145 hospital rates under fee schedule. One row per hospital and set of terms.
| Hospital | Terms | Plans | Average | Range |
|---|---|---|---|---|
| MaineHealth | fee schedule · both | 2 | $124.10 | $80.90 to $167.30 |
| MaineHealth | fee schedule · both | 1 | $57.05 | $57.05 to $57.05 |
| MaineHealth | fee schedule · both | 1 | $57.05 | $57.05 to $57.05 |
| MaineHealth | fee schedule · both | 2 | $118.39 | $91.29 to $145.48 |
| Manchester Memorial Hospital | fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
Snapshot 20261108T055240Z-43b7dac7
| Mary Hitchcock Memorial Hospital |
| facility · fee schedule · outpatient |
| 5 |
| $581.93 |
| $377.97 to $677.49 |
| Mary Hitchcock Memorial Hospital | professional · fee schedule · outpatient | 5 | $92.71 | $92.71 to $92.71 |
| Mayo Regional Hospital | professional · fee schedule · outpatient | 1 | $85.58 | $85.58 to $85.58 |
| Medical Center of the Rockies | fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| Memorial Hospital of Boscobel | facility · fee schedule · outpatient | 1 | $92.31 | $92.31 to $92.31 |
| Mercy Hospital | professional · fee schedule · outpatient | 2 | $85.58 | $85.58 to $85.58 |
| Montefiore Medical Center | fee schedule · outpatient | 7 | $772.04 | $647.31 to $961.75 |
| Moundview Memorial Hospital and Clinics, Inc. | facility · fee schedule · outpatient | 4 | $992.36 | $118.44 to $1,284 |
| Nationwide Children's Hospital | facility · fee schedule · outpatient | 1 | $178.06 | $178.06 to $178.06 |
| Navicent Health Baldwin Inc | fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| Norton Healthcare Indiana Inc | fee schedule · outpatient | 2 | $57.05 | $57.05 to $57.05 |
| Norton HealthcareIndiana, Inc | fee schedule · outpatient | 2 | $57.05 | $57.05 to $57.05 |
| Norton Hospitals INC | fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| Norton Hospitals INC | fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| Norton Hospitals INC | fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| Norton Hospitals INC | fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| Norton Hospitals INC | fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| Norton Kings Daughters Health Inc | facility · fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |
| ORTHOCOLORADO, LLC | fee schedule · outpatient | 1 | $139.78 | $139.78 to $139.78 |
| Parkview Medical Center, Inc | fee schedule · outpatient | 1 | $142.63 | $142.63 to $142.63 |