Q4158 — Kerecis Omega3 1sqcm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). KERECIS OMEGA3 1SQCM (HCPCS Q4158) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4158?code_type=HCPCS
MLA (9th ed.)
“KERECIS OMEGA3 1SQCM (HCPCS Q4158) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4158?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“KERECIS OMEGA3 1SQCM (HCPCS Q4158) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4158?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $120–$1,550 (25th–75th percentile) across 1,820 hospitals · 3,837 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q4158 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$120
$248 typical
$1,550
The middle 50% of negotiated facility rates for this procedure, measured across 1,820 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $248 |
| Likely subtotal | $248 |
Facility charge (no separate professional fee)
$248
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $120–$1,550.
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Amerihealth | Local Value | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellcare | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Qhp | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Whole Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Geisinger | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Qhp | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Whole Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | First Mco | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Chn | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Hst | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Fidelis | Medicaid | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Fidelis | Medicaid | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Geisinger | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Phcs | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | MUTUAL OF OMAHA | KLH MEDICARE | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellcare | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellcare | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Local Value | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | ASURIS | KLH Regence PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | PREMERA BLUE CROSS | KLH Premera PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Brighton | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Whole Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | LIFEWISE HEALTH PLANS | KLH PREMERA ALPINE | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Geisinger | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Qhp | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Local Value | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Contigo Health | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | REGENCE BLUE SHIELD | KLH REGENCE INDIVIDUAL AND FAMILY | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Fidelis | Medicaid | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | United Community | Medicaid | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | REGENCE BLUE SHIELD | KLH UMP | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $143.80 | $122.23 | 2025-01-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Pnoa | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Prime Health | Ppo | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | — | — | — | $28,315.70 | $2,831.57 | 2026-04-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Wellcare | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Amerihealth | Casualty | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Amerihealth | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | FCHN EVERGREEN HC FIRST CHOICE HLTH ADMN | KLH First Choice Domestic | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | HUMANA | KLH HUMANA | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | HUMANA | KLH MEDICARE | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | FCHN EVERGREEN HC FIRST CHOICE HLTH ADMN | KLH First Choice Domestic | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Multiplan | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Three Rivers | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $1,544.40 | $772.20 | 2024-12-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | CIGNA | KLH CIGNA PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | MEDICARE ALTERNATE PAYOR | KLH MEDICARE | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | MEDICARE ALTERNATE PAYOR | KLH MEDICARE | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellcare | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Fidelis | Medicaid | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | FIRST CHOICE | KLH First Choice Domestic | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Fidelis | Medicaid | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | PREMERA BLUE CROSS | KLH Premera PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Occunet | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | KAISER PERMANENTE | KLH KAISER PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Workers Comp | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Qhp | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | UNITED HEALTHCARE | KLH UHC PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | COMMUNITY HEALTH NETWORK OF WA | KLH MEDICARE | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | AARP | KLH 103% of Medicare | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | PHCS | KLH Private Healthcare System | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $143.80 | $122.23 | 2025-01-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Whole Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | BRIDGESPAN | KLH Regence PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | FIRST HEALTH | KLH Aetna PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | AMBETTER | KLH Coordinated Care Ambetter | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | MERITAIN | KLH Aetna PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Qhp | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | PREMERA BLUE CROSS | KLH Premera Exchange | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | PREMERA BLUE CROSS | KLH Premera Exchange | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | MULTIPLAN | KLH MULTIPLAN | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | AETNA | KLH Aetna PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | BRIDGESPAN | KLH Regence PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Local Value | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Local Value | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | MEDICAID IN STATE ALT PAYER | KLH Medicaid | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | ASURIS | KLH Regence PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | LIFEWISE HEALTH PLANS | KLH Premera PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | FEDERAL EMPLOYEES PROGRAM ALTERNATE PAYOR | KLH Premera PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | PREMERA BLUE CROSS | KLH PREMERA HERITAGE PRIME | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Geisinger | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | REGENCE BLUE SHIELD | KLH Regence PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | AETNA | KLH Aetna PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | KAISER PERMANENTE | KLH KAISER PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Geisinger | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield of WV Highmark | Default | — | $0.01 | $0.01 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | — | $0.01 | $0.01 | 2026-04-07 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,544.40 | $772.20 | 2024-12-15 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicare A WV JM | Default | — | $0.01 | $0.01 | 2026-04-07 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | AMBETTER | KLH Coordinated Care Ambetter | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | LIFEWISE HEALTH PLANS | KLH Premera PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Better Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | REGENCE BLUE SHIELD | KLH UMP | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | MOLINA MARKETPLACE | KLH Molina Marketplace | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Whole Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | First Health | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | FIRST CHOICE | KLH First Choice Domestic | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | PREMERA BLUE CROSS | KLH PREMERA HERITAGE PRIME | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | FEDERAL EMPLOYEES PROGRAM ALTERNATE PAYOR | KLH Premera PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Longevity Health | Medicare | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Qualcare | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Naphcare | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | MERITAIN | KLH Aetna PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Galaxy | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | MEDICAID IN STATE ALT PAYER | KLH Medicaid | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | FIRST HEALTH | KLH Aetna PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | REGENCE BLUE SHIELD | KLH Regence PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | FIRST CHOICE | KLH First Choice PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $28,315.70 | $2,831.57 | 2026-07-15 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Outpatient | REGENCE BLUE SHIELD | KLH REGENCE INDIVIDUAL AND FAMILY | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | FIRST CHOICE | KLH First Choice PPO | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| EVERGREENHEALTH MEDICAL CENTER Inpatient | LIFEWISE HEALTH PLANS | KLH PREMERA ALPINE | — | $0.01 | $0.01 | 2026-01-05 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $143.80 | $122.23 | 2025-01-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $28,315.70 | $2,831.57 | 2026-07-15 | 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.