Q4210 — Axolotl Graf Dualgraf Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). AXOLOTL GRAF DUALGRAF SQ CM (OTHER Q4210) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4210?code_type=OTHER
MLA (9th ed.)
“AXOLOTL GRAF DUALGRAF SQ CM (OTHER Q4210) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4210?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“AXOLOTL GRAF DUALGRAF SQ CM (OTHER Q4210) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4210?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $515–$1,158 (25th–75th percentile) across 47 hospitals · 70 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER Q4210 — 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 |
|---|---|---|---|---|---|---|---|
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hip | $48.68 | — | — | 2026-05-14 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mdwise | In Medicaid Hhw | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hip | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mhs | In Medicaid Hcc | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Humana | Pathways For Aging | $48.68 | — | — | 2026-05-14 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Caresource | In Medicaid Hip | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Pathways For Aging | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | Exchange | $48.68 | — | — | 2026-05-14 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hcc Bh | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Uhc | Pathways For Aging | $48.68 | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hip | $48.68 | — | — | 2026-05-14 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Pathways For Aging | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Pathways For Aging | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hhw | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hhw | $48.68 | — | — | 2026-05-23 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hcc | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Caresource | In Medicaid Hip | $48.68 | — | — | 2026-05-23 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Caresource | In Medicaid Hhw | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hhw | $48.68 | — | — | 2026-05-14 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hhw | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hip | $48.68 | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hip | $48.68 | — | — | 2026-05-14 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | In Medicaid Hhw | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Caresource | In Medicaid Hip | $48.68 | — | — | 2026-05-14 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Caresource | In Medicaid Hhw | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mhs | In Medicaid Hhw | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Pathways For Aging | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hcc | $48.68 | — | — | 2026-05-14 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mhs | In Medicaid Hip | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mdwise | In Medicaid Hip | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hhw | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Pathways For Aging | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hcc | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | Exchange | $48.68 | — | — | 2026-05-23 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | In Medicaid Hip | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hhw Bh | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | In Medicaid Hcc | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Caresource | In Medicaid Hip | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hip | $48.68 | — | — | 2026-05-23 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Humana | Pathways For Aging | $48.68 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hcc | $48.68 | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Uhc | Pathways For Aging | $48.68 | — | — | 2026-05-14 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hhw | $48.68 | — | — | 2026-05-14 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hhw | $48.68 | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hip | $48.68 | — | — | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Humana | Pathways For Aging | $48.68 | — | — | 2026-05-23 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Src | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Other | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Nap | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha-Asa | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Ppo | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Indemnity | — | — | — | 2026-05-22 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Peak Health Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Geisinger Pa Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna Rental | First Health | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Upmc For Life Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Geisinger Pennsylvania | Mgd Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Amerihealth Caritas Pa Medicare Advantage | All Pl | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Caresource | Caresource | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Cigna | Cigna | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Multiplan | Multiplan | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Amerihealth Caritas Pa Medicaid | Amerihealth Caritas Pa Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Aetna | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Healthcare | United Healthcare | $515.00 | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Senior Life Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Anthem Oh Medicare Advantage | Hmo | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Geisinger Pennsylvania | Mgd Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mcaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Peak Health Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Molina Oh Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | The Health Plan Wv | Mgd Mcaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Molina Oh Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource Oh Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource Exchange Plan | Caresource Exchange Plan | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Buckeye Oh Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Cigna | Cigna | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Buckeye Commercial | Buckeye Commercial | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Buckeye Oh Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna Rental | First Health | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Peak Health Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Caresource Oh Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Upmc For Life Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Caresource Oh | Managed Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Anthem Ohio | Managed Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Molina Oh | Managed Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource Oh | Managed Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Buckeye Oh | Managed Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Student | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Caresource | Caresource | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Cigna | Cigna | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Anthem Ohio | Managed Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Humana Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | The Health Plan Wv | Mgd Mcaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Aetna | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health Mgd Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Humana | Managed Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource | Caresource | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna | Student | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna | Aetna | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Cigna | Cigna | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna | Better Health | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Caresource | Caresource | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna Rental | First Health | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | $515.00 | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Multiplan | Multiplan | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Peak Health Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Cigna | Cigna | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Anthem Pathway | Anthem Pathway | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | United Healthcare | United Healthcare | $515.00 | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Anthem Pathway | Anthem Pathway | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Multiplan | Multiplan | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | United Healthcare | United Healthcare | $515.00 | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Humana | Managed Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Aetna | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Upmc For Life Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Humana Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Humana Ma - All Plans | All Hospitals | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Molina Oh | Managed Medicaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna Rental | First Health | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Senior Life Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Buckeye Commercial | Buckeye Commercial | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Geisinger Pa Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Oh Medicare Advantage | Hmo | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Wholecare Pa Medicare Advantage | All Pla | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $515.00 | $257.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $515.00 | $257.50 | 2026-05-13 | 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.