O000004001 — Cysto Add On To Eswl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CYSTO ADD ON TO ESWL (CDM O000004001) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/O000004001?code_type=CDM
MLA (9th ed.)
“CYSTO ADD ON TO ESWL (CDM O000004001) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/O000004001?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“CYSTO ADD ON TO ESWL (CDM O000004001) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/O000004001?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,000–$68,074 (25th–75th percentile) across 6 hospitals · 22 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM O000004001 — 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 |
|---|---|---|---|---|---|---|---|
| UCF LAKE NONA HOSPITAL Outpatient | Aetna | MCR | $3,987.04 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Aetna | MCR | $4,254.94 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | AvMed | HIX | $4,622.65 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | AvMed | HIX | $4,727.71 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | BCBS | MCRPPO | $7,624.29 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | BCBS | MCRHMO | $7,651.52 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Aetna | MCR | $8,179.69 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | BCBS | MCRPPO | $8,211.36 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | BCBS | MCRHMO | $8,240.69 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Simply | MGMCR | $8,404.82 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | BCBS | MCRPPO | $8,734.24 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | BCBS | MCRHMO | $8,761.97 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Simply | MGMCR | $8,898.60 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Cigna | PPO | $9,560.48 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Cigna | ManagedCareHMO | $9,560.48 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Molina Healthcare | MGMCR | $9,980.72 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Cigna | ManagedCareHMO | $10,054.26 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Cigna | PPO | $10,054.26 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Aetna | MCR | $10,117.57 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | BCBS | MCRPPO | $10,479.09 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | BCBS | MCRHMO | $10,510.85 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Aetna | MCR | $10,955.41 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Molina Healthcare | MGMCR | $10,978.79 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Aetna | MCR | $11,027.99 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Evolutions | TieredNetwork | $12,081.93 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | AvMed | HMOFI | $13,132.53 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Evolutions | TieredNetwork | $13,290.12 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | AvMed | HMOFI | $13,867.95 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Molina Healthcare | HIX | $14,183.13 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | AvMed | ASOEO | $14,708.43 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Capital Health Plan | HMO | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Capital Health Plan | HIX | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Corizon PHS | Prison | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | United | GlobalBenefitPlan | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | United | OptionsPPO | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Cigna | PPO | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Cigna | NBN | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Cigna | ManagedCareHMO | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Multiplan | Complementary | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Multiplan | Primary | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | BCBS | MCRHMO | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | BCBS | MCRPPO | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Evernorth | BHCOMM | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Molina Healthcare | HIX | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Molina Healthcare | MGMCR | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Beacon Health Options | MCR | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Beacon Health Options | COMM | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Prime Health | COMM | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | AvMed | ASOEO | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | AvMed | HIX | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | AvMed | HIXOON | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | AvMed | HMOFI | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Evolutions | TieredNetwork | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Plotkin Health | WC | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Prime Health Sheriff | WORKERSCOMP | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Prime Health Sheriff | COMM | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Sunshine State | MCR | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Aetna | MCR | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | NovaNet | COMM | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Simply | MGMCR | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | PPO Next | COMM | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | PPO Next | PPO | — | $144,340.12 | $144,340.12 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | American Health Plan | MCR | $15,000.00 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | American Health Plan | MCR | $15,000.00 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | American Health Plan | MCR | $15,000.00 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Molina Healthcare | HIX | $15,601.45 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | AvMed | ASOEO | $16,179.28 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | AvMed | HIX | $16,636.65 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Aetna | ASA | $17,334.94 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | AvMed | HIX | $17,595.78 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | AvMed | HIX | $17,699.24 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | AvMed | HIX | $19,052.90 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Simply | MGMCR | $21,350.37 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Simply | MGMCR | $21,783.68 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Simply | MGMCR | $22,581.25 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | United | OptionsPPO | $22,693.01 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | United | OptionsPPO | $23,344.38 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | United | GlobalBenefitPlan | $23,638.55 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | United | OptionsPPO | $23,816.12 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Cigna | NBN | $24,123.15 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | United | OptionsPPO | $24,123.15 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Simply | MGMCR | $24,451.22 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Cigna | NBN | $24,778.94 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Cigna | NBN | $25,513.88 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | United | GlobalBenefitPlan | $26,002.41 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Prime Health Sheriff | WORKERSCOMP | $26,265.06 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | AvMed | HIXOON | $26,265.06 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Prime Health Sheriff | COMM | $26,265.06 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Plotkin Health | WC | $26,265.06 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Molina Healthcare | MGMCR | $26,341.37 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Cigna | NBN | $27,626.70 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | AvMed | HIXOON | $28,891.56 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Plotkin Health | COMM | $28,891.56 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Prime Health Sheriff | WORKERSCOMP | $28,891.56 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Prime Health Sheriff | COMM | $28,891.56 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Molina Healthcare | MGMCR | $30,167.08 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Evolutions | TieredNetwork | $31,314.04 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Evolutions | TieredNetwork | $31,886.92 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | AvMed | HMOFI | $33,273.31 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Evolutions | TieredNetwork | $33,725.25 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | AvMed | HMOFI | $34,037.00 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | United | OptionsPPO | $34,605.03 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | AvMed | HMOFI | $35,191.56 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | United | OptionsPPO | $35,398.48 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Evolutions | TieredNetwork | $36,518.05 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | AvMed | HMOFI | $38,105.79 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | AvMed | ASOEO | $38,121.44 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | AvMed | ASOEO | $38,818.86 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | AvMed | ASOEO | $41,056.82 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Aetna | ASA | $41,591.63 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Molina Healthcare | HIX | $43,567.36 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Aetna | ASA | $43,989.45 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Molina Healthcare | HIX | $44,364.41 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | AvMed | ASOEO | $44,456.76 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Prime Health | COMM | $44,650.60 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Molina Healthcare | HIX | $46,922.08 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | NovaNet | COMM | $47,277.11 | $52,530.12 | $52,530.12 | 2024-10-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Aetna | ASA | $47,632.24 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Molina Healthcare | HIX | $50,807.72 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | NovaNet | COMM | $52,004.82 | $57,783.13 | $57,783.13 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Cigna | PPO | $57,673.73 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Cigna | ManagedCareHMO | $57,673.73 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Cigna | PPO | $59,905.12 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Cigna | ManagedCareHMO | $59,905.12 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Cigna | PPO | $60,998.70 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Cigna | ManagedCareHMO | $60,998.70 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | United | GlobalBenefitPlan | $61,266.60 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | United | GlobalBenefitPlan | $62,387.45 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | United | GlobalBenefitPlan | $65,984.18 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Cigna | ManagedCareHMO | $66,050.04 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Cigna | PPO | $66,050.04 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Prime Health Sheriff | COMM | $68,074.00 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | AvMed | HIXOON | $68,074.00 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Plotkin Health | WC | $68,074.00 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Prime Health Sheriff | WORKERSCOMP | $68,074.00 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Plotkin Health | COMM | $69,319.39 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Prime Health Sheriff | WORKERSCOMP | $69,319.39 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Prime Health Sheriff | COMM | $69,319.39 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | United | GlobalBenefitPlan | $71,448.36 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | AvMed | HIXOON | $73,315.75 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Plotkin Health | COMM | $73,315.75 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Prime Health Sheriff | WORKERSCOMP | $73,315.75 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Prime Health Sheriff | COMM | $73,315.75 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Hamilton County Jail | Prison | $73,519.92 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Hamilton County Jail | Prison | $79,181.01 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Prime Health Sheriff | WORKERSCOMP | $79,387.07 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Prime Health Sheriff | COMM | $79,387.07 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Plotkin Health | COMM | $79,387.07 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | AvMed | HIXOON | $79,387.07 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | WellPath | GVT | $83,183.27 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Corizon PHS | Prison | $95,264.48 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Multiplan | Primary | $106,195.44 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Multiplan | Primary | $108,138.25 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Multiplan | Primary | $114,372.57 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Evolutions | TRADITIONALPPO | $115,725.80 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Prime Health | COMM | $115,725.80 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | PPO Next | PPO | $115,725.80 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Multiplan | Complementary | $115,725.80 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | PPO Next | COMM | $115,725.80 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | PPO Next | COMM | $117,842.96 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | PPO Next | PPO | $117,842.96 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | NovaNet | COMM | $122,533.20 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Multiplan | Primary | $123,843.82 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Evolutions | TRADITIONALPPO | $124,636.77 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | PPO Next | PPO | $124,636.77 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | PPO Next | COMM | $124,636.77 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Multiplan | Complementary | $124,636.77 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | NovaNet | COMM | $124,774.90 | $138,638.78 | $138,638.78 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Evernorth | BHCOMM | $127,019.30 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | NovaNet | COMM | $131,968.35 | $146,631.50 | $146,631.50 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | PPO Next | PPO | $134,958.01 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Multiplan | Complementary | $134,958.01 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Evolutions Healthcare | TRADITIONALPPO | $134,958.01 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | PPO Next | COMM | $134,958.01 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | NovaNet | COMM | $142,896.72 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Sunshine State | MCR | $142,955.40 | $136,148.00 | $136,148.00 | 2024-10-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Beacon Health Options | MCR | $158,774.13 | $158,774.13 | $158,774.13 | 2026-03-01 | MRF ↗ |