SUP-1003071 — Glue Onyx 18
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GLUE ONYX 18 (CDM SUP-1003071) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-1003071?code_type=CDM
MLA (9th ed.)
“GLUE ONYX 18 (CDM SUP-1003071) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-1003071?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“GLUE ONYX 18 (CDM SUP-1003071) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-1003071?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,332–$40,238 (25th–75th percentile) across 5 hospitals · 145 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-1003071 — 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 |
|---|---|---|---|---|---|---|---|
| CAPE CORAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $52.48 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $52.48 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $52.48 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $52.48 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $52.48 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | $56.15 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | $56.15 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | $56.15 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | $56.15 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | $56.15 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $56.68 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $56.68 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $56.68 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $56.68 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $56.68 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $57.18 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $57.18 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $57.18 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $57.18 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | BCBS [210001] | BC FL PPO [21000101] | $57.18 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $61.51 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $61.51 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $61.51 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $61.51 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $61.51 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $61.93 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $61.93 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $61.93 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $61.93 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $61.93 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | $65.39 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | $65.39 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | $65.39 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | AETNA [210101] | AETNA PPO [21010105] | $65.39 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | $65.39 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $68.22 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $68.22 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $68.22 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $68.22 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $68.22 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $83.97 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $83.97 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $83.97 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $83.97 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $83.97 | $104.96 | $20.99 | 2026-03-26 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | IBEW LOCAL 103 [100272] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ULTRA BENEFITS [100280] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AMERICAN POSTAL WORKERS [100089] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | EMPLOYEE BENEFIT MANAGEMENT [100033] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | TALL TREE ADMINISTRATORS [100271] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SUNNY ACRES NURSING HOME [950006] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NATIONAL ELEVATOR IND HLTH BENEFITS [100273] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ALLIED BENEFIT SYSTEMS [100015] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ALLIED NATIONAL GLOBAL CARE [100107] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AMERIHEALTH CARITAS NH [350007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ASSURANT [100020] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AVMED HEALTH PLAN [100247] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CARE ONE [950007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CARECENTRIX ALTERNATE [100257] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | COMPSYCH [100027] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CORESOURCE [100285] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | COVERAGE DISCOVERY [100306] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SPECTERA [100291] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | D'YOUVILLE SENIOR CARE [950003] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | EYEMED [100290] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | FIRST HEALTH [100278] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | GEHA [100039] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | GENERIC COMMERCIAL [109999] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | GROUP AND PENSION ADMINISTRATORS [100043] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SENIOR WHOLE HEALTH MEDICARE REPLACEMENT [450111] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SENIOR WHOLE HEALTH MEDICAID REPLACEMENT [350023] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | PLYMOUTH COUNTY [500019] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | PALM MANOR [950005] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NOVA HEALTHCARE ADMINISTRATORS [100270] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NORTHWOOD REHABILITATION & HEALTH [950004] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | LOWELL COMM HEALTH CENTER [950009] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NORFOLK COUNTY [500013] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | MUTUAL OF OMAHA [100074] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $2,332.40 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ALLARACARE [100163] | HB XR ALLARACARE LGH | $3,065.44 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC NORFOLK & DEDHAM GROUP [700096] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MIIA [700095] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC PROGRESSIVE DIRECT INSURANCE CO [700106] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MEDITROL [700093] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CORVEL [700115] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC COVE RISK SERVICES [700080] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CREATIVE RISK SOLUTIONS [700081] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CRUM & FORSTER [700082] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC DEMOULAS SUPERMARKET [700083] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC EMC INSURANCE COMPANY [700084] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ENERGY OF ENVIRONMENTAL AFFAIRS [700085] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ESIS [700010] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC FEDERATED WORK COMP [700012] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MEMIC [700117] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC FUTURE COMP [700116] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC GALLAGHER BASSETT WORK COMP [700013] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC GEICO [700057] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC GENERIC WORKERS' COMP [709999] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC RETAIL BUSINESS SERVICES LLC [700100] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC GOWRY GROUP [700086] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC METLIFE [700094] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC RISING MEDICAL SOLUTION [700101] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ACADIA INSURANCE COMPANY [700108] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC AIG [700029] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC AIM MUTUAL INSURANCE [700054] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ALTERNATIVE SERVICE CONCEPT [700065] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC AMERITRUST [700066] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ARROW MUTUAL LIABILITY [700063] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ML HEALTHCARE SERVICES LLC [700119] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC TRAVELERS INSURANCE [700059] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC SEDGWICK [700027] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC YORK RISK SERVICES [700049] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ATLANTIC CHARTER [700064] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ZURICH [700034] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC BERKSHIRE HATHAWAY [700046] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC BOSTON POLICE AND FIREFIGHTER [700061] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC BROADSPIRE [700043] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC SELECTIVE INSURANCE CO [700118] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC TOWN OF ANDOVER FIRE DEPT [700103] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC HARTFORD INSURANCE [700058] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC US DEPARTMENT OF LABOR [700023] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC NORGUARD INS CO [700097] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CAREWORKS [700109] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CBCS [700110] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC HRD/WORKERS COMPENSATION UNIT [700087] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ONE CALL MEDICAL [700060] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC TOWN OF ARLINGTON [700104] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CHUBB GROUP [700067] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CCMSI [700055] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC SENTRY [700036] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC LIBERTY MUTUAL WORK COMP [700016] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC PLUMBERS UNION LOCAL NO 12 [700098] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF BOSTON [700111] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CIC/MCMC [700068] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MAPFRE INSURANCE [700089] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF CAMBRIDGE [700069] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC SUTTER HOUSE [700102] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MASS NAHRO INSURANCE GROUP TRUST [700090] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC VERMONT MUTUAL INSURANCE GROUP [700105] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC PLYMOUTH ROCK [700099] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF CHELSEA [700070] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF LOWELL [700062] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF EVERETT [700071] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MASS STATE POLICE [700091] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF LYNN [700072] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF MEDFORD [700073] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF MELROSE [700113] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF MELROSE POLICE [700112] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC PMA WORK COMP [700031] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF NEWTON [700074] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF PEABODY [700075] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF REVERE [700076] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MBTA [700092] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF SOMERVILLE [700077] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CNA [700048] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC COMMONWEALTH OF MASS [700056] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CONSIGLY CONSTRUCTION [700079] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CONSTITUTION STATE SERVICES [700114] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CONTINENTAL INDEMNITY CO [700078] | HB XR WC LGH | $3,124.08 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP NON-SUBSIDIZED LGH | $3,332.00 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO LGH | $3,332.00 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC FULLY INSURED RISK HMO POS LGH | $3,465.28 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC SELF INSURED RISK HMO POS LGH | $3,465.28 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC FULLY INSURED REFERRAL HMO POS PPO LGH | $3,465.28 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC SELF INSURED REFERRAL HMO POS PPO LGH | $3,465.28 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | HEALTH PLANS INC [100262] | HB XR HPHC FULLY INSURED RISK HMO POS LGH | $3,465.28 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | UNITED HEALTHCARE [100060] | HB XR HPHC SELF INSURED REFERRAL HMO POS PPO LGH | $3,465.28 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | HEALTH PLANS INC [100262] | HB XR HPHC FULLY INSURED REFERRAL HMO POS PPO LGH | $3,465.28 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $3,665.20 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | COVENTRY [100010] | HB XR COVENTRY LGH | $5,264.56 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | UNITED HEALTHCARE [100060] | HB XR UHC LGH | $5,530.45 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | HEALTH NEW ENGLAND [100268] | HB XR CLARITEV LGH | $5,547.78 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CLARITEV/MULTIPLAN [100275] | HB XR CLARITEV LGH | $5,547.78 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | PATIENT ADVOCATES [100307] | HB XR CLARITEV LGH | $5,547.78 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CYPRESS BENEFIT ADMINISTRATORS [100122] | HB XR CLARITEV LGH | $5,547.78 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WELLPOINT [100139] | HB XR WELLPOINT LGH | $5,554.44 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | MERITAIN [100063] | HB XR AETNA HMO PPO LGH | $6,130.88 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AETNA [100001] | HB XR AETNA HMO PPO LGH | $6,130.88 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | $6,664.00 | $6,664.00 | $4,664.80 | 2026-04-01 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | INDIAN HEALTH SERVICES [160001] | IHS FORT BELKNAP [16000104] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | INDIAN HEALTH SERVICES [160001] | IHS FORT PECK POPLAR [16000105] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | INDIAN HEALTH SERVICES [160001] | IHS FLATHEAD [16000103] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | INDIAN HEALTH SERVICES [160001] | IHS ROCKY BOY [16000108] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | HUMANA MEDICARE ADVANTAGE [450013] | HUMANA MEDICARE [45001310] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | MEDICARE [400001] | MEDICARE RAILROAD [40000104] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | MEDICARE [400001] | MEDICARE PART B ONLY [40000103] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | MEDICARE [400001] | MEDICARE PART A ONLY [40000102] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | MEDICARE [400001] | MEDICARE PART A AND B [40000101] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | MEDICARE [400001] | RESEARCH MEDICARE PART A AND B [40000201] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | INDIAN HEALTH SERVICES [160001] | IHS BROWNING [16000101] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | INDIAN HEALTH SERVICES [160001] | IHS CROW AGENCY [16000102] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | BCBS MEDICARE ADVANTAGE [450503] | BCBS MEDICARE ADVANTAGE [45050301] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | BCBS MEDICARE ADVANTAGE [450503] | MEDICARE PLUS BLUE [45050302] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | INDIAN HEALTH SERVICES [160001] | IHS OUT OF STATE [16000107] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | INDIAN HEALTH SERVICES [160001] | IHS LITTLE SHELL [16000106] | $40,237.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | UNITED HEALTHCARE [100060] | UNITED HEALTH INTEGRATED SERVICES [10006035] | $50,967.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | EMPLOYEE BENEFIT MANAGEMENT [100033] | COLUMBIA FALLS SCHOOL DISTRICT [10003304] | $50,967.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | EMPLOYEE BENEFIT MANAGEMENT [100033] | EMPLOYEE BENEFIT MANAGEMENT [10003301] | $50,967.50 | $53,650.00 | $32,190.00 | 2025-01-18 | MRF ↗ |
| BENEFIS HOSPITALS INC Inpatient | ALLEGIANCE [100130] | ALLEGIANCE [10013001] | $50,967.50 | $53,650.00 | $32,190.00 | 2025-01-18 | 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.