SUP-101111 — Drill Bit Cann Qc 4.3x200mm 310.634
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DRILL BIT CANN QC 4.3X200MM 310.634 (CDM SUP-101111) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-101111?code_type=CDM
MLA (9th ed.)
“DRILL BIT CANN QC 4.3X200MM 310.634 (CDM SUP-101111) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-101111?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“DRILL BIT CANN QC 4.3X200MM 310.634 (CDM SUP-101111) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-101111?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $808–$3,885 (25th–75th percentile) across 5 hospitals · 42 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-101111 — 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 |
|---|---|---|---|---|---|---|---|
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS SELECT | $104.86 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE PREFERRED | $106.96 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS | $126.89 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | PH CIGNA ALTERNATIVE | $140.16 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | PH AETNA NM EMPLOYEES | $161.15 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | PH CIGNA BROAD | $221.86 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | PH AETNA IL PREFERRED | $254.09 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS HMO | $293.29 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | PH BCBS HMO | $293.29 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | PH BCBS PPO | $331.89 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS PPO | $331.89 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [158] | PH UHC CORE | $339.53 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | CARELON BEHAVIORAL HEALTH [159] | PH VALUE OPTIONS BHO | $374.76 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | HEALTHLINK [125] | PH SEIU HEALTHLINK | $374.76 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [158] | PH UHC ALL OTHER | $383.00 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | FIRST HEALTH PLAN [6034] | PH AETNA | $425.73 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | PH AETNA | $425.73 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | MAGELLAN BEHAVIORAL HLTH [136] | PH MAGELLAN BHS | $449.71 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | DCH AETNA NM EMPLOYEES | $453.32 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | THE ALLIANCE [1703] | PH THE ALLIANCE | $481.42 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | PH MULTIPLAN/PHCS | $524.66 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | COMPSYCH [112] | PH COMPSYCH | $562.14 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | FIRST HEALTH PLAN [6034] | PH FIRST HEALTH | $562.14 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | CDH AETNA NM EMPLOYEES | $577.60 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BEECHSTREET [176] | PH BEECHSTREET | $599.62 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | PH CIGNA BEHAVIORAL BHS | $599.62 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | DCH CIGNA ALTERNATIVE | $606.28 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | PH HFN | $637.09 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | GLOBAL EXCEL [1712] | PH NON-CONTRACTED PAYORS | $749.52 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [158] | PH UHC NON-CONTRACTED OON - ED ONLY | $749.52 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS PAR/INDEMNITY ADP | $749.52 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | PH NON-CONTRACTED PAYORS | $749.52 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | PH NON-CONTRACTED PAYORS | $749.52 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | GALAXY HEALTH NETWORK [220] | PH NON-CONTRACTED PAYORS | $749.52 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE [181] | PH NON-CONTRACTED PAYORS | $749.52 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | OPTUM/UNITED BEHAVIORAL HEALTH [157] | PH UBH BHS | — | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | PH MEDICARE | — | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | GLOBAL EXCEL [1712] | PH MEDICARE | — | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | HEALTHLINK [125] | PH NON-CONTRACTED PAYORS | $749.52 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | PH NON-CONTRACTED PAYORS | $749.52 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [158] | PH NON-CONTRACTED PAYORS | $749.52 | $749.52 | $524.66 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE SELECT | $778.70 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE PREFERRED | $786.49 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE OPTIONS | $802.06 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA NM EMPLOYEES | $806.06 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH DUPAGE MEDICAL GROUP | $807.84 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | HUMANA HEALTH PLAN [130] | CDH DUPAGE MEDICAL GROUP | $807.84 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | CDH CIGNA ALTERNATIVE | $864.38 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | DCH BCBS PPO | $1,002.30 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PPO | $1,002.30 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE SELECT | $1,017.77 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | NLFH CIGNA ALTERNATIVE | $1,019.72 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | NLFH BCBS HMO | $1,028.94 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS HMO | $1,028.94 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE PREFERRED | $1,068.76 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE OPTIONS | $1,129.94 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | CDH AETNA BP | $1,211.75 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | CDH AETNA APCN/SP | $1,268.30 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [158] | DCH UHC CORE | $1,318.23 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PPO | $1,326.12 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | NLFH BCBS PPO | $1,326.12 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | DCH CIGNA BROAD | $1,362.73 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | CARELON BEHAVIORAL HEALTH [159] | DCH BEACON HEALTH OPTIONS BHS | $1,390.54 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | DCH HFN NMH TIER ONE | $1,390.54 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | CDH AETNA IL PREFERRED | $1,413.71 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [158] | DCH UHC HMO/PPO | $1,465.63 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE PREFERRED | $1,537.72 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE PREFERRED | $1,537.72 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE SELECT | $1,537.72 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE SELECT | $1,537.72 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PAR/INDEMNITY ADP | $1,554.62 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE OPTIONS | $1,657.28 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE OPTIONS | $1,657.28 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | CDH BCBS HMO | $1,659.30 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH BCBS HMO | $1,659.30 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | CDH CIGNA BROAD | $1,668.18 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | FIRST HEALTH PLAN [6034] | DCH AETNA | $1,724.27 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | DCH AETNA | $1,724.27 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HEALTHLINK [125] | DCH SEIU HEALTHLINK | $1,752.08 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | THE ALLIANCE [1703] | DCH THE ALLIANCE | $1,786.29 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | DCH HFN PLAT | $1,807.70 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PPO | $1,811.98 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | CDH BCBS PPO | $1,811.98 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | DCH AETNA ASA | $1,888.35 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | FIRST HEALTH PLAN [6034] | DCH FIRST HEALTH | $1,918.95 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | DCH BCBS HMO | $1,938.97 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS HMO | $1,938.97 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | CDH HFN NMH TIER ONE | $2,019.59 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | CARELON BEHAVIORAL HEALTH [159] | CDH VALUE OPTIONS BHS | $2,019.59 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | UNITED HEALTHCARE [158] | CDH UHC CORE | $2,027.67 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | DCH PHCS | $2,085.81 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | DCH HFN EPO | $2,085.81 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA | $2,087.99 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | CDH AETNA | $2,132.69 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BC LAKE COUNTY PHYS ASSOC IPA | $2,185.11 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA ASA | $2,209.38 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | DCH CIGNA BEHAVIORAL BHS | $2,224.86 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | COMPSYCH [112] | DCH COMPSYCH | $2,224.86 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC CORE | $2,301.64 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | CDH SAGAMORE HEALTH PPO | $2,318.49 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | CDH AETNA ASA | $2,326.57 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | NLFH CIGNA BROAD | $2,359.91 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | DCH HFN PPO | $2,363.92 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH ADVOCATE IPA | $2,423.51 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | HUMANA HEALTH PLAN [130] | CDH ADVOCATE IPA | $2,423.51 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | MAGELLAN BEHAVIORAL HLTH [136] | CDH MAGELLAN BHS | $2,423.51 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | DREYER MED IPA ADVOCATE [1409] | CDH ADVOCATE IPA | $2,423.51 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTHLINK [125] | NLFH SEIU HEALTHLINK | $2,427.90 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | DCH MULTIPLAN | $2,502.97 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BEECHSTREET [176] | DCH BEECH STREET/CAPP CARE | $2,502.97 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | HEALTHLINK [125] | CDH SEIU HEALTHLINK | $2,544.68 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC HMO/PPO | $2,559.00 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | THE ALLIANCE [1703] | CDH THE ALLIANCE | $2,594.37 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | UNITED HEALTHCARE [158] | CDH UHC HMO/PPO | $2,702.21 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | ALTERNATE HUMANA MEDICARE ADV [2409] | DCH HUMANA MEDICARE ADVT | — | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | JOURNEYCARE INC HOSPICE [1275] | DCH JOURNEYCARE HOSPICE | — | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | OPTUM/UNITED BEHAVIORAL HEALTH [157] | DCH UNITED BEHAVIORAL HEALTH | — | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH ADVOCATE IPA | — | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | DCH ILLINOIS MEDICAID | — | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | GLOBAL EXCEL [1712] | DCH MEDICARE | — | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | DCH ILLINOIS MEDICAID | — | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | DCH ILLINOIS MEDICAID | — | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BCBS MEDICARE ADVANTAGE [1304] | DCH BLUE CROSS MMAI (MEDICARE) | — | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HUMANA HEALTH PLAN [130] | DCH ADVOCATE IPA | — | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | DCH NON-CONTRACTED PAYORS | $2,781.08 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | DCH BLUE CROSS MEDICARE ADVT | — | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [158] | DCH UHC NON-CONTRACTED OON - ED ONLY | $2,781.08 | $2,781.08 | $1,946.76 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | CHOICECARE [177] | CDH CHOICE CARE | $3,094.01 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | NLFH HFN PLATINUM/CHC ELITE | $3,102.85 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | FIRST HEALTH PLAN [6034] | CDH FIRST HEALTH | $3,106.13 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | THE ALLIANCE [1703] | NLFH THE ALLIANCE | $3,118.87 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | COMPSYCH [112] | CDH COMPSYCH | $3,231.34 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | CDH CIGNA BEHAVIORAL BHS | $3,231.34 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | CDH PHCS/MULTIPLAN | $3,514.09 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | CDH HFN | $3,683.73 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BEECHSTREET [176] | NLFH PHCS | $3,884.63 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | NLFH PHCS | $3,884.63 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | FIRST HEALTH PLAN [6034] | NLFH FIRST HEALTH | $3,981.75 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PAR/INDEMNITY ADP | $4,039.18 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB EHP IPA | $4,039.18 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB BLUE CROSS CHOICE | $4,039.18 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | JOURNEYCARE INC HOSPICE [1275] | CDH JOURNEYCARE HOSPICE | — | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | ALTERNATE HUMANA MEDICARE ADV [2409] | CDH HUMANA MEDICARE ADVT | — | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | CDH MEDICARE | — | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | GLOBAL EXCEL [1712] | CDH MEDICARE | — | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BCBS MEDICARE ADVANTAGE [1304] | CDH BLUE CROSS MMAI (MEDICARE) | — | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | OPTUM/UNITED BEHAVIORAL HEALTH [157] | CDH UBH BHS | — | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | CDH ILLINOIS MEDICAID | — | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | CDH ILLINOIS MEDICAID | — | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | CDH ILLINOIS MEDICAID | — | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB CHS | $4,039.18 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | HUMANA BEHAVIORAL [185] | CDH LIFESYNCH BHS | $4,039.18 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | CDH NON-CONTRACTED PAYORS | $4,039.18 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | UNITED HEALTHCARE [158] | CDH UHC NON-CONTRACTED OON - ED ONLY | $4,039.18 | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH HEALTHLAB LITTLE COMPANY OF MARY | — | $4,039.18 | $2,827.43 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | NLFH HFN PPO | $4,370.21 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC NON-CONTRACTED OON - ED ONLY | $4,855.79 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE HUMANA MEDICARE ADV [2409] | NLFH HUMANA MEDICARE ADVT | — | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PAR/INDEMNITY ADP | $4,855.79 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH ADVOCATE IPA | — | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | GLOBAL EXCEL [1712] | NLFH MEDICARE | — | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HUMANA HEALTH PLAN [130] | NLFH ADVOCATE IPA | — | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | NLFH NON-CONTRACTED PAYORS | $4,855.79 | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NLFH BLUE CROSS MEDICARE ADVT | — | $4,855.79 | $3,399.05 | 2026-04-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | AETNA MCR ADV | AETNA MCR ADV | $7,400.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | HEALTH ALLIANCE MCR ADV | HEALTH ALLIANCE MCR ADV | $8,200.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | MED ASSOC MCR ADV | MED ASSOC MCR ADV | $8,200.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | ANTHEM WELLMARK MCR ADV | ANTHEM WELLMARK MCR ADV | $8,282.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | HUMANA CHOICECARE MCR ADV - ALL PLANS | HUMANA CHOICECARE MCR ADV - ALL PLANS | $8,364.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | HEALTHPARTNERS MCR ADV | HEALTHPARTNERS MCR ADV | $8,364.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | IA TOTAL CARE MCAID | IA TOTAL CARE MCAID | $8,400.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | WELLPOINT MCAID AMERIGRP | WELLPOINT MCAID AMERIGRP | $8,400.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | MOLINA MEDICAID | MOLINA MEDICAID | $8,400.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | WELLPOINT MCR ADV AMERIGRP - ALL OTHER PLANS | WELLPOINT MCR ADV AMERIGRP - ALL OTHER PLANS | $8,446.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | MOLINA MCR ADV - ALL OTHER PLANS | MOLINA MCR ADV - ALL OTHER PLANS | $8,446.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | IA TOTAL CARE WELLCARE MCR ADV | IA TOTAL CARE WELLCARE MCR ADV | $8,446.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | HEALTHPARTNERS - ALL OTHER PLANS | HEALTHPARTNERS - ALL OTHER PLANS | $17,000.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $17,000.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | AETNA/FIRST HEALTH PPO - ALL OTHER PLANS | AETNA/FIRST HEALTH PPO - ALL OTHER PLANS | $17,600.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | HEALTH ALLIANCE COMM - ALL OTHER PLANS | HEALTH ALLIANCE COMM - ALL OTHER PLANS | $19,000.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19,400.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS Outpatient | IA TOTAL CARE AMBETTER HLTH COMM- ALL OTHER PLANS | IA TOTAL CARE AMBETTER HLTH COMM- ALL OTHER PLANS | $20,254.00 | $20,000.00 | $15,000.00 | 2026-02-10 | MRF ↗ |