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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C9775 — Revasc Lith-sten-ath Tib/per

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 $19,621

Usually $13,568–$28,012 (25th–75th percentile) across 1,570 hospitals · 3,988 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS C9775 — 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
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient None $90,716.08 $45,358.04 2024-12-15 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient None $90,716.08 $45,358.04 2024-12-15 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE GEHA OP $0.05 $51,534.00 $15,460.20 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE UHC COMM IP $0.05 $51,534.00 $15,460.20 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE GEHA IP $0.05 $51,534.00 $15,460.20 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE UNITED MISC OP $0.05 $51,534.00 $15,460.20 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE GEHA SECONDARY OP $0.05 $51,534.00 $15,460.20 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE UHC COMM OP $0.05 $51,534.00 $15,460.20 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE UMR OP $0.05 $51,534.00 $15,460.20 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both COMMERCIAL INSURANCE GOLDEN RULE IP $0.05 $51,534.00 $15,460.20 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both COMMERCIAL INSURANCE GOLDEN RULE OP $0.05 $51,534.00 $15,460.20 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE GEHA SECONDARY IP $0.05 $51,534.00 $15,460.20 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE UNITED MISC IP $0.05 $51,534.00 $15,460.20 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE UMR IP $0.05 $51,534.00 $15,460.20 2025-12-04 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility LEE HEALTH CARE PARTNERS [250255] KEY BENEFIT ADMIN [25025501] $0.50 $1.00 $0.20 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility LEE HEALTH CARE PARTNERS [250255] KEY BENEFIT ADMIN [25025501] $0.50 $1.00 $0.20 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL BothFacility LEE HEALTH CARE PARTNERS [250255] KEY BENEFIT ADMIN [25025501] $0.50 $1.00 $0.20 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH BothFacility LEE HEALTH CARE PARTNERS [250255] KEY BENEFIT ADMIN [25025501] $0.50 $1.00 $0.20 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers BothFacility LEE HEALTH CARE PARTNERS [250255] KEY BENEFIT ADMIN [25025501] $0.50 $1.00 $0.20 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility LEE HEALTH CARE PARTNERS [250255] KEY BENEFIT ADMIN [25025501] $0.50 $1.00 $0.20 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility LEE HEALTH CARE PARTNERS [250255] KEY BENEFIT ADMIN [25025501] $0.50 $1.00 $0.20 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility CIGNA [210201] CIGNA HMO/PPO [21020101] $0.59 $1.00 $0.20 2026-03-26 MRF ↗
Rehabilitation Hospital of Fort Myers BothFacility CIGNA [210201] CIGNA HMO/PPO [21020101] $0.59 $1.00 $0.20 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility CIGNA [210201] CIGNA HMO/PPO [21020101] $0.59 $1.00 $0.20 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility CIGNA [210201] CIGNA HMO/PPO [21020101] $0.59 $1.00 $0.20 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL BothFacility CIGNA [210201] CIGNA HMO/PPO [21020101] $0.59 $1.00 $0.20 2026-03-26 MRF ↗
GULF COAST MEDICAL CENTER LEE HEALTH BothFacility CIGNA [210201] CIGNA HMO/PPO [21020101] $0.59 $1.00 $0.20 2026-03-26 MRF ↗
CAPE CORAL HOSPITAL BothFacility CIGNA [210201] CIGNA HMO/PPO [21020101] $0.59 $1.00 $0.20 2026-03-26 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient United Healthcare United Healthcare - Medicare $63.62 $39,708.00 $29,781.00 2026-04-01 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Medi-Cal Cencal Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Medi-Cal Alameda Alliance for Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Gold Coast Medi-cal Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Cal Caloptima Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Medi-Cal Contra Costa Health Plan Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility CCS Madera/Sacramento Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Medi-Cal Contra Costa Health Plan Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility CCS Kings Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Generic CCS Other Counties Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility CCS Tulare Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Medi-Cal Alameda Alliance for Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Genetically Handicapped Person Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility San Francisco Health Plan Medi-Cal Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Sante - Blue Cross Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility CCS Kern Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility CHDP Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Medi-Cal Health Plan of San Mateo Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility CCS Mariposa Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility CCS Tulare Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility CCS Fresno Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Medi-Cal Kern Family Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Fresno County Funded Specialty Care Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Medi-Cal LA Care Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Medi-Cal Partnership Health Plan of CA Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Medi-Cal Partnership Health Plan of CA Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Medi-Cal Blue Shield Promise Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Medi-Cal Inland Empire Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Medi-Cal Alameda Alliance for Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility CCS Fresno Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Santa Clara Family Health Plan - Valley Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility San Francisco Health Plan Medi-Cal Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Sante - Blue Cross Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Medi-Cal Contra Costa Health Plan Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Fresno County Funded Specialty Care Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Genetically Handicapped Person Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Generic CCS Other Counties Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Blue Shield Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Cal Caloptima Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Medi-Cal Inland Empire Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Generic CCS Other Counties Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Fresno County Funded Specialty Care Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Genetically Handicapped Person Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Gold Coast Medi-cal Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Generic Care Out of County Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility CCS Fresno Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility CCS Stanislaus Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Medi-Cal Kern Family Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Medi-Cal Cencal Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility CHDP Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Sante - Blue Cross Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility CCS Mariposa Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Medi-Cal Health Plan of San Mateo Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Medi-Cal LA Care Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Sante - Blue Cross Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Santa Clara Family Health Plan - Premier Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility CCS Merced Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Medi-Cal Health Plan of San Mateo Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility CCS Mariposa Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Santa Clara Family Health Plan - Valley Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Medi-Cal Inland Empire Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Gold Coast Medi-cal Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Cal Caloptima Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Medi-Cal Molina Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility CCS Stanislaus Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Medi-Cal Molina Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Santa Clara Family Health Plan - Premier Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Santa Clara Family Health Plan - Valley Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Generic Care Out of County Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Medi-Cal Health Plan of San Mateo Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Fresno County Funded Specialty Care Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Medi-Cal LA Care Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Medi-Cal California Health & Wellness Plan Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Medi-Cal Cencal Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility CCS Stanislaus Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility CCS Merced Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Medi-Cal Kern Family Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility CCS Kings Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility CCS Madera/Sacramento Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility CCS Kern Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Medi-Cal Blue Shield Promise Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Medi-Cal Molina Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Medi-Cal Blue Shield Promise Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility CCS Mariposa Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Medi-Cal Blue Shield Promise Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility CHDP Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Medi-Cal Community Health Group Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility CCS Kings Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Medi-Cal Kern Family Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Blue Shield Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Santa Clara Family Health Plan - Valley Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility CCS Kern Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Generic Care Out of County Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Medi-Cal Cencal Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility CCS Fresno Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Santa Clara Family Health Plan - Premier Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Medi-Cal Alameda Alliance for Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Medi-Cal California Health & Wellness Plan Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Medi-Cal Community Health Group Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility CCS Tulare Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Medi-Cal Community Health Group Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Santa Clara Family Health Plan - Premier Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Blue Shield Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Cal Caloptima Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility CCS Tulare Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility CCS Kings Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Genetically Handicapped Person Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility San Francisco Health Plan Medi-Cal Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility CCS Stanislaus Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility CCS Merced Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Medi-Cal Partnership Health Plan of CA Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Medi-Cal Partnership Health Plan of CA Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Medi-Cal California Health & Wellness Plan Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility CCS Madera/Sacramento Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Generic CCS Other Counties Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Medi-Cal Contra Costa Health Plan Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility CCS Merced Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Medi-Cal LA Care Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Medi-Cal Molina Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility CCS Madera/Sacramento Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Medi-Cal California Health & Wellness Plan Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Gold Coast Medi-cal Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Medi-Cal Inland Empire Health Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Medi-Cal Community Health Group Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility San Francisco Health Plan Medi-Cal Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility CCS Kern Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility CHDP Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Generic Care Out of County Managed Medi-Cal $75.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $97.89 $54,381.00 $18,859.63 2024-12-31 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Sequoia Pace Managed Medi-Cal $112.50 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Health Plan of San Joaquin Managed Medi-Cal $112.50 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Health Plan of San Joaquin Managed Medi-Cal $112.50 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Health Plan of San Joaquin Managed Medi-Cal $112.50 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Sequoia Pace Managed Medi-Cal $112.50 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Sequoia Pace Managed Medi-Cal $112.50 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Sequoia Pace Managed Medi-Cal $112.50 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Health Plan of San Joaquin Managed Medi-Cal $112.50 $54,433.00 $43,546.40 2025-03-13 MRF ↗
TUFTS MEDICAL CENTER Both WELLSENSE CLARITY CONNECTORCARE [100256] HB XR WELLSENSE CLARITY SILVER PLAN TMC $113.44 $432.00 $302.40 2026-04-01 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Blue Cross Managed Medi-Cal $114.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Blue Cross Managed Medi-Cal $114.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Blue Cross Managed Medi-Cal $114.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Blue Cross Managed Medi-Cal $114.00 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Sante Managed Medi-Cal $116.25 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Sante Managed Medi-Cal $116.25 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Sante Managed Medi-Cal $116.25 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Sante Managed Medi-Cal $116.25 $54,433.00 $43,546.40 2025-03-13 MRF ↗
TUFTS MEDICAL CENTER Both TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED TMC $122.69 $432.00 $302.40 2026-04-01 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility Adventist -MCL CALVIVA SUB CAP Managed Medi-Cal $123.75 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility Adventist -MCL CALVIVA SUB CAP Managed Medi-Cal $123.75 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Community Behavioral Health Center OutpatientFacility HealthNet Managed Medi-Cal $123.75 $54,433.00 $43,546.40 2025-03-13 MRF ↗
COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility HealthNet Managed Medi-Cal $123.75 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility Adventist -MCL CALVIVA SUB CAP Managed Medi-Cal $123.75 $54,433.00 $43,546.40 2025-03-13 MRF ↗
CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility HealthNet Managed Medi-Cal $123.75 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility Adventist -MCL CALVIVA SUB CAP Managed Medi-Cal $123.75 $54,433.00 $43,546.40 2025-03-13 MRF ↗
Fresno Heart And Surgical Hospital OutpatientFacility HealthNet Managed Medi-Cal $123.75 $54,433.00 $43,546.40 2025-03-13 MRF ↗
ADVENTHEALTH SEBRING Outpatient Blue_Cross_&_Blue_Shield_of_Florida_ My_Blue $124.00 $101,079.85 $40,431.94 2024-12-15 MRF ↗
ADVENTHEALTH WAUCHULA Outpatient Blue_Cross_&_Blue_Shield_of_Florida_ My_Blue $124.00 $101,079.85 $40,431.94 2024-12-15 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient United Healthcare United Healthcare - PPO $124.06 $39,708.00 $29,781.00 2026-04-01 MRF ↗
ADVENTHEALTH SEBRING Outpatient Blue_Cross_&_Blue_Shield_of_Florida Blue_Select $128.00 $101,079.85 $40,431.94 2024-12-15 MRF ↗
ADVENTHEALTH WAUCHULA Outpatient Blue_Cross_&_Blue_Shield_of_Florida Blue_Select $128.00 $101,079.85 $40,431.94 2024-12-15 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient COUNTYCARE IL COOK CO [1607] VWH ILLINOIS MEDICAID $129.58 $1,878.00 $1,314.60 2026-04-01 MRF ↗
VALLEY WEST COMMUNITY HOSPITAL Outpatient MERIDIAN HEALTH PLAN HMO [1604] VWH ILLINOIS MEDICAID $129.58 $1,878.00 $1,314.60 2026-04-01 MRF ↗

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