PX-25001958 — Lithotripsy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lithotripsy (CDM PX-25001958) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-25001958?code_type=CDM
MLA (9th ed.)
“Lithotripsy (CDM PX-25001958) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-25001958?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“Lithotripsy (CDM PX-25001958) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-25001958?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,926–$11,182 (25th–75th percentile) across 4 hospitals · 17 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-25001958 — 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 |
|---|---|---|---|---|---|---|---|
| ASTERA HEALTH Inpatient | HEALTH PARTNERS [10045] | MR-HEALTH PARTNERS MSHO [100603] | — | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | HEALTH PARTNERS PMAP [10046] | HEALTH PARTNERS PMAP [100313] | — | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | HEALTH PARTNERS [10045] | HEALTH PARTNERS [100312] | — | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | BLUE PLUS PMAP [40002] | BLUE PLUS PMAP [400054] | $2,293.37 | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | UCARE PMAP [30006] | UCARE PMAP [300063] | $4,287.56 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | MEDICA PMAP [10057] | MEDICA PMAP [100345] | $4,393.57 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | MEDICA PMAP [10057] | MEDICA MNCARE [100751] | $4,393.57 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | PRIMEWEST PMAP [30003] | PRIMEWEST PMAP [300050] | $4,393.57 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Medicaid | MCHP (Medicaid) | $4,608.68 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Ucare | Ucare Community Health Plan | $4,610.05 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Medica | Medica Dual Solutions | $4,699.10 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Health Partners | HealthPartners Medicare Advantage | $4,708.69 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | PRIMEWEST NON PMAP [30004] | MR-PRIMEWEST MSHO [300051] | $4,711.60 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | BCBS OF MN [40001] | MR-BCBS MN [400069] | $4,711.60 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | BLUE PLUS PMAP [40002] | MR-SECURE BLUE MSHO [400055] | $4,711.60 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | HEALTH PARTNERS [10045] | MR-HEALTH PARTNERS [100844] | $4,711.60 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | MEDICA NONPMAP [10056] | MR-MEDICA ADVANTAGE SOLUTIONS [100895] | $4,711.60 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Veterans Health | VACCN Optum | $4,795.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Medica | Medica Medicare Advantage Solutions | $4,795.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | Blue Cross of MN Medicare Advantage | $4,795.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | SouthCountry | SouthCountry MSHO | $4,803.22 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | PrimeWest | PrimeWest Community Health Plan | $4,881.31 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | United Healthcare | United Healthcare Community Health Plan | $4,932.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Ucare | Ucare Medicare Advantage | $4,938.85 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Ucare | Ucare MSHO | $4,938.85 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | UCARE NON PMAP [30007] | MR-UCARE [300064] | $4,947.18 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | UCARE NON PMAP [30007] | MR-UCARE MSHO [300061] | $4,947.18 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | SouthCountry | SouthCountry Community Health Plan | $5,011.46 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | BlueCross MSHO | $5,034.75 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | SouthCountry PMAP | SouthCountry Community Health Plan | $5,706.05 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Ucare | UCARE Individual and Family Plan | $5,754.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | HEALTH PARTNERS PMAP [10046] | HEALTH PARTNERS PMAP [100313] | $5,924.84 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | UCare | Ucare Community Health Plan | $5,926.62 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | UCare | Ucare Medicare Advantage | $5,926.62 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | Blue Plus Community Health Plan | $6,040.33 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Health Partners | HealthPartners Medicare Advantage | $6,054.03 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Blue Cross Blue Shield | Blue Cross of MN Medicare Advantage | $6,165.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Medica | Medica Dual Solutions | $6,165.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Medica | Medica Medicare Advantage Solutions | $6,165.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Veterans | VACCN Optum | $6,165.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | South Country | SouthCountry MSHO | $6,254.05 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Primewest PMAP | PrimeWest Community Health Plan | $6,274.60 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | UCare | Ucare MSHO | $6,349.95 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Blue Cross Blue Shield | BlueCross MSHO | $6,473.25 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Health Partners Community Health Plan | $6,548.60 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | MEDICA NONPMAP [10056] | MR-MEDICA DUAL SOLUTIONS MSHO [100344] | $6,549.12 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | MEDICA NONPMAP [10056] | MR-MEDICA DUAL SOLUTIONS MSHO [100344] | $6,796.48 | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | UCare | UCare Community Health Plan | $6,980.15 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | Blue Plus Community Health Plan | $6,991.11 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Blue Cross Blue Shield | Blue Plus Community Health Plan | $6,991.11 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | HEALTH PARTNERS [10045] | MR-HEALTH PARTNERS MSHO [100603] | $7,067.40 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | United Healthcare | United Healthcare Community Health Plan | $7,124.00 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Health Partners MSHO | $7,130.85 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica Medicare Advantage | $7,130.85 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica Dual Solutions MSHO | $7,130.85 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Health Partners Medicare Advantage | $7,130.85 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | BCBS Medicare Advantage | $7,130.85 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | BCBS MSHO | $7,130.85 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Primewest PMAP | PrimeWest Community Health Plan | $7,391.15 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | UCare | UCARE Individual and Family Plan | $7,398.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Federal Employee Program | $7,417.18 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | UCare | UCare Medicare Advantage | $7,478.83 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | UCare | UCare MSHO | $7,478.83 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Aware | $7,550.07 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Inpatient | UCARE COMMERCIAL [10705] | UCARE COMMERCIAL [100748] | $8,173.45 | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | UCare | UCare Commercial | $8,350.15 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | HEALTH PARTNERS [10045] | HEALTH PARTNERS [100312] | $8,421.99 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | UHC UNITED HEALTHCARE [10099] | UNITED HEALTHCARE [100453] | $8,751.80 | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | UCARE COMMERCIAL [10705] | UCARE COMMERCIAL [100748] | $8,756.51 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | BCBS OF MN [40003] | BLUE PLUS [400058] | $8,957.93 | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | BCBS OF MN [40001] | BCBS HIGH VALUE NETWORK | $8,957.93 | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | BCBS FEDERAL EMPLOYEES [40005] | BCBS FEDERAL EMPLOYEES [400004] | $8,957.93 | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | UHC UNITED HEALTHCARE [10099] | UNITED HEALTHCARE [100453] | $9,105.17 | $11,779.00 | $8,504.44 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | MEDICA NONPMAP [10056] | MEDICA [100341] | $9,175.84 | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | MULTIPLAN | MULTIPLAN | $9,423.20 | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Health Partners | Cigna APWU | $9,432.45 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Inpatient | SANFORD HEALTH PLAN [10120] | SANFORD HEALTH PLAN [100578] | $10,012.15 | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | AETNA [10003] | AETNA - FH [100925] | $10,601.10 | $11,779.00 | $8,173.45 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | America's PPO | HealthEz - America's PPO | $10,960.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | America's PPO | HealthEz - America's PPO | $10,960.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Medica | Medica Individual and Family Business | $11,055.90 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | United Healthcare | United Healthcare Commercial | $11,177.83 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | United Healthcare | United Healthcare Commercial | $11,177.83 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | United Healthcare | United Healthcare - All Savers Alternate Funding | $11,177.83 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | United Healthcare | UnitedHealthOne, SelectCare | $11,177.83 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | United Healthcare | UnitedHealthOne, SelectCare | $11,177.83 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | United Healthcare | United Healthcare - All Savers Alternate Funding | $11,177.83 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | United Healthcare | United Healthcare Commercial | $11,192.90 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Medica | Medica Commercial | $11,316.20 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Health Partners | Cigna APWU | $11,491.56 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Sanford | Sanford | $11,645.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Sanford | Sanford Health Plan | $11,645.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Cigna APWU | $11,973.80 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Health Partners Commercial | $11,973.80 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica IFB | $12,330.00 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica Commercial | $12,576.60 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Sanford | Sanford Health Plan | $12,604.00 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Federal Employee Program | $13,078.02 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Federal Employee Program | $13,078.02 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | America's PPO | HealthEz - America's PPO | $13,289.00 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | BlueCross BlueShield State Health Plan | $13,313.66 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | Blue Plus Individual and Family Plans - BCBS of MN | $13,313.66 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Aware | $13,313.66 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Aware | $13,313.66 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Blue Cross Blue Shield | BlueCross BlueShield State Health Plan | $13,313.66 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Medica | Medica Individual and Family Business | $13,700.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Health Partners | HealthPartners MSHO HMO | $13,700.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Medica | Medica Community Health Plan | $13,700.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Medica | Medica Commercial | $13,700.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Health Partners | HealthPartners Community Health Plan | $13,700.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Medica | Medica Community Health Plan | $13,700.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Health Partners | HealthPartners Commercial | $13,700.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Health Partners | HealthPartners Community Health Plan | $13,700.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Health Partners | HealthPartners MSHO HMO | $13,700.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Health Partners | HealthPartners Commercial | $13,700.00 | $13,700.00 | $10,686.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica Community Health Plan | $13,700.00 | $13,700.00 | $10,275.00 | 2024-12-30 | MRF ↗ |