PX-36000025 — Hc Or Level 1 1st 30 Minutes
Cite this view
HANK Price Transparency. (n.d.). HC or Level 1 1st 30 Minutes (CDM PX-36000025) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-36000025?code_type=CDM
“HC or Level 1 1st 30 Minutes (CDM PX-36000025) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-36000025?code_type=CDM. Accessed .
“HC or Level 1 1st 30 Minutes (CDM PX-36000025) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-36000025?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,594–$4,104 (25th–75th percentile) across 25 hospitals · 163 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-36000025 — 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 |
|---|---|---|---|---|---|---|---|
| BRYAN MEDICAL CENTER Outpatient | Molina Healthcare Medicaid | All Plans | $21.66 | $114.00 | $68.40 | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Uhc Medicaid | All Plans | $21.66 | $114.00 | $68.40 | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Medica Managed Care Contracted | All Plans | $68.40 | $114.00 | $68.40 | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Aetna Managed Care | All Plans | $73.99 | $114.00 | $68.40 | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Uhc Managed Care | All Plans | $76.38 | $114.00 | $68.40 | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Midlands Choice | All Plans | $171.00 | $114.00 | $68.40 | 2026-07-18 | MRF ↗ |
| GRANDE RONDE HOSPITAL Inpatient | Tricare | Other Government | $338.31 | $751.80 | $751.80 | 2025-02-06 | MRF ↗ |
| GRANDE RONDE HOSPITAL Inpatient | Pacific Source Medicare Advantage | Medicare HMO | $338.31 | $751.80 | $751.80 | 2025-02-06 | MRF ↗ |
| GRANDE RONDE HOSPITAL Inpatient | Triwest | Other Government | $338.31 | $751.80 | $751.80 | 2025-02-06 | MRF ↗ |
| GRANDE RONDE HOSPITAL Outpatient | Eastern Oregon Coordinated Care Organization | Medicaid HMO | $405.97 | $751.80 | $751.80 | 2025-02-06 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $490.12 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE BLUE CROSS BLUE SHIELD [1306] | MEDICARE BLUE CHOICE [130601] | $597.53 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AETNA [2700] | AETNA [270002] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD [5143] | HIGHMARK BCBS [514301] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE [5158] | UNITED HEALTHCARE (ATLANTA,GA) [515803] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH [5156] | INDEPENDENT HEALTH (BUFFALO NY) [515601] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID [1710] | INDEPENDENT HEALTH ASSOC MEDICAID [171001] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH MEDICARE [1305] | INDEPENDENT HEALTH MEDICARE [130501] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] | CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901] | — | — | — | 2026-04-01 | MRF ↗ |
| GRANDE RONDE HOSPITAL Inpatient | Eastern Oregon Coordinated Care Organization | Medicaid HMO | $616.48 | $751.80 | $751.80 | 2025-02-06 | MRF ↗ |
| GRANDE RONDE HOSPITAL Both | Regence BlueCross BlueShield of Oregon | Commercial | $699.17 | $751.80 | $751.80 | 2025-02-06 | MRF ↗ |
| GRANDE RONDE HOSPITAL Both | MODA | Commercial | $714.21 | $751.80 | $751.80 | 2025-02-06 | MRF ↗ |
| GRANDE RONDE HOSPITAL Both | Providence | Commercial | $721.73 | $751.80 | $751.80 | 2025-02-06 | MRF ↗ |
| GRANDE RONDE HOSPITAL Both | CIGNA | Commercial | $729.25 | $751.80 | $751.80 | 2025-02-06 | MRF ↗ |
| GRANDE RONDE HOSPITAL Both | Pacific Source | Commercial | $736.76 | $751.80 | $751.80 | 2025-02-06 | MRF ↗ |
| GRANDE RONDE HOSPITAL Both | AETNA | Commercial | $744.28 | $751.80 | $751.80 | 2025-02-06 | MRF ↗ |
| GRANDE RONDE HOSPITAL Both | United Healthcare | Commercial | $744.28 | $751.80 | $751.80 | 2025-02-06 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS METAL TIERS [220102] | $766.94 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR GOLD PLUS HMO [464300] | $922.20 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE HMO [486110] | $922.20 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (PPO) [314305] | $922.20 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MYCARE OHIO MCR AND MCD [314310] | $922.20 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR ADVANTAGE CHOICE PPO [464310] | $922.20 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (HMO) [314300] | $922.20 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE PPO [486100] | $922.20 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | THE HEALTH PLAN [265] | THE HEALTH PLAN HMO PPO MEDICARE ADV [265100] | $1,017.60 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310] | $1,017.60 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300] | $1,017.60 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305] | $1,017.60 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $1,120.39 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $1,120.39 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $1,120.39 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $1,120.39 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $1,160.08 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $1,184.63 | — | — | 2026-04-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $1,200.40 | $4,318.00 | $2,806.70 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $1,224.30 | $3,180.00 | $2,067.00 | 2025-01-31 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CAPITAL DISTRICT PHYSICIANS MEDICARE [132001] | $1,227.60 | — | — | 2026-04-01 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315] | $1,232.87 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | THE HEALTH PLAN [265] | THE HEALTH PLAN HMO PPO MEDICARE ADV [265100] | $1,232.87 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC MEDICARE HMO/HMO-POS [624305] | $1,232.87 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300] | $1,232.87 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310] | $1,232.87 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE HMO [486110] | $1,232.87 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305] | $1,232.87 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC AARP MEDICARE COMPLETE [624335] | $1,232.87 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC MEDICARE PPO [624310] | $1,232.87 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE PPO [486100] | $1,232.87 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| ST LUKE'S HOSPITAL Outpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $1,250.52 | $5,849.00 | $2,924.50 | 2025-12-15 | MRF ↗ |
| Tobey Hospital Outpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $1,250.52 | $5,849.00 | $2,924.50 | 2025-12-15 | MRF ↗ |
| Charlton Memorial Hospital Outpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $1,250.52 | $5,849.00 | $2,924.50 | 2025-12-15 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | WC [90001] | CHA HB MASSACHUSETTS WORKERS COMP | $1,279.75 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | OTHER TUFTS HEALTH PUBLIC PLAN [75002] | CHA HB TUFTS HEALTH PUBLIC PLANS QHP SUBSIDIZED | — | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | RR MEDICARE [60002] | CHA HB MEDICARE | — | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MEDICARE [60001] | CHA HB MEDICARE | — | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $1,340.90 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $1,340.90 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $1,340.90 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $1,340.90 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $1,340.90 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $1,340.90 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $1,340.90 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR ADVANTAGE CHOICE PPO [464310] | $1,352.18 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR GOLD PLUS HMO [464300] | $1,352.18 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (PPO) [314305] | $1,352.18 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (HMO) [314300] | $1,352.18 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MYCARE OHIO MCR AND MCD [314310] | $1,352.18 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | CIGNA [50005] | CHA HB CIGNA HEALTHCARE | $1,457.50 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS BLUE CHOICE [220107], EXCELLUS HEALTHY NY [220110], EXCELLUS HIGH PERFORMANCE [220103], EXCELLUS SIMPLY BLUE [220106] | $1,523.14 | — | — | 2026-04-01 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $1,525.13 | $4,067.00 | $2,643.55 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HUMANA [465] | HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210] | $1,584.70 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MASS GENERAL BRIGHAM [50021] | CHA HB MASS GENERAL BRIGHAM | $1,590.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | OXFORD HEALTH [40004] | CHA HB UNITED HEALTH CARE | $1,625.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | UNITED HEALTH [40002] | CHA HB UNITED HEALTH CARE | $1,625.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | UNITED MEDICAL RESOURCE [40005] | CHA HB UNITED HEALTH CARE | $1,625.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | AARP [40001] | CHA HB UNITED HEALTH CARE | $1,625.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | WELLPOINT [50012] | CHA HB UNICARE INDEMNITY | $1,625.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $1,657.84 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $1,660.38 | $4,717.00 | $3,066.05 | 2025-01-22 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MULTIPLAN [50010] | CHA HB MULTIPLAN/PHCS | $1,700.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS BLUE CHOICE [220107], EXCELLUS HIGH PERFORMANCE [220103] | $1,715.57 | — | — | 2026-04-01 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHLINK [443] | HEALTH LINK OPEN ACCESS [443205] | $1,828.50 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHLINK [443] | HEALTH LINK PPO [443200] | $1,828.50 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| Tobey Hospital Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $1,857.64 | $5,849.00 | $2,924.50 | 2025-12-15 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $1,857.64 | $5,849.00 | $2,924.50 | 2025-12-15 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $1,857.64 | $5,849.00 | $2,924.50 | 2025-12-15 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS SPIRIT | $2,000.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS PPO | $2,000.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB CIGNA HEALTHCARE CARELINK | $2,000.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | CIGNA [50005] | CHA HB CIGNA HEALTHCARE CARELINK | $2,000.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS POS | $2,000.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS HMO | $2,000.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHSMART [493] | HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210] | $2,072.30 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | IHG [492] | INTERPLAN HEALTH GROUP (IHG)* [492200] | $2,072.30 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | COFINITY [407] | COFINITY* [407200] | $2,072.30 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | FLORA [411] | FLORA HEALTH NETWORK* [411200] | $2,072.30 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | PARAMOUNT [555] | PARAMOUNT MEIJER STEPS2HEALTH [555210] | $2,072.30 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | PARAMOUNT [555] | PARAMOUNT HEALTHCARE HMO [555200] | $2,072.30 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | COVENTRY [406] | COVENTRY HEALTH NETWORK* [406200] | $2,072.30 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHSMART [493] | AULTCARE-HEALTHSMART [493215] | $2,072.30 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | FIRST HEALTH [408] | FIRST HEALTH* [408200] | $2,072.30 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AHPO [305] | AHPO (ACCNTBL HEALTH PLAN OF OH) [305200] | $2,072.30 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | PARAMOUNT [555] | PARAMOUNT HEALTHCARE PPO [555205] | $2,072.30 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | EMERALD [395] | EMERALD HEALTH NETWORK (PPO)* [395205] | $2,072.30 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | CIGNA TPA* [370230] | $2,096.68 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | CIGNA CHOICE FUND-ANY CHOICE FUND [370220] | $2,096.68 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | CIGNA PPO/EPO/FUNDAMENTAL CARE [370210] | $2,096.68 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | GREATWEST [550] | GREAT WEST HEALTHCARE PPO [550205] | $2,096.68 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | GREATWEST [550] | GREAT WEST CONSUMER ADVANTAGE* [550210] | $2,096.68 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | CIGNA BEHAVIORAL HEALTH [370200] | $2,096.68 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | GREATWEST [550] | CIGNA SELECT/GREAT WEST HEALTH [550200] | $2,096.68 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | HEALTHPARTNERS CIGNA [370240] | $2,096.68 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | CIGNA HMO/NTWK/OACCESS/OA+/POS [370225] | $2,096.68 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | MVP CIGNA [370425] | $2,096.68 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO PREFERRED NETWORK [546] | ZELIS NETWORK SOLUTIONS STRATOSE* [546200] | $2,145.44 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | AETNA [50001] | CHA HB AETNA | $2,175.00 | $2,500.00 | $2,500.00 | 2026-03-20 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $2,181.48 | $3,180.00 | $2,067.00 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $2,181.48 | $3,180.00 | $2,067.00 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $2,181.48 | $3,180.00 | $2,067.00 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $2,181.48 | $3,180.00 | $2,067.00 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BC TRADITIONAL [335200] | $2,181.48 | $3,180.00 | $2,067.00 | 2025-01-31 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $2,187.35 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $2,187.35 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $2,187.35 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $2,187.35 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $2,187.35 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $2,187.35 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $2,187.35 | $3,977.00 | $2,585.05 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE CHOICE [553315] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE CONNECT OHC [553245] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OSU [553] | OSU BASIC OUT OF AREA OHC [553300] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OSU [553] | OSU BASIC PPO OHC [553305] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | TRUSTMARK/CORESOURCE OHCP [535345] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OSU [553] | OSU OUT OF AREA OHC [553310] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | FRONTPATH HEALTH COALITION OHCP [535215] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | GENERAL AMERICAN LIFE OHCP [535220] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | AULTCARE PPO CONNECT [535355] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHCP MEDBEN [535205] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | SEORMC MEDBEN [535350] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHIO PPO CONNECT [535225] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE ADVANTAGE OHC [553225] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHIO HEALTH CHOICE PLAN (OHCP) [535200] | $2,194.20 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PLANNED ADMINISTRATORS [886] | AH HB XR BCBS PREFERRED (PAI ANMED ONLY) | $2,200.00 | $11,000.00 | $5,500.00 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PLANNED ADMINISTRATORS [886] | AH HB XR BCBS PREFERRED (PAI ANMED ONLY) | $2,200.00 | $11,000.00 | $5,500.00 | 2026-03-06 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | HUMANA [465] | HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210] | $2,226.00 | $3,180.00 | $2,067.00 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | HUMANA [465] | HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210] | $2,226.00 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $2,226.00 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| BERGER HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $2,230.77 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $2,230.77 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $2,230.77 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $2,236.85 | $4,067.00 | $2,643.55 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $2,236.85 | $4,067.00 | $2,643.55 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $2,236.85 | $4,067.00 | $2,643.55 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $2,236.85 | $4,067.00 | $2,643.55 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $2,236.85 | $4,067.00 | $2,643.55 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $2,236.85 | $4,067.00 | $2,643.55 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $2,236.85 | $4,067.00 | $2,643.55 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BC TRADITIONAL [335200] | $2,250.27 | $2,438.00 | $1,584.70 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $2,251.44 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $2,251.44 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BC TRADITIONAL [335200] | $2,251.44 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $2,251.44 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $2,251.44 | $3,180.00 | $2,067.00 | 2025-01-21 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $2,257.20 | $4,104.00 | $2,667.60 | 2025-01-22 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.