SUP-201568 — Catheter Manoscan Eso Z
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CATHETER MANOSCAN ESO Z (CDM SUP-201568) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-201568?code_type=CDM
MLA (9th ed.)
“CATHETER MANOSCAN ESO Z (CDM SUP-201568) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-201568?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“CATHETER MANOSCAN ESO Z (CDM SUP-201568) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-201568?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $332–$49,998 (25th–75th percentile) across 5 hospitals · 19 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-201568 — 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 |
|---|---|---|---|---|---|---|---|
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC Heritage Select Contract | $265.40 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Heritage Select Contract | $265.40 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Heritage Select Contract | $265.40 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC Heritage Select Contract | $265.40 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UHC MEDICAID [350006] | HB UHC MSCHIPS LEBONHEUR CONTRACT | $282.09 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex Core | $299.33 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex Core | $299.33 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex Core | $299.33 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex Core | $299.33 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex NEXUS ACO | $302.78 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex NEXUS ACO | $302.78 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex NEXUS ACO | $302.78 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex NEXUS ACO | $302.78 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC Core | $308.50 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Core | $308.50 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Core | $308.50 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC Core | $308.50 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC NEXUS ACO ADULT | $311.81 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC NEXUS ACO ADULT | $311.81 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC NEXUS ACO ADULT | $311.81 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC NEXUS ACO ADULT | $311.81 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC FED EX ALL PAYER (CHOICE) | $322.09 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC FED EX ALL PAYER (CHOICE) | $322.09 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC FED EX ALL PAYER (CHOICE) | $322.09 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC FED EX ALL PAYER (CHOICE) | $322.09 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC All Payer Appendix - MUH-MNH-MSH-MGH-MCI | $331.75 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC All Payer Appendix - MUH-MNH-MSH-MGH-MCI | $331.75 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED HEALTHCARE [100060] | HB UHC All Payer Appendix - MUH-MNH-MSH-MGH-MCI | $331.75 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC All Payer Appendix - MUH-MNH-MSH-MGH-MCI | $331.75 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | BCBS TN [200003] | HB XR BCBS Network S LeBonheur Childrens | $413.82 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | BCBS MS [200002] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | Alt BCBS MS Commercial [200009] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | Alt BCBS TN Commercial [200008] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | BCBS Commercial [200011] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | BCBS TN [200003] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | Alt BCBS MS Commercial [200009] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | Alt BCBS TN Commercial [200008] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | BCBS Commercial [200011] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | BCBS MS [200002] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | BCBS TN [200003] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | BCBS TN [200003] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | BCBS MS [200002] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | BCBS Commercial [200011] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | Alt BCBS TN Commercial [200008] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | Alt BCBS MS Commercial [200009] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $462.10 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | BCBS MS [200002] | HB BCBS MS - Olive Branch | $517.28 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | BCBS Commercial [200011] | HB BCBS MS - Olive Branch | $517.28 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Le Bonheur | $530.38 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $535.21 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA IFP - LeBonheur | $582.11 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | BCBS TN [200003] | HB XR BCBS Network P LeBonheur Childrens | $613.83 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA LocalPlus - LeBonheur | $646.32 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA HMO - LeBonheur | $646.32 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AETNA [100001] | HB LeB Direct Aetna CONTRACT | $655.22 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA OAP – LeBonheur | $667.97 | $689.70 | $151.73 | 2026-03-19 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | CDPHP [187] | CDPHP MEDICARE HMO | $34,998.25 | $49,997.50 | $32,498.38 | 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 | $38,798.06 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CDPHP [187] | CDPHP COMMERCIAL | $40,997.95 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MVP [109] | MH CIGNA BEHAVORIAL HEALTH|MVP|CIGNA|NALC CIGNA | $40,997.95 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | MVP [109] | MH CIGNA BEHAVORIAL HEALTH|MVP|CIGNA|NALC CIGNA | $41,997.90 | $49,997.50 | $32,498.38 | 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 | $42,497.88 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | CDPHP [187] | CDPHP COMMERCIAL | $42,497.88 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | AETNA [100] | AETNA|AETNA DENTAL|MERITAIN HEALTH | $42,497.88 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | AETNA [100] | AETNA|AETNA DENTAL | $43,997.80 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | GENERIC CARRIER [107] | ST REGIS MOHAWK [10724] | $44,997.75 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI|GHI ALT | $44,997.75 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | GENERIC CARRIER [107] | ST REGIS MOHAWK [10724] | $44,997.75 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MULTIPLAN [141] | COMMERCIAL|MULTIPLAN | $44,997.75 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | VETERANS ADMINISTRATION [178] | HUMANA - GENERIC|HUMANA | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO | $49,997.50 | $49,997.50 | $32,498.38 | 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 | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|RRH CDHP|MEDICARE BLUE DUAL|HIGHMARK MEDICARE|UNIVERA SENIOR | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO|WELLCARE DUAL | $49,997.50 | $49,997.50 | $32,498.38 | 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 | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE|UHC DUAL COMPLETE | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $49,997.50 | $49,997.50 | $32,498.38 | 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 | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MH OPTUM [170] | MH OPTUM MEDICARE | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MH OPTUM [170] | MH OPTUM COMMUNITY | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | GENERIC CARRIER [107] | COMMERCIAL | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | GENERIC CARRIER [107] | HUMANA - GENERIC|HUMANA | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE|UHC DUAL COMPLETE | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO|WELLCARE DUAL | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|RRH CDHP|MEDICARE BLUE DUAL|HIGHMARK MEDICARE|UNIVERA SENIOR | $49,997.50 | $49,997.50 | $32,498.38 | 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 | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | MVP [109] | MVP GOLD HMO|MVP GOLD PPO | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $49,997.50 | $49,997.50 | $32,498.38 | 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 | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CDPHP [187] | CDPHP MEDICARE HMO | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) | $49,997.50 | $49,997.50 | $32,498.38 | 2024-12-30 | MRF ↗ |