SUP-CS1000 — Tissue Carticel
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TISSUE CARTICEL (OTHER SUP-CS1000) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-CS1000?code_type=OTHER
MLA (9th ed.)
“TISSUE CARTICEL (OTHER SUP-CS1000) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-CS1000?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“TISSUE CARTICEL (OTHER SUP-CS1000) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-CS1000?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $38,786–$62,996 (25th–75th percentile) across 6 hospitals · 29 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER SUP-CS1000 — 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 |
|---|---|---|---|---|---|---|---|
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $18,185.16 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $18,185.16 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $18,185.16 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Healthy Blue (Formerly Amerigroup Louisiana Inc.) (Healthy Louisiana) | All Plans | $18,185.16 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $18,185.16 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $18,185.16 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Verity Health Network – Lsu First Choice | All Plans | $28,757.93 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $33,854.88 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $33,854.88 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $33,854.88 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $33,854.88 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $33,854.88 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $33,854.88 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Blue Cross And Blue Shield Of Mississippi Ahs�Commercial | All Payor | $35,242.56 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Blue Cross Blue Shield Of Mississippi Commercial | All Plans | $35,242.56 | $121,146.30 | $36,343.89 | 2026-05-27 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Blue Cross Blue Shield Of Mississippi Ahs Commercial | All Plans | $35,242.56 | $121,146.30 | $36,343.89 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Humana � Military Tri-Care | All Payor | $35,466.11 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Cigna Healthcare | All Plans | $35,594.99 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare – Commercial Heritage | All Plans | $37,004.69 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Mississippi Commercial | All Plans | $38,766.82 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Blue Cross And Blue Shield Of Mississippi Commercial | All Payor | $38,766.82 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $38,786.20 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $38,786.20 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $38,786.20 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $38,786.20 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $38,786.20 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $38,786.20 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare – Commercial Hmo Ppo | All Plans | $43,172.14 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Optum Va Ccn | All Payor | $48,458.52 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Cigna Healthcare � Cigna Healthspring � Medicare Advantage Product(S) | All Payor | $48,458.52 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Humana � Medicare Advantage | All Payor | $48,458.52 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | United Healthcare - Medicare Advantage | All Payor | $48,458.52 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Primewell Health Services � Medicare Advantage | All Payor | $48,458.52 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Magnolia Health Plan � Wellcare By All Well Of Mississippi | All Payor | $48,943.11 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Molina Healthcare Of Mississippi � Medicare Advantage Product(S) | All Payor | $48,943.11 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Magnolia Health Plan � Ambetter | All Payor | $48,943.11 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Patrius Health Medicare Advantage � Ahs | All Payor | $49,427.69 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Shared Health Mississippi | All Payor | $50,881.45 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana Military � Tricare | All Plans | $53,030.83 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Cigna Healthcare � Commercial | All Payor | $53,982.79 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Cigna Healthcare � Commercial | All Plans | $53,982.79 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Prime Health Services Ppo - Medicare Advantage | All Payor | $55,727.30 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Molina Healthcare Of Mississippi Medicare Advantage Product(S) | All Plans | $57,181.05 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Magnolia Health Plan Ambetter | All Plans | $57,181.05 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana Medicare Advantage Product(S) | All Plans | $57,181.05 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Cigna Healthspring � Medicare Advantage Product(S) | All Plans | $57,181.05 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Mississippi Ahs Medicare Advantage Products | All Plans | $57,181.05 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare Medicare Advantage | All Plans | $57,181.05 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Optum Va Ccn | All Plans | $57,181.05 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Primewell Health Services Medicare Advantage | All Plans | $57,181.05 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Inpatient | Cigna Healthcare | All Plans | $57,269.16 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Inpatient | Aetna Health Inc. Ppo/Pos | All Plans | $57,269.16 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Inpatient | First Health Network Ppo | All Plans | $57,269.16 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Magnolia Health Plan Wellcare By Allwell Of Mississippi | All Plans | $57,752.86 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Simpra Medicare Advantage | All Plans | $57,752.86 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Primewell Health Services Commercial Exchange Plan | All Payor | $58,150.22 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Primewell Health Services � Commercial | All Payor | $58,150.22 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Shared Health Mississippi | All Plans | $60,040.11 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Inpatient | Zelis | All Plans | $60,573.15 | $121,146.30 | $36,343.89 | 2026-05-27 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Blue Cross Blue Shield � Blue High Performance Network | All Plans | $60,664.68 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $60,664.68 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $60,664.68 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $60,664.68 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Blue Cross Blue Shield Of Louisiana Blue High-Performance Network | All Plans | $60,664.68 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $60,664.68 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $60,664.68 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $60,664.68 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $60,664.68 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $60,664.68 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $60,664.68 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Multiplan/Phcs/American Lifecare | All Plans | $61,674.48 | $88,106.40 | $30,837.24 | 2026-05-08 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare � Commercial Hmo Ppo | All Plans | $62,996.08 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Aetna Health Inc. Ppo/Pos | All Payor | $62,996.08 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | United Healthcare - Commercial Exchange Plan | All Payor | $62,996.08 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | United Healthcare - Commercial Hmo Ppo | All Payor | $62,996.08 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Health Inc. Ppo/Pos | All Plans | $62,996.08 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Prime Health Services Ma | All Plans | $65,758.21 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Cigna Healthcare � Commercial | All Plans | $67,236.20 | $121,146.30 | $36,343.89 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Select Administrative Services Network | All Payor | $67,841.93 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Zelis | All Plans | $72,687.78 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Multiplan/Phcs/American Lifecare | All Plans | $72,687.78 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | $72,687.78 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Zelis | All Payor | $72,687.78 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Mississippi Ahs Commercial | All Plans | $77,533.63 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Outpatient | Prime Health Services Ppo | All Payor | $77,533.63 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Prime Health Services Ppo | All Plans | $77,533.63 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Aetna Health Inc. Ppo/Pos | All Plans | $78,745.10 | $121,146.30 | $36,343.89 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Primewell Health Services Commercial Exchange Plan | All Plans | $79,471.97 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Primewell Health Services Commercial | All Plans | $79,471.97 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Zelis | All Plans | $82,379.48 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| OCHSNER SCOTT REGIONAL Inpatient | Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | $82,379.48 | $96,917.04 | $61,057.74 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Multiplan/Phcs/American Lifecare | All Plans | $82,379.48 | $96,917.04 | $77,533.63 | 2026-05-06 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Verity Commercial And First Choice Network | All Plans | $89,428.00 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Verity Commercial | All Plans | $89,428.00 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Multiplan/Phcs/American Lifecare | All Plans | $90,859.73 | $121,146.30 | $36,343.89 | 2026-05-27 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Prime Health Services Ppo | All Plans | $96,917.04 | $121,146.30 | $36,343.89 | 2026-05-27 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Inpatient | Multiplan/Phcs/American Lifecare | All Plans | $102,974.35 | $121,146.30 | $36,343.89 | 2026-05-27 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Inpatient | Aetna Health Inc. Ppo/Pos | All Plans | $124,177.16 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Zelis | All Plans | $153,305.14 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Aetna Health Inc. Ppo/Pos | All Plans | $153,305.14 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Cigna Healthcare | All Plans | $157,904.29 | $255,508.56 | $53,656.80 | 2026-05-08 | MRF ↗ |