PX-36000026 — Hc Or Level 1 1st Addl 15 Minutes
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC or Level 1 1st Addl 15 Minutes (CDM PX-36000026) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-36000026?code_type=CDM
MLA (9th ed.)
“HC or Level 1 1st Addl 15 Minutes (CDM PX-36000026) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-36000026?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC or Level 1 1st Addl 15 Minutes (CDM PX-36000026) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-36000026?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $702–$1,200 (25th–75th percentile) across 26 hospitals · 174 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-36000026 — 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 |
|---|---|---|---|---|---|---|---|
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $31.78 | — | — | 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 ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID [1710] | INDEPENDENT HEALTH ASSOC MEDICAID [171001] | — | — | — | 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 MEDICARE [1305] | INDEPENDENT HEALTH MEDICARE [130501] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AETNA [2700] | AETNA [270002] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH [5156] | INDEPENDENT HEALTH (BUFFALO NY) [515601] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE BLUE CROSS BLUE SHIELD [1306] | MEDICARE BLUE CHOICE [130601] | $38.75 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD [5143] | HIGHMARK BCBS [514301] | — | — | — | 2026-04-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | OPTUM BEHAVIORAL HEALTH [100900] | CCMC HB HARVARD REIMB CONTRACT | $49.59 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | HARVARD PILGRIM [1001134] | CCMC HB HARVARD REIMB CONTRACT | $49.59 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | MULTIPLAN [1001126] | CCMC HB HARVARD REIMB CONTRACT | $49.59 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS METAL TIERS [220102] | $49.73 | — | — | 2026-04-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | MVP HEALTH PLAN [100144] | CCMC HB CIGNA REIMB CONTRACT | $50.71 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | GREAT WEST HEALTHCARE [100107] | CCMC HB CIGNA REIMB CONTRACT | $50.71 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | HEALTH PARTNERS [110229] | CCMC HB CIGNA REIMB CONTRACT | $50.71 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | CIGNA [100102] | CCMC HB CIGNA REIMB CONTRACT | $50.71 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | TUFTS HEALTH PLAN [100114] | CCMC HB CIGNA REIMB CONTRACT | $50.71 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | AETNA [100101] | CCMC HB AETNA MIDDLESEX HOSP CONTRACT | $51.46 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | GOVERNMENT EMPLOYEES HOSPITAL ASSOC [100115] | CCMC HB AETNA REIMB CONTRACT | $57.17 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | 1199 NATIONAL BENEFIT FUND [100134] | CCMC HB AETNA REIMB CONTRACT | $57.17 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | NIPPON LIFE INS CO OF AMERICA [100112] | CCMC HB AETNA REIMB CONTRACT | $57.17 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | AETNA [100101] | CCMC HB AETNA REIMB CONTRACT | $57.17 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | MERITAIN HEALTH [100149] | CCMC HB AETNA REIMB CONTRACT | $57.17 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | YALE HEALTH PLAN [100162] | CCMC HB AETNA REIMB CONTRACT | $57.17 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | HUMANA [100116] | CCMC HB AETNA REIMB CONTRACT | $57.17 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | CDPHP/COMM [100199] | CCMC HB MULTIPLAN REIMB CONTRACT | $57.78 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | ULTRABENEFITS/COMM [100181] | CCMC HB MULTIPLAN REIMB CONTRACT | $57.78 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | MULTIPLAN [1001126] | CCMC HB MULTIPLAN REIMB CONTRACT | $57.78 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | GENERIC MULTIPLAN [1001130] | CCMC HB MULTIPLAN REIMB CONTRACT | $57.78 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | CONNECTICARE [100105] | CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT | $57.82 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | EMBLEM HEALTH MEDICAID [1001103] | CCMC HB CONNECTICARE REIMB CONTRACT | $61.01 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | CONNECTICARE [100105] | CCMC HB CONNECTICARE REIMB CONTRACT | $61.01 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | EMBLEM HEALTH COMMERCIAL [1001108] | CCMC HB CONNECTICARE REIMB CONTRACT | $61.01 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | OPTUM BEHAVIORAL HEALTH [100900] | CCMC HB CONNECTICARE REIMB CONTRACT | $61.01 | $67.98 | $40.79 | 2026-01-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $75.22 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $76.81 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CAPITAL DISTRICT PHYSICIANS MEDICARE [132001] | $79.60 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS BLUE CHOICE [220107], EXCELLUS HEALTHY NY [220110], EXCELLUS HIGH PERFORMANCE [220103], EXCELLUS SIMPLY BLUE [220106] | $98.76 | — | — | 2026-04-01 | 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] | $111.24 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE [1723], MOLINA HEALTHCARE [5189] | MOLINA HEALTHCARE [172301], MOLINA CHILD HEALTH PLUS [518901] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP MEDICAID [1712] | MVP OPTION MEDICAID [171201], MVP CHILD HEALTH PLUS [290004] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP ESSENTIAL (NO MEDICAID) [290005] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP ESSENTIAL (NO MEDICAID) [290005] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS [5155] | FIDELIS ESS PQ 1 AND 2 [515503] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] | BLUE CHOICE OPTION MEDICAID [170601], | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MOLINA HEALTHCARE [5189], MOLINA HEALTHCARE [1723] | MOLINA CHILD HEALTH PLUS [518901], MOLINA HEALTHCARE [172301] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP CHILD HEALTH PLUS [290004] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP CHILD HEALTH PLUS [290004] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS [5155], FIDELIS MEDICAID [1708] | FIDELIS CHILD HEALTH PLUS [515502], FIDELIS MEDICAID [170801] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICAID [1708] | FIDELIS MEDICAID [170801], FIDELIS CHILD HEALTH PLUS [515502] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | BLUE CHOICE OPTION MEDICAID [170601] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE [5189] | MOLINA ESSENTIAL PQ 1 AND 2 [518902], MOLINA ESSENTIAL PA 3 AND 4 [172302] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS [5155] | FIDELIS METAL TIERS [515501] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE [5158] | UNITED HEALTHCARE ESSENTIAL (NO MEDICAID [515812] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP MEDICAID [1712] | MVP OPTION MEDICAID [171201] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS [5155] | FIDELIS METAL TIERS [515501] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MOLINA HEALTHCARE [5189], MOLINA HEALTHCARE [1723] | MOLINA ESSENTIAL (NO MEDICAID) [518902], MOLINA ESSENTIAL PA 3 AND 4 [172302] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS [5155] | FIDELIS ESSENTIAL (NO MEDICAID) [515503] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS [5155] | FIDELIS ESSENTIAL PA 3 AND 4 [170804] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS MEDICAID [1708] | FIDELIS ESSENTIAL (W/ MEDICAID) [170804] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $176.00 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE PPO [486100] | $246.79 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE HMO [486110] | $246.79 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MYCARE OHIO MCR AND MCD [314310] | $246.79 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR GOLD PLUS HMO [464300] | $246.79 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (HMO) [314300] | $246.79 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (PPO) [314305] | $246.79 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR ADVANTAGE CHOICE PPO [464310] | $246.79 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310] | $272.32 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305] | $272.32 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300] | $272.32 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | THE HEALTH PLAN [265] | THE HEALTH PLAN HMO PPO MEDICARE ADV [265100] | $272.32 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $299.75 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $299.75 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $299.75 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $299.75 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $321.37 | $1,156.00 | $751.40 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $327.64 | $851.00 | $553.15 | 2025-01-31 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC MEDICARE PPO [624310] | $330.15 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC AARP MEDICARE COMPLETE [624335] | $330.15 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC MEDICARE HMO/HMO-POS [624305] | $330.15 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300] | $330.15 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | THE HEALTH PLAN [265] | THE HEALTH PLAN HMO PPO MEDICARE ADV [265100] | $330.15 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310] | $330.15 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315] | $330.15 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305] | $330.15 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE PPO [486100] | $330.15 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE HMO [486110] | $330.15 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $359.15 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $359.15 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $359.15 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $359.15 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $359.15 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $359.15 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $359.15 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MYCARE OHIO MCR AND MCD [314310] | $362.10 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (HMO) [314300] | $362.10 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR ADVANTAGE CHOICE PPO [464310] | $362.10 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (PPO) [314305] | $362.10 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR GOLD PLUS HMO [464300] | $362.10 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $408.38 | $1,089.00 | $707.85 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HUMANA [465] | HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210] | $424.45 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $444.04 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $444.58 | $1,263.00 | $820.95 | 2025-01-22 | MRF ↗ |
| GRANDE RONDE HOSPITAL Inpatient | Pacific Source Medicare Advantage | Medicare HMO | $476.75 | $1,059.45 | $1,059.45 | 2025-02-06 | MRF ↗ |
| GRANDE RONDE HOSPITAL Inpatient | Tricare | Other Government | $476.75 | $1,059.45 | $1,059.45 | 2025-02-06 | MRF ↗ |
| GRANDE RONDE HOSPITAL Inpatient | Triwest | Other Government | $476.75 | $1,059.45 | $1,059.45 | 2025-02-06 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHLINK [443] | HEALTH LINK OPEN ACCESS [443205] | $489.75 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHLINK [443] | HEALTH LINK PPO [443200] | $489.75 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | COFINITY [407] | COFINITY* [407200] | $555.05 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | COVENTRY [406] | COVENTRY HEALTH NETWORK* [406200] | $555.05 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | FIRST HEALTH [408] | FIRST HEALTH* [408200] | $555.05 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AHPO [305] | AHPO (ACCNTBL HEALTH PLAN OF OH) [305200] | $555.05 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | FLORA [411] | FLORA HEALTH NETWORK* [411200] | $555.05 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | PARAMOUNT [555] | PARAMOUNT HEALTHCARE PPO [555205] | $555.05 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | PARAMOUNT [555] | PARAMOUNT MEIJER STEPS2HEALTH [555210] | $555.05 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | PARAMOUNT [555] | PARAMOUNT HEALTHCARE HMO [555200] | $555.05 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHSMART [493] | HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210] | $555.05 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHSMART [493] | AULTCARE-HEALTHSMART [493215] | $555.05 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | EMERALD [395] | EMERALD HEALTH NETWORK (PPO)* [395205] | $555.05 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | IHG [492] | INTERPLAN HEALTH GROUP (IHG)* [492200] | $555.05 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | CIGNA CHOICE FUND-ANY CHOICE FUND [370220] | $561.58 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | MVP CIGNA [370425] | $561.58 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | CIGNA HMO/NTWK/OACCESS/OA+/POS [370225] | $561.58 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | GREATWEST [550] | CIGNA SELECT/GREAT WEST HEALTH [550200] | $561.58 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | GREATWEST [550] | GREAT WEST CONSUMER ADVANTAGE* [550210] | $561.58 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | GREATWEST [550] | GREAT WEST HEALTHCARE PPO [550205] | $561.58 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | HEALTHPARTNERS CIGNA [370240] | $561.58 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | CIGNA BEHAVIORAL HEALTH [370200] | $561.58 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | CIGNA PPO/EPO/FUNDAMENTAL CARE [370210] | $561.58 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | CIGNA [370] | CIGNA TPA* [370230] | $561.58 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| GRANDE RONDE HOSPITAL Outpatient | Eastern Oregon Coordinated Care Organization | Medicaid HMO | $572.10 | $1,059.45 | $1,059.45 | 2025-02-06 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO PREFERRED NETWORK [546] | ZELIS NETWORK SOLUTIONS STRATOSE* [546200] | $574.64 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $583.79 | $851.00 | $553.15 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $583.79 | $851.00 | $553.15 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BC TRADITIONAL [335200] | $583.79 | $851.00 | $553.15 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $583.79 | $851.00 | $553.15 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $583.79 | $851.00 | $553.15 | 2025-01-31 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $585.75 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $585.75 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $585.75 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $585.75 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $585.75 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $585.75 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $585.75 | $1,065.00 | $692.25 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHCP MEDBEN [535205] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | FRONTPATH HEALTH COALITION OHCP [535215] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | TRUSTMARK/CORESOURCE OHCP [535345] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE CONNECT OHC [553245] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | GENERAL AMERICAN LIFE OHCP [535220] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OSU [553] | OSU BASIC OUT OF AREA OHC [553300] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OSU [553] | OSU OUT OF AREA OHC [553310] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | SEORMC MEDBEN [535350] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHIO PPO CONNECT [535225] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | AULTCARE PPO CONNECT [535355] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE CHOICE [553315] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OSU [553] | OSU BASIC PPO OHC [553305] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHIO HEALTH CHOICE PLAN (OHCP) [535200] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE ADVANTAGE OHC [553225] | $587.70 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $595.70 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | HUMANA [465] | HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210] | $595.70 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | HUMANA [465] | HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210] | $595.70 | $851.00 | $553.15 | 2025-01-31 | MRF ↗ |
| BERGER HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $597.50 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $597.50 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $597.50 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $598.95 | $1,089.00 | $707.85 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $598.95 | $1,089.00 | $707.85 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $598.95 | $1,089.00 | $707.85 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $598.95 | $1,089.00 | $707.85 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $598.95 | $1,089.00 | $707.85 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $598.95 | $1,089.00 | $707.85 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $598.95 | $1,089.00 | $707.85 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $602.51 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $602.51 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BC TRADITIONAL [335200] | $602.51 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $602.51 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $602.51 | $851.00 | $553.15 | 2025-01-21 | MRF ↗ |
| BERGER HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BC TRADITIONAL [335200] | $602.72 | $653.00 | $424.45 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $603.90 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $603.90 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $603.90 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $603.90 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $603.90 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $603.90 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $603.90 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $603.90 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $603.90 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $603.90 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $603.90 | $1,098.00 | $713.70 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $603.90 | $1,098.00 | $713.70 | 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.