SUP-165686 — Sut Nurln Blk 4/0 8-18
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SUT NURLN BLK 4/0 8-18 (CDM SUP-165686) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-165686?code_type=CDM
MLA (9th ed.)
“SUT NURLN BLK 4/0 8-18 (CDM SUP-165686) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-165686?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SUT NURLN BLK 4/0 8-18 (CDM SUP-165686) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-165686?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $45–$53,102 (25th–75th percentile) across 7 hospitals · 33 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-165686 — 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 |
|---|---|---|---|---|---|---|---|
| SLHS MASSENA, INC Outpatient | CDPHP [187] | CDPHP MEDICARE HMO | $31.56 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC STUDENT RESOURCES|UNITED HEALTHCARE SHARED SERVICES | $34.98 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MVP [109] | MH CIGNA BEHAVORIAL HEALTH|MVP|CIGNA|NALC CIGNA | $36.97 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CDPHP [187] | CDPHP COMMERCIAL | $36.97 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | MVP [109] | MH CIGNA BEHAVORIAL HEALTH|MVP|CIGNA|NALC CIGNA | $37.87 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | CDPHP [187] | CDPHP COMMERCIAL | $38.32 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UHC STUDENT RESOURCES|UNITED HEALTHCARE SHARED SERVICES | $38.32 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | AETNA [100] | AETNA|AETNA DENTAL|MERITAIN HEALTH | $38.32 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | AETNA [100] | AETNA|AETNA DENTAL | $39.67 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | GENERIC CARRIER [107] | ST REGIS MOHAWK [10724] | $40.57 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI|GHI ALT | $40.57 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MULTIPLAN [141] | COMMERCIAL|MULTIPLAN | $40.57 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | GENERIC CARRIER [107] | ST REGIS MOHAWK [10724] | $40.57 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CDPHP [187] | CDPHP MEDICARE HMO | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | GENERIC CARRIER [107] | COMMERCIAL | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | GENERIC CARRIER [107] | HUMANA - GENERIC|HUMANA | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | VETERANS ADMINISTRATION [178] | HUMANA - GENERIC|HUMANA | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE|HIGHMARK OUT OF AREA|BLUE CROSS & BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | MVP [109] | MVP GOLD HMO|MVP GOLD PPO | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|RRH CDHP|MEDICARE BLUE DUAL|HIGHMARK MEDICARE|UNIVERA SENIOR | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO|WELLCARE DUAL | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE|UHC DUAL COMPLETE | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MH OPTUM [170] | MH OPTUM MEDICARE | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MH OPTUM [170] | MH OPTUM COMMUNITY | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE|HIGHMARK OUT OF AREA|BLUE CROSS & BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE|UHC DUAL COMPLETE | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO|WELLCARE DUAL | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|RRH CDHP|MEDICARE BLUE DUAL|HIGHMARK MEDICARE|UNIVERA SENIOR | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $45.08 | $45.08 | $29.30 | 2024-12-30 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA NM EMPLOYEES | $60.51 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $61.76 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $88.06 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $88.06 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $92.45 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $95.15 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $96.87 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $107.85 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $111.30 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $111.86 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $111.86 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $122.11 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $122.11 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | UNITED HEALTHCARE [158] | NWR UHC CORE | $148.60 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA | $152.68 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | HEALTHLINK [125] | NWR SEIU HEALTHLINK | $156.76 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA ASA | $164.59 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $165.22 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | CHOICECARE [177] | NWR CHOICE CARE | $166.79 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | MULTIPLAN/PHCS [142] | NWR PHCS PPO | $197.51 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | THE ALLIANCE [1703] | NWR THE ALLIANCE | $201.37 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $219.46 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $228.86 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $235.13 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BEECHSTREET [176] | NWR BEECHSTREET | $250.81 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA NM EMPLOYEES | $280.59 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | GLOBAL EXCEL [1712] | NWR MEDICARE | — | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NWR BLUE CROSS MEDICARE ADVT | — | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | ALTERNATE HUMANA MEDICARE ADV [2409] | NWR HUMANA MEDICARE ADVT | — | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $313.51 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $313.51 | $313.51 | $219.46 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE SELECT | $354.29 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | NLFH CIGNA ALTERNATIVE | $354.97 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS HMO | $358.18 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | NLFH BCBS HMO | $358.18 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE PREFERRED | $372.04 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE OPTIONS | $393.34 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PPO | $461.63 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | NLFH BCBS PPO | $461.63 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA | $726.84 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BC LAKE COUNTY PHYS ASSOC IPA | $760.65 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA ASA | $769.10 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC CORE | $801.22 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | NLFH CIGNA BROAD | $821.50 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTHLINK [125] | NLFH SEIU HEALTHLINK | $845.17 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC HMO/PPO | $890.80 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | NLFH HFN PLATINUM/CHC ELITE | $1,080.12 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | THE ALLIANCE [1703] | NLFH THE ALLIANCE | $1,085.70 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | NLFH PHCS | $1,352.26 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BEECHSTREET [176] | NLFH PHCS | $1,352.26 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | FIRST HEALTH PLAN [6034] | NLFH FIRST HEALTH | $1,386.07 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | NLFH HFN PPO | $1,521.30 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC NON-CONTRACTED OON - ED ONLY | $1,690.33 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NLFH BLUE CROSS MEDICARE ADVT | — | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE HUMANA MEDICARE ADV [2409] | NLFH HUMANA MEDICARE ADVT | — | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | GLOBAL EXCEL [1712] | NLFH MEDICARE | — | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PAR/INDEMNITY ADP | $1,690.33 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH ADVOCATE IPA | — | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HUMANA HEALTH PLAN [130] | NLFH ADVOCATE IPA | — | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | NLFH NON-CONTRACTED PAYORS | $1,690.33 | $1,690.33 | $1,183.23 | 2026-04-01 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | CIGNA [100009] | HB CIGNA EPO ADULT LOCATIONS | $34,500.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA EPO ADULT LOCATIONS | $34,500.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA EPO ADULT LOCATIONS | $34,500.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB CIGNA EPO ADULT LOCATIONS | $34,500.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Heritage Select Contract | $53,102.40 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Heritage Select Contract | $53,102.40 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC Heritage Select Contract | $53,102.40 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC Heritage Select Contract | $53,102.40 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA HMO - LeBonheur | $54,841.20 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA LocalPlus - LeBonheur | $54,841.20 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UHC MEDICAID [350006] | HB UHC MSCHIPS LEBONHEUR CONTRACT | $56,442.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA OAP – LeBonheur | $56,676.60 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex Core | $59,892.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex Core | $59,892.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex Core | $59,892.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex Core | $59,892.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex NEXUS ACO | $60,582.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex NEXUS ACO | $60,582.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex NEXUS ACO | $60,582.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex NEXUS ACO | $60,582.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Core | $61,727.40 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Core | $61,727.40 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC Core | $61,727.40 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC Core | $61,727.40 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC NEXUS ACO ADULT | $62,389.80 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC NEXUS ACO ADULT | $62,389.80 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC NEXUS ACO ADULT | $62,389.80 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC NEXUS ACO ADULT | $62,389.80 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC FED EX ALL PAYER (CHOICE) | $64,446.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC FED EX ALL PAYER (CHOICE) | $64,446.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC FED EX ALL PAYER (CHOICE) | $64,446.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC FED EX ALL PAYER (CHOICE) | $64,446.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC All Payer Appendix - MUH-MNH-MSH-MGH-MCI | $66,378.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC All Payer Appendix - MUH-MNH-MSH-MGH-MCI | $66,378.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC All Payer Appendix - MUH-MNH-MSH-MGH-MCI | $66,378.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC All Payer Appendix - MUH-MNH-MSH-MGH-MCI | $66,378.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | LANGSTON PERFORMANCE HEALTH [100405] | HB XR LANGSTON COMPANIES ALL ADULTS | $89,700.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | LANGSTON PERFORMANCE HEALTH [100405] | HB XR LANGSTON COMPANIES ALL ADULTS | $89,700.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | LANGSTON PERFORMANCE HEALTH [100405] | HB XR LANGSTON COMPANIES ALL ADULTS | $89,700.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | LANGSTON PERFORMANCE HEALTH [100405] | HB XR LANGSTON COMPANIES ALL ADULTS | $89,700.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | BCBS MS [200002] | HB BCBS MS - Olive Branch | $103,500.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | BCBS Commercial [200011] | HB BCBS MS - Olive Branch | $103,500.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Le Bonheur | $106,122.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $107,088.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA IFP - LeBonheur | $116,472.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AETNA [100001] | HB LeB Direct Aetna CONTRACT | $131,100.00 | $138,000.00 | $30,360.00 | 2026-03-19 | MRF ↗ |