PX-36001264 — Hc Or Acuity Lvl 5 1st 30 Min
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC or Acuity Lvl 5 1st 30 Min (CDM PX-36001264) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-36001264?code_type=CDM
MLA (9th ed.)
“HC or Acuity Lvl 5 1st 30 Min (CDM PX-36001264) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-36001264?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC or Acuity Lvl 5 1st 30 Min (CDM PX-36001264) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-36001264?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,725–$9,197 (25th–75th percentile) across 5 hospitals · 100 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-36001264 — 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 |
|---|---|---|---|---|---|---|---|
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | UNITED HEALTHCARE [2060] | UNITED HEALTHCARE OXFORD [206009] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | UNITED HEALTHCARE [2060] | UHC SUREST BIND [206032] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | UNITED HEALTHCARE [2060] | UNITED HEALTHCARE STUDENT SVC [206012] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | CIGNA [1260] | CIGNA BEHAVIORAL HEALTH [126013] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | MEDICARE [1635] | MEDICARE PART A AND B [163500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | MEDICARE [1635] | MEDICARE PART A ONLY [163502] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | MEDICARE [1635] | REHAB MEDICARE [163504] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | MEDICARE [1635] | MEDICARE PART B ONLY [163501] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | AETNA [1015] | AETNA PPO [101526] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | AETNA [1015] | AETNA LIBERTY [101531] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | AETNA [1015] | AETNA SUPPLEMENT [101514] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | AETNA MEDICARE REPLACEMENT [1020] | AETNA NNJ PRIME HMO [102003] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | AMERIGROUP MEDICAID [1095] | WELLPOINT MEDICAID STAR [109500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | AMERIGROUP MEDICARE [1100] | WELLPOINT FKA AMERIGROUP MEDICARE [110000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | BCBS [1155] | EMPIRE BCBS PPO [115559] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | BCBS [1155] | EMPIRE BCBS HMO POS EPO [115558] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | BCBS MEDICARE REPLACEMENT [1160] | BCBS NJ MEDICARE BLUE [116002] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | BLACK LUNG [6055] | BLACK LUNG [605500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HEALTHFIRST [2395] | HEALTHFIRST [239500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HUMANA COMMERCIAL [2140] | HUMANA COMMERCIAL [214001] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HUMANA MEDICARE REPLACEMENT [1525] | HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | LUCENT HEALTH [6000] | LUCENT HEALTH [600000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | MANAGED MEDICAID [3845] | MANAGED MEDICAID OTHER [384500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | MANAGED MEDICARE [1600] | MANAGED MEDICARE OTHER [160000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | MERITAIN AETNA [3685] | MERITAIN AETNA ARDENT EMPLOYEE [368502] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | PHCS [1780] | GROUP HEALTH COOPERATIVE SCW [178012] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | UHC MEDICAID REPLACEMENT [3755] | UHCCP [375500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | UMR [2035] | UMR UNITED HEALTHCARE [203502] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | UNITED HEALTHCARE MEDICARE REPLACEMENT [2065] | UHC MEDICARE ADVANTAGE [206511] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | WEB TPA [2115] | WEB TPA AETNA [211500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | WELLCARE MEDICARE REPLACEMENT [3775] | WELLCARE MEDICARE [377501] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | WORKER'S COMP [2125] | QUALCARE WC [212530] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | WORKER'S COMP [2125] | CNA INSURANCE WC [2125100] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | ADMINISTRATIVE CONCEPTS [1005] | ADMINISTRATIVE CONCEPTS [100502] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | AETNA MEDICAID REPLACEMENT [3510] | AETNA BETTER HEALTH [351001] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | ALLIED BENEFIT SYSTEMS INC [1030] | ALLIED BENEFIT SYSTEMS [103000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | ALLIED NATIONAL GLOBAL CARE [1035] | ALLIED NATIONAL [103500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | FIDELIS CARE OF NJ MEDICAID [3770] | WELLCARE MEDICAID [377500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | FIDELIS CARE OF NY MEDICAID REPLACEMENT [3865] | FIDELIS CARE OF NY MEDICAID REPLACEMENT [386500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | GEHA [1415] | GEHA - ASA [141503] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | GILSBAR [1425] | GILSBAR [142500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HEALTHFIRST MEDICAID [3870] | HEALTHFIRST MEDICAID [387000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HEALTHNET [1495] | HEALTHNET [149500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HEALTHSCOPE BENEFITS [2290] | HEALTHSCOPE BENEFITS [229000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | MERITAIN HEALTH [1655] | MERITAIN HEALTH [165500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | MULTIPLAN [1680] | IHC HS [168011] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | MUTUAL OF OMAHA [1685] | MUTUAL OF OMAHA [168500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | UNITED BEHAVIORAL MANAGED MEDICARE [2201] | UNITED MANAGED MEDICARE BEHAVIORAL [220100] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | NEW ERA LIFE INSURANCE COMPANY [1705] | PHILADELPHIA AMERICAN LIFE [170501] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | PAN AMERICAN LIFE INSURANCE CO [1770] | PAN AMERICAN LIFE [177000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | PBA [1775] | PROFESSIONAL BENEFIT ADMIN [177500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | PLANNED ADMINISTRATORS INC [2360] | PLANNED ADMINISTRATORS INC [236000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | TRUSTMARK [2030] | STARMARK [203000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | UMR - ARDENT EMPLOYEE [2036] | UMR - ARDENT EMPLOYEE [203601] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | UNITED BEHAVIORAL HEALTH [3820] | UNITED BEHAVIORAL MEDICARE ADVANTAGE [382000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | UNIVERSAL FIDELITY [2085] | UNIVERSAL FIDELITY LIFE [208500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | FIRST HEALTH [1375] | TALL TREE ADMINISTRATORS [137508] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | FIRST HEALTH [1375] | FIRST HEALTH NETWORK [137501] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HEALTHCARE HIGHWAYS [2210] | HEALTH PLANS INC [221008] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HEALTHCOST SOLUTIONS [2415] | HEALTHCOST SOLUTIONS [241501] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HOMETOWN HEALTH [2155] | HOMETOWN HEALTH [215500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | MAYO CLINIC HEALTH SOLUTIONS [2280] | MAYO CLINIC HEALTH SOLUTIONS [228000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | RESOURCE ONE ADMINISTRATORS [2815] | RESOURCE ONE ADMINISTRATORS [281500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | VA CCN OPTUM [3920] | VA CCN OPTUM [392000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | NIPPON LIFE INS CO [3695] | NIPPON LIFE INS CO [369500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | EMBLEM HEALTH [2430] | GHI [243003] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | PENDING COUNTY RCA [3910] | PENDING COUNTY RCA [391000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | 1199 SEIU BENEFIT FUND [3505] | 1199 SEIU BENEFIT FUND [350500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | UNITED BEHAVIORAL [2200] | UNITED BEHAVIORAL NETWORK [220001] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | MVA [1690] | NJ PLIGA??????? [169009] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | MCS ADVANTAGE MEDICARE REPLACEMENT [3655] | MCS ADVANTAGE INC [365500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | QUALCARE [3725] | QUALCARE HMO/POS [372501] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | CLOVER HEALTH MEDICARE REPLACEMENT [3795] | CLOVER HEALTH MEDICARE REPLACEMENT [379500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | CREATE FLEX / SELECT [3580] | CREATE FLEX CARE [358000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HORIZON [3625] | HORIZON FEDERAL [362504] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HORIZON [3625] | HORIZON BCBS HMO POS EPO [362500] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HORIZON [3625] | HORIZON BCBS STATE EMPLOYEES PLAN (SHBP) [362509] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | QUALCARE [3725] | OSCAR HEALTH [372505] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HORIZON [3625] | HORIZON BCBS UNION [362506] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HORIZON [3625] | 1199J NEW JERSEY BENEFIT FUND [362508] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HORIZON [3625] | HORIZON BCBS NJ OMNIA [362502] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HORIZON BCBS MEDICARE REPLACEMENT [3630] | BRAVEN HEALTH MEDICARE ADVANTAGE HMO [363005] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | HORIZON BCBS MEDICARE REPLACEMENT [3630] | HORIZON BCBS MED ADV [363000] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL Outpatient | QUALCARE [3725] | QUALCARE PPO [372503] | — | $3,500.00 | $3,500.00 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | UNITED HEALTHCARE [2060] | UNITED HEALTHCARE OPTIONS [206008] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | UNITED HEALTHCARE [2060] | UNITED HEALTHCARE STUDENT SVC [206012] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | UNITED HEALTHCARE [2060] | UNITED HEALTHCARE [206025] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | CIGNA [1260] | CIGNA PPO [126025] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | CIGNA [1260] | CIGNA [126008] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | CIGNA [1260] | CIGNA OPEN ACCESS PLUS [126021] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | MEDICARE [1635] | MEDICARE PART B ONLY [163501] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | MEDICARE [1635] | MEDICARE PART A ONLY [163502] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | MEDICARE [1635] | REHAB MEDICARE [163504] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | MEDICARE [1635] | MEDICARE PART A AND B [163500] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | AETNA [1015] | AETNA COMMERCIAL [101521] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | AETNA [1015] | AETNA WHOLE HEALTH [101515] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | AETNA [1015] | AETNA PPO [101526] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | AETNA MEDICARE REPLACEMENT [1020] | AETNA COVENTRY MEDICARE REPLACEMENT [102002] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | AMBETTER [2930] | AMBETTER [293000] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | AMERIGROUP COMMERCIAL [5055] | WELLPOINT FKA AMERIGROUP MCARE SUP [505501] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | AMERIGROUP MEDICAID [1095] | WELLPOINT MEDICAID STAR [109500] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | BCBS [1155] | BLUE CROSS ADVANTAGE HMO OF TEXAS [115525] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | BCBS [1155] | BLUE CROSS PREFERRED PPO OF TEXAS [115526] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | BCBS [1155] | BLUE CROSS TRADITIONAL OF TEXAS [115503] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | BCBS [1155] | BLUE CROSS HEALTHSELECT OF TEXAS [115530] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | BCBS MEDICAID [1165] | BCBS MEDICAID [116504] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | BCBS MEDICARE REPLACEMENT [1160] | BLUE CROSS MEDICARE ADVANTAGE OOS [116005] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | BLACK LUNG [6055] | BLACK LUNG [605500] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | HUMANA COMMERCIAL [2140] | HUMANA COMMERCIAL [214001] | $2,243.00 | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | HUMANA MEDICARE REPLACEMENT [1525] | HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | LUCENT HEALTH [6000] | LUCENT HEALTH [600000] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | MAILHANDLERS [1595] | MAILHANDLERS [159500] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | MANAGED MEDICAID [3845] | MANAGED MEDICAID OTHER [384500] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | MANAGED MEDICARE [1600] | MANAGED MEDICARE OTHER [160000] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | MERITAIN AETNA [3685] | MERITAIN AETNA [368500] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | MERITAIN AETNA [3685] | MERITAIN AETNA ARDENT EMPLOYEE [368502] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | PHCS [1780] | GROUP HEALTH COOPERATIVE SCW [178012] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | STAR SUPERIOR MEDICAID [1945] | SUPERIOR CHIP [194501] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | STAR SUPERIOR MEDICAID [1945] | SUPERIOR STAR MEDICAID [194500] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | UHC MEDICAID REPLACEMENT [3755] | UHC MEDICAID COMMUNITY PLAN [375501] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | UMR [2035] | UMR CHOICE [203500] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | UNITED HEALTHCARE MEDICARE REPLACEMENT [2065] | UHC MEDICARE ADVANTAGE [206511] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | WEB TPA [2115] | WEB TPA AETNA [211500] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | WORKER'S COMP [2125] | TEXAS A&M UNIVERSITY RISK MGT [2125109] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | AETNA MEDICAID REPLACEMENT [3510] | AETNA MEDICAID [351000] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | ALLIED BENEFIT SYSTEMS INC [1030] | ALLIED BENEFIT SYSTEMS [103000] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | ENABLECOMP [1350] | W/C WORK COMP ENABLECOMP [135000] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | FIRST CARE COMMERCIAL [1371] | FIRSTCARE HMO [137103] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | GEHA [1415] | GEHA [141500] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | MEDISHARE CHRISTIAN CARE [1645] | MEDISHARE CHRISTIAN CARE [164500] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | MULTIPLAN [1680] | KEY BENEFIT ADMINISTRATORS [168006] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | MULTIPLAN [1680] | HMA [168003] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | NATIONAL ASSOCIATION OF LETTER CARRIERS [1695] | NALC [169500] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | PENDING SSI [1616] | PENDING SSI RCA [161601] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | SCOTT AND WHITE MEDICAID REPLACEMENT [3730] | SCOTT AND WHITE HEALTH PLAN RIGHT CARE [373002] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | TRIWEST [3750] | TRIWEST TWVACCN [375000] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | UMR - ARDENT EMPLOYEE [2036] | UMR - ARDENT EMPLOYEE [203601] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | FIRST HEALTH [1375] | MERITAIN HEALTH FIRST HEALTH [137516] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | MOLINA HEALTHCARE [1670] | MOLINA COMMERCIAL [167000] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | AMERICAN POSTAL WORKERS UNION [1070] | AMERICAN POSTAL WORKERS [107000] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | BELL COUNTY INDIGENT HEALTH SVC [3530] | BELL COUNTY INDIGENT HEALTH SVC [353000] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| SETON MEDICAL CENTER HARKER HEIGHTS Outpatient | SCOTT AND WHITE MEDICARE REPLACEMENT [3735] | SCOTT AND WHITE HEALTH PLAN SR. CARE [373501] | — | $3,597.00 | $359.70 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | UNITED HEALTHCARE MEDICARE REPLACEMENT [2065] | UHC MEDICARE ADVANTAGE [206511] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | HUMANA MEDICARE REPLACEMENT [1525] | HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | AETNA MEDICAID REPLACEMENT [3510] | AETNA BETTER HEALTH [351001] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | ALLIED BENEFIT SYSTEMS INC [1030] | ALLIED BENEFIT SYSTEMS [103000] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | ALLIED NATIONAL GLOBAL CARE [1035] | ALLIED NATIONAL [103500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | FIDELIS CARE OF NJ MEDICAID [3770] | FIDELIS CARE OF NJ [377003] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | FIDELIS CARE OF NY MEDICAID REPLACEMENT [3865] | FIDELIS CARE OF NY MEDICAID REPLACEMENT [386500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | GEHA [1415] | GEHA - ASA [141503] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | GILSBAR [1425] | GILSBAR [142500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | HEALTHFIRST MEDICAID [3870] | HEALTHFIRST MEDICAID [387000] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | HEALTHNET [1495] | HEALTHNET [149500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | HEALTHSCOPE BENEFITS [2290] | HEALTHSCOPE BENEFITS [229000] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | HORIZON NJ HEALTH [3635] | HORIZON NJ HEALTH [363500] | $2,713.00 | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | MERITAIN HEALTH [1655] | MERITAIN HEALTH [165500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | MULTIPLAN [1680] | IHC HS [168011] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | MUTUAL OF OMAHA [1685] | MUTUAL OF OMAHA [168500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | NEW ERA LIFE INSURANCE COMPANY [1705] | PHILADELPHIA AMERICAN LIFE [170501] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | PAN AMERICAN LIFE INSURANCE CO [1770] | PAN AMERICAN LIFE [177000] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | PBA [1775] | PROFESSIONAL BENEFIT ADMIN [177500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | PLANNED ADMINISTRATORS INC [2360] | PLANNED ADMINISTRATORS INC [236000] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | TRUSTMARK [2030] | STARMARK [203000] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | UMR - ARDENT EMPLOYEE [2036] | UMR - ARDENT EMPLOYEE [203601] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | UNIVERSAL FIDELITY [2085] | UNIVERSAL FIDELITY LIFE [208500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | FIRST HEALTH [1375] | TALL TREE ADMINISTRATORS [137508] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | HEALTHCARE HIGHWAYS [2210] | HEALTH PLANS INC [221008] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | HEALTHCOST SOLUTIONS [2415] | HEALTHCOST SOLUTIONS [241501] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | HOMETOWN HEALTH [2155] | HOMETOWN HEALTH [215500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | MAYO CLINIC HEALTH SOLUTIONS [2280] | MAYO CLINIC HEALTH SOLUTIONS [228000] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | RESOURCE ONE ADMINISTRATORS [2815] | RESOURCE ONE ADMINISTRATORS [281500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | VA CCN OPTUM [3920] | VA CCN OPTUM [392000] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | EMBLEM HEALTH [2430] | EMBLEM HEALTH [243001] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | PENDING COUNTY RCA [3910] | PENDING COUNTY RCA [391000] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | 1199 SEIU BENEFIT FUND [3505] | 1199 SEIU BENEFIT FUND [350500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | CLOVER HEALTH MEDICARE REPLACEMENT [3795] | CLOVER HEALTH MEDICARE REPLACEMENT [379500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | COMMERCIAL GENERIC [1285] | COMMERCIAL OTHER [128501] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | CREATE FLEX / SELECT [3580] | CREATE FLEX CARE [358000] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | HORIZON [3625] | 1199J NEW JERSEY BENEFIT FUND [362508] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | HORIZON BCBS MEDICARE REPLACEMENT [3630] | HORIZON HEALTHCARE OF NJ [363002] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | HORIZON BCBS MEDICARE REPLACEMENT [3630] | BRAVEN HEALTH MEDICARE ADVANTAGE HMO [363005] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | NIPPON LIFE INS CO [3695] | NIPPON LIFE INS CO [369500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | QUALCARE [3725] | OSCAR HEALTH [372505] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | QUALCARE [3725] | QUALCARE PPO [372503] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | QUALCARE [3725] | QUALCARE HMO/POS [372501] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | UNITED HEALTHCARE [2060] | UHC SUREST BIND [206032] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | UNITED HEALTHCARE [2060] | UNITED HEALTHCARE STUDENT SVC [206012] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | UNITED HEALTHCARE [2060] | UNITED HEALTHCARE OXFORD [206009] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | MEDICARE [1635] | MEDICARE PART A AND B [163500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | MEDICARE [1635] | MEDICARE PART A ONLY [163502] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | MEDICARE [1635] | REHAB MEDICARE [163504] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | MEDICARE [1635] | MEDICARE PART B ONLY [163501] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | AETNA [1015] | AETNA SIGNATURE [101528] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | AETNA MEDICARE REPLACEMENT [1020] | AETNA NNJ PRIME HMO [102003] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | AMERIGROUP MEDICAID [1095] | WELLPOINT MEDICAID STAR [109500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | AMERIGROUP MEDICARE [1100] | WELLPOINT FKA AMERIGROUP MEDICARE [110000] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | BCBS MEDICARE REPLACEMENT [1160] | BLUE CROSS MEDICARE ADVANTAGE OOS [116005] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | BLACK LUNG [6055] | BLACK LUNG [605500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | HEALTHFIRST [2395] | HEALTHFIRST [239500] | — | $7,700.00 | $7,700.00 | 2025-04-05 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient | HUMANA COMMERCIAL [2140] | HUMANA COMMERCIAL [214001] | — | $7,700.00 | $7,700.00 | 2025-04-05 | 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.