PX-3610913 — Remove/Replace Icd Puls Gen Dual Lead
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Remove/Replace Icd Puls Gen Dual Lead (CDM PX-3610913) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-3610913?code_type=CDM
MLA (9th ed.)
“Remove/Replace Icd Puls Gen Dual Lead (CDM PX-3610913) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-3610913?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“Remove/Replace Icd Puls Gen Dual Lead (CDM PX-3610913) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-3610913?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $49,282–$54,677 (25th–75th percentile) across 3 hospitals · 29 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-3610913 — 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 |
|---|---|---|---|---|---|---|---|
| Schwab Rehabilitation Hospital Outpatient | CIGNA GROUP ADMIN [108255] | CIGNA GROUP ADMIN [108617] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA BENEFIT ADMIN SYS [108254] | CIGNA BENEFIT ADMIN SYS [108616] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA ALLIED BENEFIT [108253] | CIGNA ALLIED BENEFIT [108615] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA-TENNESSEE [108608] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA OON [108621] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA OAII GENERIC [108620] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA OAIII GENERIC [108619] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA HMO [108736] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA COMMERCIAL [108704] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA-TENNESSEE 2 [108610] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA OPEN ACCESS PLUS [108771] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA [108024] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | EVERNORTH BEHAVIORAL HEALTH [108367] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA ONE HEALTH [108587] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA LOCALPLUS [108588] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA LOCAL PLUS [108770] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA GENERIC [108776] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA-DELAWARE [108609] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA [108020] | CIGNA-TENNESSEE 3 [108611] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CONSOCIATE CIGNA [108370] | CONSOCIATE CIGNA [108693] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA HEALTH PARTNERS [108369] | CIGNA HEALTH PARTNERS [108692] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| Schwab Rehabilitation Hospital Outpatient | CIGNA HEALTHSMART [108256] | CIGNA HEALTHSMART [108618] | $3,201.12 | $107,897.86 | $107,897.86 | 2025-02-07 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA LOCALPLUS [108588] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA OAIII GENERIC [108619] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA-TENNESSEE 3 [108611] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | EVERNORTH BEHAVIORAL HEALTH [108367] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA GENERIC [108776] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA-TENNESSEE 2 [108610] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA OON [108621] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA [108024] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA LOCAL PLUS [108770] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA-DELAWARE [108609] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA OPEN ACCESS PLUS [108771] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA-TENNESSEE [108608] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA HMO [108736] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA COMMERCIAL [108704] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA OAII GENERIC [108620] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | CIGNA [108020] | CIGNA ONE HEALTH [108587] | $4,253.34 | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | MEDICARE [101000] | MEDICARE PART A/B EXHAUSTED [101008] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | MEDICARE [101000] | MEDICARE PART A/B EXHAUSTED [101008] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | MEDICARE [101000] | MEDICARE PART A AND B [101002] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD A AND B [101003] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD PART A [101011] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD PART A [101011] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD A AND B [101003] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | AETNA ASA HEALTHSCOPE BENEFITS [108221] | AETNA ASA HEALTHSCOPE BENEFITS [108412] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | AETNA ASA HEALTHSCOPE BENEFITS [108221] | AETNA ASA HEALTHSCOPE BENEFITS [108412] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | HUMANA [108040] | HUMANA BEHAVIORAL HEALTH [108535] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | HUMANA [108040] | HUMANA HMO/POS [108056] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | HUMANA [108040] | HUMANA HMO/POS [108056] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | HUMANA [108040] | HUMANA HMO IPA OON [108597] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | HUMANA [108040] | HUMANA - OON [108483] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | HUMANA [108040] | HUMANA BEHAVIORAL HEALTH [108535] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | HUMANA [108040] | HUMANA - OON [108483] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | HUMANA [108040] | HUMANA GENERIC [108778] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | HUMANA [108040] | HUMANA MEDICARE SUP [108241] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | HUMANA [108040] | HUMANA GENERIC [108778] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | HUMANA [108040] | HUMANA HMO IPA OON [108597] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | HUMANA [108040] | HUMANA MEDICARE SUP [108241] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | HUMANA [108040] | HUMANA PPO [108057] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | HUMANA [108040] | HUMANA PPO [108057] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | MULTIPLAN [108093] | MULTIPLAN [108134] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | MULTIPLAN [108093] | MULTIPLAN [108134] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | AETNA ASA [108176] | AETNA ASA [108260] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | AETNA INC [108002] | AETNA SOUTHERN IL [108765] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | AETNA ASA [108176] | AETNA ASA [108260] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | AETNA INC [108002] | AETNA CHICAGO/WEST SUBURBS IL PPO [108779] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | AETNA INC [108002] | AETNA [108273] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | AETNA INC [108002] | AETNA - OON [108480] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | AETNA INC [108002] | AETNA - OON [108480] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | AETNA INC [108002] | AETNA IL PREFERRED [108590] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | AETNA INC [108002] | AETNA CHICAGO/WEST SUBURBS IL PPO [108779] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | AETNA INC [108002] | AETNA IL PREFERRED [108590] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | AETNA INC [108002] | AETNA - KENTUCKY [108679] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | AETNA INC [108002] | AETNA - KENTUCKY [108679] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | AETNA INC [108002] | AETNA HMO [108761] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | AETNA INC [108002] | AETNA EXCHANGE HMO [108780] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | AETNA INC [108002] | AETNA HMO [108761] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | AETNA INC [108002] | AETNA [108273] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Inpatient | AETNA INC [108002] | AETNA PPO [108762] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| MT SINAI HOSPITAL MEDICAL CENTER Outpatient | AETNA INC [108002] | AETNA PPO [108762] | — | $107,897.86 | $107,897.86 | 2025-03-25 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | ILLINOIS PHYSICANS ALLIANCE LLC ALT [901008] | ILLINOIS PHYSICANS ALLIANCE LLC ALT [901026] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C MEDICA [102033] | DEAN HEALTHPLAN MEDICARE C HMO [102089] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C MEDICA [102033] | MEDICA SSM VALUE MEDICARE C HMO [102114] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C MEDICA [102033] | MEDICA SSM VALUE MEDICARE C HMO [102114] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C MEDICA [102033] | DEAN HEALTHPLAN MEDICARE C HMO [102089] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C FIRST HEALTH [102034] | LIVE 360 HEALTH PLAN MEDICARE C [102078] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C FIRST HEALTH [102034] | LIVE 360 HEALTH PLAN MEDICARE C [102078] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C AETNA IPA [102035] | AETNA MEDICARE HMO IPA OON [102086] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C AETNA IPA [102035] | AETNA MEDICARE HMO IPA OON [102086] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C CIGNA IPA [102038] | CIGNA MEDICARE HMO IPA OON [102104] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C CIGNA IPA [102038] | CIGNA MEDICARE HMO IPA OON [102104] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C CIGNA ADVOCATE [102039] | CIGNA MEDICARE HMO ADVOCATE OON [102103] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C CIGNA ADVOCATE [102039] | CIGNA MEDICARE HMO ADVOCATE OON [102103] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C BCBS HMO [102040] | BCBS IL MEDICARE HMO [102084] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C BCBS HMO [102040] | BCBS IL MEDICARE HMO [102084] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C BCBS IPA [102041] | BCBS IL MEDICARE IPA HMO OON [102083] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C BCBS IPA [102041] | BCBS IL MEDICARE IPA HMO OON [102083] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA ASA MERITAIN HEALTH [108210] | AETNA ASA MERITAIN HEALTH [108392] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA ASA MERITAIN HEALTH [108210] | AETNA IL PREFERRED MERITAIN HEALTH [108710] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA ASA MERITAIN HEALTH [108210] | AETNA ASA MERITAIN HEALTH [108392] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA ASA MERITAIN HEALTH [108210] | AETNA IL PREFERRED MERITAIN HEALTH [108710] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MACNEAL HEALTH PROVIDERS ALT [901007] | MACNEAL HEALTH PROVIDERS ALT [901025] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MACNEAL HEALTH PROVIDERS ALT [901007] | MACNEAL HEALTH PROVIDERS ALT [901025] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | ILLINOIS PHYSICANS ALLIANCE LLC ALT [901008] | ILLINOIS PHYSICANS ALLIANCE LLC ALT [901026] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE [101000] | MEDICARE PART A AND B [101002] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE [101000] | MEDICARE PART A AND B [101002] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE [101000] | MEDICARE PART A/B EXHAUSTED [101008] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE [101000] | MEDICARE PART A/B EXHAUSTED [101008] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE [101000] | MEDICARE PART A [101000] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE [101000] | MEDICARE PART A [101000] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE [101000] | MEDICARE PART B [101001] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE [101000] | MEDICARE PART B [101001] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD A AND B [101003] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD PART A [101011] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD PART A [101011] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE RAILROAD [101001] | MEDICARE RAILROAD A AND B [101003] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA ASA HEALTHSCOPE BENEFITS [108221] | AETNA ASA HEALTHSCOPE BENEFITS [108412] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA ASA HEALTHSCOPE BENEFITS [108221] | AETNA ASA HEALTHSCOPE BENEFITS [108412] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA GENERIC [108778] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA HMO IPA OON [108597] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA HMO IPA OON [108597] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA BEHAVIORAL HEALTH [108535] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA GENERIC [108778] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA BEHAVIORAL HEALTH [108535] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA - OON [108483] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA - OON [108483] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA MEDICARE SUP [108241] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA MEDICARE SUP [108241] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA PPO [108057] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA PPO [108057] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | HUMANA [108040] | HUMANA HMO/POS [108056] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | HUMANA [108040] | HUMANA HMO/POS [108056] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MULTIPLAN [108093] | MULTIPLAN [108134] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MULTIPLAN [108093] | MULTIPLAN [108134] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA ASA [108176] | AETNA ASA [108260] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA ASA [108176] | AETNA ASA [108260] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA ASA GEHA [108271] | AETNA ASA GEHA [108509] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA ASA GEHA [108271] | AETNA ASA GEHA [108509] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA SOI [108280] | AETNA SOI [108532] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA SOI [108280] | AETNA SOI [108532] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA ASA HEALTHSMART [108285] | AETNA ASA HEALTHSMART [108568] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA ASA HEALTHSMART [108285] | AETNA ASA HEALTHSMART [108568] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | AETNA NAP [108300] | AETNA NAP [108589] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | AETNA NAP [108300] | AETNA NAP [108589] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE HMO [102106] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE [102002] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE [102002] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE HMO [102106] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE PPO [102109] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE HMO [102108] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE HMO [102108] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C AETNA [102002] | AETNA MEDICARE PPO [102109] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C HEALTH ALLIANCE [102003] | HEALTH ALLIANCE MEDICARE C HMO POS [102016] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C HEALTH ALLIANCE [102003] | HEALTH ALLIANCE MEDICARE C HMO POS [102016] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C HUMANA [102005] | HUMANA GOLD PLUS INTEGRATED MEDICARE MMAI [102037] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C HUMANA [102005] | HUMANA GOLD PLUS INTEGRATED MEDICARE MMAI [102037] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE PPO [102006] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE HMO/GOLD PLUS [102005] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE HMO/GOLD PLUS [102005] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE PPO [102006] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE HMO/GOLD IPA [102071] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE HMO/GOLD IPA [102071] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE PFFS [102007] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C HUMANA [102005] | HUMANA MEDICARE PFFS [102007] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C BCBS MI [102006] | BCBS MI MEDICARE BCN HMO/POS [102046] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C BCBS MI [102006] | BCBS MI MEDICARE BCN HMO/POS [102046] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C BCBS MI [102006] | BCBS MI MEDICARE C [102068] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C BCBS MI [102006] | BCBS MI MEDICARE C [102068] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C BCBS MI [102006] | BCBS MI MEDICARE PLUS BLUE [102017] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C CIGNA [102012] | CIGNA MEDICARE C HMO [102020] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C CIGNA [102012] | CIGNA MEDICARE C HMO [102020] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C CIGNA [102012] | CIGNA MEDICARE C PPO [102067] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C CIGNA [102012] | CIGNA MEDICARE C PPO [102067] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C BCBS PPO [102013] | BCBS IL MEDICARE HMO [102128] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C BCBS PPO [102013] | BCBS IL MEDICARE HMO [102128] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C BCBS PPO [102013] | BCBS IL MEDICARE PPO [102021] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C BCBS PPO [102013] | BCBS IL MEDICARE PPO [102021] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C MERIDIAN [102016] | MERIDIAN COMPLETE MEDICARE MMAI [102030] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C MERIDIAN [102016] | MERIDIAN COMPLETE MEDICARE MMAI [102030] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C CCAI [102017] | CLEAR SPRING MEDICARE C HMO POS [102031] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C CCAI [102017] | CLEAR SPRING MEDICARE C HMO POS [102031] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C MOLINA [102018] | MOLINA HEALTHCARE MEDICARE MMAI [102033] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C MOLINA [102018] | MOLINA HEALTHCARE MEDICARE MMAI [102033] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C BCBS IL MMAI [102020] | BCBS IL MEDICARE C MMAI [102042] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C BCBS IL MMAI [102020] | BCBS IL MEDICARE C MMAI [102042] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE WABASH [102022] | MEDICARE WABASH [102045] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE WABASH [102022] | MEDICARE WABASH [102045] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C ESSENCE [102023] | ESSENCE MEDICARE C HMO [102049] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C ESSENCE [102023] | ESSENCE MEDICARE C PPO [102100] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C ESSENCE [102023] | ESSENCE MEDICARE C HMO [102049] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C ESSENCE [102023] | ESSENCE MEDICARE C PPO [102100] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C HEALTH PARTNERS [102025] | HEALTH PARTNERS UPH MEDICARE PPO [102058] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C HEALTH PARTNERS [102025] | HEALTH PARTNERS UPH MEDICARE PPO [102058] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C AETNA BETTER HEALTH [102026] | AETNA BETTER HEALTH MEDICARE MMAI [102060] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C AETNA BETTER HEALTH [102026] | AETNA BETTER HEALTH MEDICARE MMAI [102060] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C ALLWELL [102028] | ALLWELL MEDICARE C [102069] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C ALLWELL [102028] | ALLWELL MEDICARE C [102126] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Inpatient | MEDICARE C ALLWELL [102028] | ALLWELL MEDICARE C [102126] | — | $107,897.86 | $107,897.86 | 2025-02-21 | MRF ↗ |
| HOLY CROSS HOSPITAL Outpatient | MEDICARE C ALLWELL [102028] | ALLWELL MEDICARE C [102069] | — | $107,897.86 | $107,897.86 | 2025-02-21 | 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.