PX-25003064 — Shoulder Arthroscopy W Rotator Cuff
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Shoulder Arthroscopy W Rotator Cuff (CDM PX-25003064) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-25003064?code_type=CDM
MLA (9th ed.)
“Shoulder Arthroscopy W Rotator Cuff (CDM PX-25003064) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-25003064?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“Shoulder Arthroscopy W Rotator Cuff (CDM PX-25003064) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-25003064?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,323–$12,515 (25th–75th percentile) across 4 hospitals · 17 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-25003064 — 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] | — | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | HEALTH PARTNERS PMAP [10046] | HEALTH PARTNERS PMAP [100313] | — | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | HEALTH PARTNERS [10045] | HEALTH PARTNERS [100312] | — | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | BLUE PLUS PMAP [40002] | BLUE PLUS PMAP [400054] | $3,207.49 | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Medicaid | MCHP (Medicaid) | $4,675.96 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Ucare | Ucare Community Health Plan | $4,677.35 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Medica | Medica Dual Solutions | $4,767.70 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Health Partners | HealthPartners Medicare Advantage | $4,777.43 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Veterans Health | VACCN Optum | $4,865.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Medica | Medica Medicare Advantage Solutions | $4,865.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | Blue Cross of MN Medicare Advantage | $4,865.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | SouthCountry | SouthCountry MSHO | $4,873.34 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | PrimeWest | PrimeWest Community Health Plan | $4,952.57 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | United Healthcare | United Healthcare Community Health Plan | $5,004.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Ucare | Ucare MSHO | $5,010.95 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Ucare | Ucare Medicare Advantage | $5,010.95 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | SouthCountry | SouthCountry Community Health Plan | $5,084.62 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | BlueCross MSHO | $5,108.25 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | SouthCountry PMAP | SouthCountry Community Health Plan | $5,789.35 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Ucare | UCARE Individual and Family Plan | $5,838.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | UCARE PMAP [30006] | UCARE PMAP [300063] | $5,996.54 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | UCare | Ucare Medicare Advantage | $6,013.14 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | UCare | Ucare Community Health Plan | $6,013.14 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | Blue Plus Community Health Plan | $6,128.51 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Health Partners | HealthPartners Medicare Advantage | $6,142.41 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | PRIMEWEST PMAP [30003] | PRIMEWEST PMAP [300050] | $6,144.80 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | MEDICA PMAP [10057] | MEDICA PMAP [100345] | $6,144.80 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | MEDICA PMAP [10057] | MEDICA MNCARE [100751] | $6,144.80 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Medica | Medica Medicare Advantage Solutions | $6,255.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Blue Cross Blue Shield | Blue Cross of MN Medicare Advantage | $6,255.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Medica | Medica Dual Solutions | $6,255.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Veterans | VACCN Optum | $6,255.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | South Country | SouthCountry MSHO | $6,345.35 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Primewest PMAP | PrimeWest Community Health Plan | $6,366.20 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | UCare | Ucare MSHO | $6,442.65 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Blue Cross Blue Shield | BlueCross MSHO | $6,567.75 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | HEALTH PARTNERS [10045] | MR-HEALTH PARTNERS [100844] | $6,589.60 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | PRIMEWEST NON PMAP [30004] | MR-PRIMEWEST MSHO [300051] | $6,589.60 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | MEDICA NONPMAP [10056] | MR-MEDICA ADVANTAGE SOLUTIONS [100895] | $6,589.60 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | BCBS OF MN [40001] | MR-BCBS MN [400069] | $6,589.60 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | BLUE PLUS PMAP [40002] | MR-SECURE BLUE MSHO [400055] | $6,589.60 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Health Partners Community Health Plan | $6,644.20 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | UCARE NON PMAP [30007] | MR-UCARE MSHO [300061] | $6,919.08 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | UCARE NON PMAP [30007] | MR-UCARE [300064] | $6,919.08 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | UCare | UCare Community Health Plan | $7,082.05 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Blue Cross Blue Shield | Blue Plus Community Health Plan | $7,093.17 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | Blue Plus Community Health Plan | $7,093.17 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | United Healthcare | United Healthcare Community Health Plan | $7,228.00 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | BCBS MSHO | $7,234.95 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | BCBS Medicare Advantage | $7,234.95 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Health Partners MSHO | $7,234.95 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Health Partners Medicare Advantage | $7,234.95 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica Dual Solutions MSHO | $7,234.95 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica Medicare Advantage | $7,234.95 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Primewest PMAP | PrimeWest Community Health Plan | $7,499.05 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | UCare | UCARE Individual and Family Plan | $7,506.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Federal Employee Program | $7,525.46 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | UCare | UCare MSHO | $7,588.01 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | UCare | UCare Medicare Advantage | $7,588.01 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Aware | $7,660.29 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | HEALTH PARTNERS PMAP [10046] | HEALTH PARTNERS PMAP [100313] | $8,286.42 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | UCare | UCare Commercial | $8,472.05 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | MEDICA NONPMAP [10056] | MR-MEDICA DUAL SOLUTIONS MSHO [100344] | $9,159.54 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | MEDICA NONPMAP [10056] | MR-MEDICA DUAL SOLUTIONS MSHO [100344] | $9,505.50 | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Health Partners | Cigna APWU | $9,570.15 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | HEALTH PARTNERS [10045] | MR-HEALTH PARTNERS MSHO [100603] | $9,884.40 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | America's PPO | HealthEz - America's PPO | $11,120.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | America's PPO | HealthEz - America's PPO | $11,120.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Medica | Medica Individual and Family Business | $11,217.30 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | United Healthcare | United Healthcare - All Savers Alternate Funding | $11,341.01 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | United Healthcare | United Healthcare Commercial | $11,341.01 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | United Healthcare | UnitedHealthOne, SelectCare | $11,341.01 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | United Healthcare | United Healthcare Commercial | $11,341.01 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | United Healthcare | UnitedHealthOne, SelectCare | $11,341.01 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | United Healthcare | United Healthcare - All Savers Alternate Funding | $11,341.01 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | United Healthcare | United Healthcare Commercial | $11,356.30 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Inpatient | UCARE COMMERCIAL [10705] | UCARE COMMERCIAL [100748] | $11,431.31 | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Medica | Medica Commercial | $11,481.40 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Health Partners | Cigna APWU | $11,659.32 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Outpatient | HEALTH PARTNERS [10045] | HEALTH PARTNERS [100312] | $11,778.91 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Sanford | Sanford Health Plan | $11,815.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Sanford | Sanford | $11,815.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Health Partners Commercial | $12,148.60 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Health Partners | Cigna APWU | $12,148.60 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Inpatient | UHC UNITED HEALTHCARE [10099] | UNITED HEALTHCARE [100453] | $12,240.18 | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | UCARE COMMERCIAL [10705] | UCARE COMMERCIAL [100748] | $12,246.77 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica IFB | $12,510.00 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Inpatient | BCBS FEDERAL EMPLOYEES [40005] | BCBS FEDERAL EMPLOYEES [400004] | $12,528.48 | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | BCBS OF MN [40003] | BLUE PLUS [400058] | $12,528.48 | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | BCBS OF MN [40001] | BCBS HIGH VALUE NETWORK | $12,528.48 | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Outpatient | UHC UNITED HEALTHCARE [10099] | UNITED HEALTHCARE [100453] | $12,734.40 | $16,474.00 | $11,894.23 | 2026-02-20 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica Commercial | $12,760.20 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Sanford | Sanford Health Plan | $12,788.00 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Inpatient | MEDICA NONPMAP [10056] | MEDICA [100341] | $12,833.25 | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | MULTIPLAN | MULTIPLAN | $13,179.20 | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Federal Employee Program | $13,268.94 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Federal Employee Program | $13,268.94 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | America's PPO | HealthEz - America's PPO | $13,483.00 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Aware | $13,508.02 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Blue Cross Blue Shield | BlueCross BlueShield State Health Plan | $13,508.02 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | BlueCross BlueShield State Health Plan | $13,508.02 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Blue Cross Blue Shield | Blue Plus Individual and Family Plans - BCBS of MN | $13,508.02 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Blue Cross Blue Shield | BlueCross BlueShield Aware | $13,508.02 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Medica | Medica Commercial | $13,900.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Medica | Medica Individual and Family Business | $13,900.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Health Partners | HealthPartners Commercial | $13,900.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Health Partners | HealthPartners Community Health Plan | $13,900.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Health Partners | HealthPartners MSHO HMO | $13,900.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH - MONTICELLO Outpatient | Medica | Medica Community Health Plan | $13,900.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Medica | Medica Community Health Plan | $13,900.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Health Partners | HealthPartners MSHO HMO | $13,900.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Health Partners | HealthPartners Community Health Plan | $13,900.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE HEALTH PAYNESVILLE LLC Outpatient | Health Partners | HealthPartners Commercial | $13,900.00 | $13,900.00 | $10,842.00 | 2024-12-30 | MRF ↗ |
| CENTRACARE - BENSON Outpatient | Medica | Medica Community Health Plan | $13,900.00 | $13,900.00 | $10,425.00 | 2024-12-30 | MRF ↗ |
| ASTERA HEALTH Inpatient | SANFORD HEALTH PLAN [10120] | SANFORD HEALTH PLAN [100578] | $14,002.90 | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |
| ASTERA HEALTH Inpatient | AETNA [10003] | AETNA - FH [100925] | $14,826.60 | $16,474.00 | $11,431.31 | 2026-02-20 | MRF ↗ |