity | — | $51,652.00 | $51,652.00 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Rp | — | $51,652.00 | $51,652.00 | 2026-05-23 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Both | Anthem Blue Cross Blue Shield | Ppoonly | $2,244.00 | $46,159.00 | $18,463.60 | 2026-05-23 | MRF ↗ |
| DEBORAH HEART AND LUNG CENTER Outpatient | Aetna | Commercial | $2,260.00 | $203,498.00 | $203,498.00 | 2026-05-16 | MRF ↗ |
| DEBORAH HEART AND LUNG CENTER Outpatient | Aetna | Commercial | $2,260.00 | $106,837.00 | $106,837.00 | 2026-05-16 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $2,370.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $2,370.00 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $2,464.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $2,464.00 | — | — | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Both | Aetna | Qhp | $2,472.00 | $131,307.00 | $52,522.80 | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Both | Aetna | Qhp | $2,472.00 | $129,286.00 | $51,714.40 | 2026-05-13 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Fidelis | Medicaid | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Pnoa | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Contigo Health | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Geisinger | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Pnoa | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Qualcare | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | First Health | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Better Health | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Workers Comp | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Qualcare | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Prime Health | Ppo | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Amerihealth | Casualty | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $2,693.00 | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Wellpoint | Medicaid | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Geisinger | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Three Rivers | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Multiplan | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | United Community | Medicaid | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Fidelis | Medicaid | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Phcs | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Pnoa | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Contigo Health | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $2,693.00 | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Community | Medicaid | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Workers Comp | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Prime Health | Ppo | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | First Health | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Better Health | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Amerihealth | Casualty | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Fidelis | Medicaid | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Geisinger | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Three Rivers | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Multiplan | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $2,693.00 | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Phcs | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Multiplan | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Three Rivers | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Qualcare | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Fidelis | Medicaid | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Wellpoint | Medicaid | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Aetna | First Health | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Geisinger | Commercial | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Amerihealth | Casualty | — | $33,711.00 | $3,371.10 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Prime Health | Ppo | — | $33,711.00 | $3,371.10 | 2026-05-09 | 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.