Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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PX-36001273 — Hc Or Acuity Lvl 5 Ea Addl 30 Min

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $6,884

Usually $6,725–$8,460 (25th–75th percentile) across 5 hospitals · 100 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-36001273 — 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 WORKER'S COMP [2125] CNA INSURANCE WC [2125100] — $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 QUALCARE [3725] QUALCARE HMO/POS [372501] — $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 ↗
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 MVA [1690] NJ PLIGA??????? [169009] — $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 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 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] REHAB MEDICARE [163504] — $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] 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 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 SUPPLEMENT [101514] — $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 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 HMO POS EPO [115558] — $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 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 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 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 UNITED HEALTHCARE [2060] UNITED HEALTHCARE OXFORD [206009] — $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 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] FIRST HEALTH NETWORK [137501] — $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 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 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 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 BCBS UNION [362506] — $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 [3625] HORIZON FEDERAL [362504] — $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 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 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 UNITED HEALTHCARE [2060] UHC SUREST BIND [206032] — $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 ↗
LOVELACE MEDICAL CENTER Outpatient THE HEALTH PLAN [2915] THE HEALTH PLAN [291500] $1,900.66 $9,226.49 $2,767.95 2025-04-05 MRF ↗
PORTNEUF MEDICAL CENTER BothFacility HEALTHCARE HIGHWAYS [2210] HCH 90 DEGREE BENEFITS [221013] $2,099.61 $5,121.00 $3,072.60 2026-03-31 MRF ↗
PORTNEUF MEDICAL CENTER BothFacility HEALTHCARE HIGHWAYS [2210] HCH JOHN SOULES FOODS [221011] $2,099.61 $5,121.00 $3,072.60 2026-03-31 MRF ↗
PORTNEUF MEDICAL CENTER BothFacility ONCOLOGY PATIENT ASSISTANCE PROGRAMS [2295] BCCS FAMILY CIRCLE OF CARE [229553] $2,099.61 $5,121.00 $3,072.60 2026-03-31 MRF ↗
PORTNEUF MEDICAL CENTER BothFacility HEALTHCARE HIGHWAYS [2210] HCH BROKEN ARROW [221012] $2,099.61 $5,121.00 $3,072.60 2026-03-31 MRF ↗
PORTNEUF MEDICAL CENTER BothFacility EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501] $2,099.61 $5,121.00 $3,072.60 2026-03-31 MRF ↗
PORTNEUF MEDICAL CENTER BothFacility MODA HEALTH [6100] MODA HEALTH [610000] $2,099.61 $5,121.00 $3,072.60 2026-03-31 MRF ↗
PORTNEUF MEDICAL CENTER BothFacility PENDING SSI [1616] PENDING SSI RCA [161601] $2,099.61 $5,121.00 $3,072.60 2026-03-31 MRF ↗
PORTNEUF MEDICAL CENTER BothFacility LUCENT HEALTH [6000] LUCENT HEALTH [600000] $2,099.61 $5,121.00 $3,072.60 2026-03-31 MRF ↗
PORTNEUF MEDICAL CENTER BothFacility WEB TPA [2115] WEB TPA HEALTHCARE HIGHWAYS [211504] $2,099.61 $5,121.00 $3,072.60 2026-03-31 MRF ↗
PORTNEUF MEDICAL CENTER BothFacility BLACK LUNG [6055] BLACK LUNG [605500] $2,099.61 $5,121.00 $3,072.60 2026-03-31 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient AETNA [1015] AETNA COMMERCIAL [101521] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient AETNA [1015] AETNA WHOLE HEALTH [101515] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient AETNA [1015] AETNA PPO [101526] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient AETNA MEDICARE REPLACEMENT [1020] AETNA COVENTRY MEDICARE REPLACEMENT [102002] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient AMBETTER [2930] AMBETTER [293000] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient AMERIGROUP COMMERCIAL [5055] WELLPOINT FKA AMERIGROUP MCARE SUP [505501] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient AMERIGROUP MEDICAID [1095] WELLPOINT MEDICAID STAR [109500] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient BCBS [1155] BLUE CROSS PREFERRED PPO OF TEXAS [115526] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient BCBS [1155] BLUE CROSS ADVANTAGE HMO OF TEXAS [115525] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient BCBS [1155] BLUE CROSS HEALTHSELECT OF TEXAS [115530] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient BCBS [1155] BLUE CROSS TRADITIONAL OF TEXAS [115503] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient BCBS MEDICAID [1165] BCBS MEDICAID [116504] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient BCBS MEDICARE REPLACEMENT [1160] BLUE CROSS MEDICARE ADVANTAGE OOS [116005] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient BLACK LUNG [6055] BLACK LUNG [605500] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient HUMANA COMMERCIAL [2140] HUMANA COMMERCIAL [214001] $2,243.00 $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient HUMANA MEDICARE REPLACEMENT [1525] HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient LUCENT HEALTH [6000] LUCENT HEALTH [600000] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient MAILHANDLERS [1595] MAILHANDLERS [159500] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient MANAGED MEDICAID [3845] MANAGED MEDICAID OTHER [384500] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient MANAGED MEDICARE [1600] MANAGED MEDICARE OTHER [160000] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient MERITAIN AETNA [3685] MERITAIN AETNA [368500] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient MERITAIN AETNA [3685] MERITAIN AETNA ARDENT EMPLOYEE [368502] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient PHCS [1780] GROUP HEALTH COOPERATIVE SCW [178012] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient STAR SUPERIOR MEDICAID [1945] SUPERIOR CHIP [194501] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient STAR SUPERIOR MEDICAID [1945] SUPERIOR STAR MEDICAID [194500] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient UHC MEDICAID REPLACEMENT [3755] UHC MEDICAID COMMUNITY PLAN [375501] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient UMR [2035] UMR CHOICE [203500] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient UNITED HEALTHCARE MEDICARE REPLACEMENT [2065] UHC MEDICARE ADVANTAGE [206511] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient WEB TPA [2115] WEB TPA AETNA [211500] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient WORKER'S COMP [2125] TEXAS A&M UNIVERSITY RISK MGT [2125109] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient AETNA MEDICAID REPLACEMENT [3510] AETNA MEDICAID [351000] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient ALLIED BENEFIT SYSTEMS INC [1030] ALLIED BENEFIT SYSTEMS [103000] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient ENABLECOMP [1350] W/C WORK COMP ENABLECOMP [135000] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient FIRST CARE COMMERCIAL [1371] FIRSTCARE HMO [137103] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient GEHA [1415] GEHA [141500] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient MEDISHARE CHRISTIAN CARE [1645] MEDISHARE CHRISTIAN CARE [164500] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient MULTIPLAN [1680] KEY BENEFIT ADMINISTRATORS [168006] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient MULTIPLAN [1680] HMA [168003] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient NATIONAL ASSOCIATION OF LETTER CARRIERS [1695] NALC [169500] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient PENDING SSI [1616] PENDING SSI RCA [161601] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient SCOTT AND WHITE MEDICAID REPLACEMENT [3730] SCOTT AND WHITE HEALTH PLAN RIGHT CARE [373002] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient TRIWEST [3750] TRIWEST TWVACCN [375000] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient UMR - ARDENT EMPLOYEE [2036] UMR - ARDENT EMPLOYEE [203601] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient FIRST HEALTH [1375] MERITAIN HEALTH FIRST HEALTH [137516] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient MOLINA HEALTHCARE [1670] MOLINA COMMERCIAL [167000] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient AMERICAN POSTAL WORKERS UNION [1070] AMERICAN POSTAL WORKERS [107000] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient BELL COUNTY INDIGENT HEALTH SVC [3530] BELL COUNTY INDIGENT HEALTH SVC [353000] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient SCOTT AND WHITE MEDICARE REPLACEMENT [3735] SCOTT AND WHITE HEALTH PLAN SR. CARE [373501] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient UNITED HEALTHCARE [2060] UNITED HEALTHCARE OPTIONS [206008] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient UNITED HEALTHCARE [2060] UNITED HEALTHCARE STUDENT SVC [206012] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient UNITED HEALTHCARE [2060] UNITED HEALTHCARE [206025] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient CIGNA [1260] CIGNA OPEN ACCESS PLUS [126021] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient CIGNA [1260] CIGNA PPO [126025] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient CIGNA [1260] CIGNA [126008] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient MEDICARE [1635] MEDICARE PART B ONLY [163501] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient MEDICARE [1635] MEDICARE PART A AND B [163500] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient MEDICARE [1635] MEDICARE PART A ONLY [163502] — $1,638.00 $163.80 2025-04-05 MRF ↗
SETON MEDICAL CENTER HARKER HEIGHTS Outpatient MEDICARE [1635] REHAB MEDICARE [163504] — $1,638.00 $163.80 2025-04-05 MRF ↗
LOVELACE MEDICAL CENTER Outpatient UMR - ARDENT EMPLOYEE [2036] UMR - ARDENT EMPLOYEE [203601] $2,353.68 $9,226.49 $2,767.95 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient QUALCARE [3725] QUALCARE PPO [372503] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient UNITED HEALTHCARE MEDICARE REPLACEMENT [2065] UHC MEDICARE ADVANTAGE [206511] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient UNITED HEALTHCARE [2060] UNITED HEALTHCARE STUDENT SVC [206012] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient UNITED HEALTHCARE [2060] UNITED HEALTHCARE OXFORD [206009] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient UNITED HEALTHCARE [2060] UHC SUREST BIND [206032] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient MEDICARE [1635] MEDICARE PART B ONLY [163501] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient MEDICARE [1635] REHAB MEDICARE [163504] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient MEDICARE [1635] MEDICARE PART A ONLY [163502] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient MEDICARE [1635] MEDICARE PART A AND B [163500] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient AETNA [1015] AETNA SIGNATURE [101528] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient AETNA MEDICARE REPLACEMENT [1020] AETNA NNJ PRIME HMO [102003] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient AMERIGROUP MEDICAID [1095] WELLPOINT MEDICAID STAR [109500] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient AMERIGROUP MEDICARE [1100] WELLPOINT FKA AMERIGROUP MEDICARE [110000] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient BCBS MEDICARE REPLACEMENT [1160] BLUE CROSS MEDICARE ADVANTAGE OOS [116005] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient BLACK LUNG [6055] BLACK LUNG [605500] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient HEALTHFIRST [2395] HEALTHFIRST [239500] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient HUMANA COMMERCIAL [2140] HUMANA COMMERCIAL [214001] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient HUMANA MEDICARE REPLACEMENT [1525] HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient LUCENT HEALTH [6000] LUCENT HEALTH [600000] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient MANAGED MEDICAID [3845] MANAGED MEDICAID OTHER [384500] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient MANAGED MEDICARE [1600] MANAGED MEDICARE OTHER [160000] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient MERITAIN AETNA [3685] MERITAIN AETNA ARDENT EMPLOYEE [368502] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient PHCS [1780] GROUP HEALTH COOPERATIVE SCW [178012] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient UHC MEDICAID REPLACEMENT [3755] UHCCP [375500] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient UMR [2035] UMR UNITED HEALTHCARE [203502] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient HORIZON NJ HEALTH [3635] HORIZON NJ HEALTH [363500] $2,713.00 $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient MERITAIN HEALTH [1655] MERITAIN HEALTH [165500] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient MULTIPLAN [1680] IHC HS [168011] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient MUTUAL OF OMAHA [1685] MUTUAL OF OMAHA [168500] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient NEW ERA LIFE INSURANCE COMPANY [1705] PHILADELPHIA AMERICAN LIFE [170501] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient PAN AMERICAN LIFE INSURANCE CO [1770] PAN AMERICAN LIFE [177000] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient PBA [1775] PROFESSIONAL BENEFIT ADMIN [177500] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient PLANNED ADMINISTRATORS INC [2360] PLANNED ADMINISTRATORS INC [236000] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient TRUSTMARK [2030] STARMARK [203000] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient UMR - ARDENT EMPLOYEE [2036] UMR - ARDENT EMPLOYEE [203601] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient UNIVERSAL FIDELITY [2085] UNIVERSAL FIDELITY LIFE [208500] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient FIRST HEALTH [1375] TALL TREE ADMINISTRATORS [137508] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient HEALTHCARE HIGHWAYS [2210] HEALTH PLANS INC [221008] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient HEALTHCOST SOLUTIONS [2415] HEALTHCOST SOLUTIONS [241501] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient HOMETOWN HEALTH [2155] HOMETOWN HEALTH [215500] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient MAYO CLINIC HEALTH SOLUTIONS [2280] MAYO CLINIC HEALTH SOLUTIONS [228000] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient RESOURCE ONE ADMINISTRATORS [2815] RESOURCE ONE ADMINISTRATORS [281500] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient VA CCN OPTUM [3920] VA CCN OPTUM [392000] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient EMBLEM HEALTH [2430] EMBLEM HEALTH [243001] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient PENDING COUNTY RCA [3910] PENDING COUNTY RCA [391000] — $4,500.00 $4,500.00 2025-04-05 MRF ↗
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL Outpatient 1199 SEIU BENEFIT FUND [3505] 1199 SEIU BENEFIT FUND [350500] — $4,500.00 $4,500.00 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.