Price Transparencybeta 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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L4360 — Walker Brace Genesis Lg Std

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $174

Usually $86–$362 (25th–75th percentile) across 2,029 hospitals · 4,309 payers.

“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L4360 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What this costs at this hospital

The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$86 $174 typical $362

The middle 50% of negotiated facility rates for this procedure, measured across 2,029 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $174
Likely subtotal $174
Facility charge (no separate professional fee) $174

Not included in this estimate:

  • Rehab, physical therapy, and other post-acute care after discharge
  • Complications, revisions, or readmissions
  • Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)

The biggest swing: which insurer's rate applies — negotiated prices here run $86–$362.

How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

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 HOSPITAL MANSFIELD Inpatient $721.45 $360.72 2024-12-15 MRF ↗
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient $721.45 $360.72 2024-12-15 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility BlueCross BlueShield HMO $0.50 $1.00 $0.28 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility BlueCross BlueShield Indemnity/PPO/POS $0.50 $1.00 $0.28 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility 90 Degree Benefits Commercial $0.50 $1.00 $0.28 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility BlueCross BlueShield Medicare Advantage $0.50 $1.00 $0.28 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility Health Select PPO $0.50 $1.00 $0.28 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility 90 Degree Benefits Commercial $0.50 $1.00 $0.28 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility BlueCross BlueShield Medicare Advantage $0.50 $1.00 $0.28 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility BlueCross BlueShield HMO $0.50 $1.00 $0.28 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility BlueCross BlueShield Indemnity/PPO/POS $0.50 $1.00 $0.28 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility Health Select PPO $0.50 $1.00 $0.28 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility Cigna Commercial $0.58 $1.00 $0.28 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility Cigna Commercial $0.58 $1.00 $0.28 2025-02-14 MRF ↗
OCEAN MEDICAL CENTER OutpatientFacility Clover Managed Medicare $0.64 $354.00 2024-12-31 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $0.64 $354.00 2024-12-31 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $0.65 $174.49 $165.77 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.65 $174.49 $165.77 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.65 $174.49 $165.77 2026-02-20 MRF ↗
BAYSHORE MEDICAL CENTER OutpatientFacility CLOVER MEDICARE ADVANTAGE $0.66 $365.00 2025-12-31 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $0.66 $174.49 $165.77 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $0.68 $174.49 $165.77 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $0.70 $174.49 $165.77 2026-02-20 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $0.72 $402.00 2024-12-31 MRF ↗
OCEAN MEDICAL CENTER OutpatientFacility Clover Managed Medicare $0.72 $402.00 2024-12-31 MRF ↗
BAYSHORE MEDICAL CENTER OutpatientFacility CLOVER MEDICARE ADVANTAGE $0.74 $412.00 2025-12-31 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS HMO Commercial $0.77 $100.26 $100.26 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS PPO Commercial $0.77 $100.26 $100.26 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS Indemnity Commercial $0.77 $100.26 $100.26 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Aetna All Commercial Plans $0.84 $100.26 $100.26 2026-06-05 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.85 $174.49 $165.77 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.85 $174.49 $165.77 2026-02-20 MRF ↗
BAYSTATE WING HOSPITAL Both Connecticare CBI Other Commercial Plan $0.86 $100.26 $100.26 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Connecticare All Commercial Plans $0.86 $100.26 $100.26 2026-06-05 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $0.87 $174.49 $165.77 2026-02-20 MRF ↗
BAYSTATE WING HOSPITAL Both Health New England Connector Other Commercial Plan $0.88 $100.26 $100.26 2026-06-05 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $0.91 $174.49 $165.77 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $0.94 $174.49 $165.77 2026-02-20 MRF ↗
BAYSTATE WING HOSPITAL Both Health New England Fully Insured Other Commercial Plan $0.98 $100.26 $100.26 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Health New England Self Funded Employer Sponsored Other Commercial Plan $0.98 $100.26 $100.26 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Health New England ASO GIC Other Commercial Plan $0.98 $100.26 $100.26 2026-06-05 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility Humana Medicare Advantage $2.00 $0.56 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility 90 Degree Benefits Commercial $1.00 $2.00 $0.56 2025-02-14 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage $697.00 $571.54 2025-11-26 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility Humana Medicare Advantage $2.00 $0.56 2025-02-14 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California HMO $1,140.00 $934.80 2025-11-26 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility 90 Degree Benefits Commercial $1.00 $2.00 $0.56 2025-02-14 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage $697.00 $571.54 2025-11-26 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility Aetna Medicare Advantage $2.00 $0.56 2025-02-14 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Health Net of California, Inc. HMO $696.75 $571.33 2025-11-26 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility United Healthcare Medicare Advantage $2.00 $0.56 2025-02-14 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California Covered $1,140.00 $934.80 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $697.00 $571.54 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage $697.00 $571.54 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage $696.75 $571.33 2025-11-26 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility United Healthcare Medicare Advantage $2.00 $0.56 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility Aetna Medicare Advantage $2.00 $0.56 2025-02-14 MRF ↗
MCKAY-DEE HOSPITAL Inpatient Donor Connect Other $1.62 $161.55 $121.16 2026-07-31 MRF ↗
COCHRAN MEMORIAL HOSPITAL Both United Healthcare Default $1.72 $2.65 $2.65 2026-07-19 MRF ↗
INTERMOUNTAIN MEDICAL CENTER Inpatient Donor Connect Other $1.94 $161.55 $121.16 2026-07-17 MRF ↗
LDS HOSPITAL Inpatient Donor Connect Other $2.10 $161.55 $121.16 2026-08-01 MRF ↗
INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient Donor Connect Other $2.26 $161.55 $121.16 2026-08-01 MRF ↗
COCHRAN MEMORIAL HOSPITAL Both Blue Cross Blue Shield Of Tx Default $2.28 $2.65 $2.65 2026-07-19 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.47 $38.00 $24.70 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.47 $38.00 $24.70 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.47 $38.00 $24.70 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $2.47 $38.00 $24.70 2026-06-10 MRF ↗
COCHRAN MEMORIAL HOSPITAL Both Medicare A Tx And Indian Health Services Jh Default $2.60 $2.65 $2.65 2026-07-19 MRF ↗
COCHRAN MEMORIAL HOSPITAL Both Wellcare Of Texas Default $2.60 $2.65 $2.65 2026-07-19 MRF ↗
COCHRAN MEMORIAL HOSPITAL Both Amerigroup Mcr Adv Multi State Default $2.60 $2.65 $2.65 2026-07-19 MRF ↗
LOGAN REGIONAL HOSPITAL Inpatient Donor Connect Other $2.63 $125.35 $94.01 2026-08-01 MRF ↗
COCHRAN MEMORIAL HOSPITAL Both Medicaid Texas Default $2.65 $2.65 $2.65 2026-07-19 MRF ↗
COCHRAN MEMORIAL HOSPITAL Both Superior Health Plan Default $2.65 $2.65 $2.65 2026-07-19 MRF ↗
COCHRAN MEMORIAL HOSPITAL Both Uhc Group Medicare Advantage Default $2.65 $2.65 $2.65 2026-07-19 MRF ↗
COCHRAN MEMORIAL HOSPITAL Both Superior Health Plan Mcd Rep Default $2.65 $2.65 $2.65 2026-07-19 MRF ↗
COCHRAN MEMORIAL HOSPITAL Both Firstcare Star Medicaid Default $2.65 $2.65 $2.65 2026-07-19 MRF ↗
COCHRAN MEMORIAL HOSPITAL Both Uhc Community Plan Tx Default $2.65 $2.65 $2.65 2026-07-19 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.86 $44.00 $28.60 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.86 $44.00 $28.60 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $2.86 $44.00 $28.60 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.86 $44.00 $28.60 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $2.86 $44.00 $28.60 2026-06-04 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $3.19 $49.00 $31.85 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $3.19 $49.00 $31.85 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $3.19 $49.00 $31.85 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $3.19 $49.00 $31.85 2026-06-10 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $3.77 $58.00 $37.70 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $3.77 $58.00 $37.70 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $3.77 $58.00 $37.70 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $3.90 $60.00 $39.00 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $3.90 $60.00 $39.00 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $3.90 $60.00 $39.00 2026-03-12 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid Nhhf $4.41 $48.00 $14.40 2026-07-15 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid Nhhf $4.41 $48.00 $14.40 2026-07-15 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid Nhhf $4.41 $48.00 $14.40 2026-07-15 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $4.49 $69.00 $44.85 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.49 $69.00 $44.85 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.49 $69.00 $44.85 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.55 $70.00 $45.50 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.55 $70.00 $45.50 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $4.55 $70.00 $45.50 2026-03-12 MRF ↗
Davie Medical Center InpatientFacility United Healthcare IEX Individual Managed Care $4.66 $20.82 $10.41 2025-10-21 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.68 $72.00 $46.80 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.68 $72.00 $46.80 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $4.68 $72.00 $46.80 2026-03-12 MRF ↗
INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient Donor Connect Other $4.68 $161.55 $121.16 2026-08-01 MRF ↗
Davie Medical Center OutpatientFacility Carolina Complete Medicaid Managed Care $4.71 $20.82 $10.41 2025-10-21 MRF ↗
Davie Medical Center OutpatientFacility Health Blue Medicaid Managed Care $4.71 $20.82 $10.41 2025-10-21 MRF ↗
Davie Medical Center OutpatientFacility Partners Medicaid Tailored Plan $4.71 $20.82 $10.41 2025-10-21 MRF ↗
Davie Medical Center OutpatientFacility Amerihealth Medicaid Managed Care $4.71 $20.82 $10.41 2025-10-21 MRF ↗
Davie Medical Center OutpatientFacility Vaya Medicaid Tailored Plan $4.75 $20.82 $10.41 2025-10-21 MRF ↗
Davie Medical Center OutpatientFacility Wellcare Medicaid Managed Care $4.77 $20.82 $10.41 2025-10-21 MRF ↗
Davie Medical Center OutpatientFacility United Healthcare Medicaid Managed Care $4.77 $20.82 $10.41 2025-10-21 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid-Trad $4.80 $48.00 $14.40 2026-07-15 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid-Trad $4.80 $48.00 $14.40 2026-07-15 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid-Trad $4.80 $48.00 $14.40 2026-07-15 MRF ↗
Davie Medical Center OutpatientFacility Alliance Medicaid Tailored Plan $4.80 $20.82 $10.41 2025-10-21 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.81 $74.00 $48.10 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.81 $74.00 $48.10 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $4.81 $74.00 $48.10 2026-03-12 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid-Amerihealth Medicaid-Amerihealth $4.85 $48.00 $14.40 2026-07-15 MRF ↗
Davie Medical Center OutpatientFacility Trillium Medicaid Tailored Plan $4.85 $20.82 $10.41 2025-10-21 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid-Amerihealth Medicaid-Amerihealth $4.85 $48.00 $14.40 2026-07-15 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid-Amerihealth Medicaid-Amerihealth $4.85 $48.00 $14.40 2026-07-15 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.88 $75.00 $48.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.88 $75.00 $48.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $4.88 $75.00 $48.75 2026-03-12 MRF ↗
Davie Medical Center OutpatientFacility Blue Cross Blue Shield HPN $5.24 $20.82 $10.41 2025-10-21 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.27 $81.00 $52.65 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $5.27 $81.00 $52.65 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.27 $81.00 $52.65 2026-03-12 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $5.29 $264.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $5.29 $264.50 2026-03-31 MRF ↗
UNION HOSPITAL CLINTON Outpatient Va Hospital 100% Managed Medicare $5.29 $18.24 $10.94 2026-07-15 MRF ↗
UNION HOSPITAL CLINTON Outpatient Umwa 100% Managed Medicare $5.29 $18.24 $10.94 2026-07-15 MRF ↗
UNION HOSPITAL CLINTON Outpatient 100% Managed Medicare 100% Managed Medicare $5.29 $18.24 $10.94 2026-07-15 MRF ↗
UNION HOSPITAL CLINTON Outpatient Humana 100% Managed Medicare $5.29 $18.24 $10.94 2026-07-15 MRF ↗
UNION HOSPITAL CLINTON Outpatient Caresource 100% Managed Medicare $5.29 $18.24 $10.94 2026-07-15 MRF ↗
UNION HOSPITAL CLINTON Outpatient Tricare Tricare $5.29 $18.24 $10.94 2026-07-15 MRF ↗
UNION HOSPITAL CLINTON Outpatient Cigna 100% Managed Medicare $5.29 $18.24 $10.94 2026-07-15 MRF ↗
UNION HOSPITAL CLINTON Outpatient United Healthcare 100% Managed Medicare $5.29 $18.24 $10.94 2026-07-15 MRF ↗
UNION HOSPITAL CLINTON Outpatient Aetna 100% Managed Medicare $5.29 $18.24 $10.94 2026-07-15 MRF ↗
UNION HOSPITAL CLINTON Outpatient Anthem 100% Managed Medicare $5.29 $18.24 $10.94 2026-07-15 MRF ↗
UNION HOSPITAL CLINTON Outpatient Coventry 100% Managed Medicare $5.29 $18.24 $10.94 2026-07-15 MRF ↗
UNION HOSPITAL CLINTON Outpatient Champva 100% Managed Medicare $5.29 $18.24 $10.94 2026-07-15 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $5.29 $264.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $5.29 $264.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $5.29 $264.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $5.29 $264.50 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $5.29 $264.50 2026-03-31 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.46 $84.00 $54.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.46 $84.00 $54.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $5.46 $84.00 $54.60 2026-03-12 MRF ↗
UNION HOSPITAL CLINTON Outpatient Indiana Dept Of Corrections Indiana Dept Of Corrections $5.50 $18.24 $10.94 2026-07-15 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HEALTH CHOICE CONTRACTED [320166] HB JOPL HEALTHCHOICE-OSEEGIB $5.50 $55.00 $35.75 2026-06-09 MRF ↗
Davie Medical Center InpatientFacility Aetna IVL Exchange $5.52 $20.82 $10.41 2025-10-21 MRF ↗
Davie Medical Center OutpatientFacility Amerihealth Managed Care $5.61 $20.82 $10.41 2025-10-21 MRF ↗
Davie Medical Center OutpatientFacility Ambetter Managed Care $5.62 $20.82 $10.41 2025-10-21 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.66 $87.00 $56.55 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.66 $87.00 $56.55 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $5.66 $87.00 $56.55 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $5.70 $38.00 $24.70 2026-06-10 MRF ↗
Davie Medical Center OutpatientFacility United Healthcare IEX Individual Managed Care $5.70 $20.82 $10.41 2025-10-21 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $5.70 $38.00 $24.70 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $5.70 $38.00 $24.70 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $5.70 $38.00 $24.70 2026-06-10 MRF ↗
Davie Medical Center OutpatientFacility United Healthcare Managed Care $5.81 $20.82 $10.41 2025-10-21 MRF ↗
Davie Medical Center OutpatientFacility Blue Cross Blue Shield Blue Value $5.91 $20.82 $10.41 2025-10-21 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.92 $91.00 $59.15 2026-06-10 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.92 $91.00 $59.15 2026-06-10 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.92 $91.00 $59.15 2026-06-10 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $5.92 $91.00 $59.15 2026-06-10 MRF ↗
Davie Medical Center InpatientFacility United Healthcare Managed Care $5.95 $20.82 $10.41 2025-10-21 MRF ↗
Davie Medical Center OutpatientFacility MedCost Ultra Managed Care $6.02 $20.82 $10.41 2025-10-21 MRF ↗
Davie Medical Center OutpatientFacility Aetna Whole Health Managed Care $6.10 $20.82 $10.41 2025-10-21 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $6.11 $94.00 $61.10 2026-06-10 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $6.11 $94.00 $61.10 2026-06-10 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $6.11 $94.00 $61.10 2026-06-10 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $6.11 $94.00 $61.10 2026-06-10 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid-Wellsense $6.13 $48.00 $14.40 2026-07-15 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid-Wellsense $6.13 $48.00 $14.40 2026-07-15 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid-Wellsense $6.13 $48.00 $14.40 2026-07-15 MRF ↗
GLACIAL RIDGE HOSPITAL Outpatient MEDICA MCAID MEDICA MCAID $6.24 $17.57 $11.95 2026-01-24 MRF ↗
Davie Medical Center OutpatientFacility Oscar Managed Care $6.25 $20.82 $10.41 2025-10-21 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $6.32 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $6.32 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $6.32 2026-03-18 MRF ↗
UNION HOSPITAL CLINTON Outpatient Naphcare Naphcare $6.35 $18.24 $10.94 2026-07-15 MRF ↗
Davie Medical Center InpatientFacility MedCost Employee Managed Care $6.37 $20.82 $10.41 2025-10-21 MRF ↗
Davie Medical Center OutpatientFacility Cigna Managed Care (Pediatrics) $6.37 $20.82 $10.41 2025-10-21 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $6.60 $44.00 $28.60 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB STLO CAPE IL MEDICAID $6.60 $44.00 $28.60 2026-06-04 MRF ↗
INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient Donor Connect Other $6.62 $161.55 $121.16 2026-07-31 MRF ↗
Davie Medical Center InpatientFacility Aetna Whole Health Managed Care $6.68 $20.82 $10.41 2025-10-21 MRF ↗
Davie Medical Center InpatientFacility Aetna North Carolina Preferred Managed Care $6.79 $20.82 $10.41 2025-10-21 MRF ↗
GLACIAL RIDGE HOSPITAL Outpatient TRIWEST - ALL PLANS TRIWEST - ALL PLANS $6.82 $17.57 $11.95 2026-01-24 MRF ↗
Davie Medical Center InpatientFacility MedCost MBS Managed Care $6.89 $20.82 $10.41 2025-10-21 MRF ↗
GLACIAL RIDGE HOSPITAL Outpatient MEDICA MSHO MEDICA MSHO $7.03 $17.57 $11.95 2026-01-24 MRF ↗
GLACIAL RIDGE HOSPITAL Outpatient MEDICA MCARE ADV MEDICA MCARE ADV $7.03 $17.57 $11.95 2026-01-24 MRF ↗
GLACIAL RIDGE HOSPITAL Outpatient BCBS MCARE ADV BCBS MCARE ADV $7.03 $17.57 $11.95 2026-01-24 MRF ↗

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