member_name,relationship,age,gender,procedure,procedure_type,location,date,in_network,member_plan,accepted_plans,cost_facility,cost_physician,cost_anesthesia,cost_medication,total_cost,facility_rating,notes
Charlie Smith,Self,13,Male,Annual Physical Exam,preventive,City Hospital,2024-05-15,true,Gold PPO,"Gold PPO, Medicare Advantage",80.00,180.00,0.00,5.00,265.00,4.7,"Annual Physical Exam performed at City Hospital."
Charlie Smith,Self,13,Male,Dental Cleaning,preventive,Green Valley Clinic,2025-01-10,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",60.00,120.00,0.00,0.00,180.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Charlie Smith,Self,13,Male,Vision Exam,preventive,Sunrise Health,2023-08-22,true,Gold PPO,"Gold PPO, Bronze HDHP",40.00,110.00,0.00,0.00,150.00,4.3,"Vision Exam performed at Sunrise Health."
Charlie Smith,Self,13,Male,Blood Test,diagnostic,City Hospital,2024-11-04,true,Gold PPO,"Gold PPO, Medicare Advantage",25.00,55.00,0.00,2.50,82.50,4.7,"Cholesterol Panel performed at City Hospital."
Alice Smith,Spouse,42,Female,Annual Physical Exam,preventive,Regional Medical Center,2024-09-18,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",95.00,210.00,0.00,4.50,309.50,4.6,"Annual Physical Exam performed at Regional Medical Center."
Alice Smith,Spouse,42,Female,MRI,diagnostic,City Hospital,2023-11-02,true,Gold PPO,"Gold PPO, Medicare Advantage",1450.00,820.00,0.00,12.00,2282.00,4.7,"Lumbar MRI performed at City Hospital."
Alice Smith,Spouse,42,Female,Dental Cleaning,preventive,Green Valley Clinic,2024-08-12,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",65.00,125.00,0.00,0.00,190.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Bob Johnson,Self,55,Male,Appendectomy,surgery,Regional Medical Center,2024-02-04,true,Family Plan - Silver EPO,"Family Plan - Silver EPO, Gold PPO",8200.00,5400.00,2100.00,180.00,15880.00,4.6,"Laparoscopic appendectomy performed at Regional Medical Center."
Bob Johnson,Self,55,Male,Annual Physical Exam,preventive,Regional Medical Center,2024-10-22,false,Family Plan - Silver EPO,"Gold PPO",120.00,260.00,0.00,6.00,386.00,4.6,"Annual Physical Exam performed at Regional Medical Center."
Bob Johnson,Self,55,Male,CT Scan,diagnostic,City Hospital,2024-02-03,true,Family Plan - Silver EPO,"Gold PPO, Medicare Advantage",1600.00,750.00,0.00,8.00,2358.00,4.7,"Pre-op CT abdomen/pelvis at City Hospital."
Diana Roberts,Mother,67,Female,Annual Physical Exam,preventive,Sunrise Health,2024-07-09,true,Gold PPO,"Gold PPO, Bronze HDHP",95.00,220.00,0.00,5.00,320.00,4.3,"Annual Physical Exam performed at Sunrise Health."
Diana Roberts,Mother,67,Female,Vision Exam,preventive,Sunrise Health,2024-10-14,true,Gold PPO,"Gold PPO, Bronze HDHP",40.00,115.00,0.00,0.00,155.00,4.3,"Vision Exam performed at Sunrise Health."
Diana Roberts,Mother,67,Female,Blood Test,diagnostic,City Hospital,2025-02-18,true,Gold PPO,"Gold PPO, Medicare Advantage",28.00,60.00,0.00,3.00,91.00,4.7,"Cholesterol Panel performed at City Hospital."
Diana Roberts,Mother,67,Female,MRI,diagnostic,Regional Medical Center,2023-06-30,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",1520.00,840.00,0.00,10.00,2370.00,4.6,"Knee MRI performed at Regional Medical Center."
Ethan Smith,Son,11,Male,Annual Physical Exam,preventive,City Hospital,2025-04-02,true,Gold PPO,"Gold PPO, Medicare Advantage",70.00,170.00,0.00,4.00,244.00,4.7,"Annual Physical Exam performed at City Hospital."
Ethan Smith,Son,11,Male,Dental Cleaning,preventive,Green Valley Clinic,2025-03-15,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",55.00,115.00,0.00,0.00,170.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Ethan Smith,Son,11,Male,Vision Exam,preventive,Sunrise Health,2024-12-08,true,Gold PPO,"Gold PPO, Bronze HDHP",35.00,105.00,0.00,0.00,140.00,4.3,"Vision Exam performed at Sunrise Health."
Ethan Smith,Son,11,Male,X Ray,diagnostic,City Hospital,2024-09-21,true,Gold PPO,"Gold PPO, Medicare Advantage",105.00,135.00,0.00,2.00,242.00,4.7,"Wrist X Ray performed at City Hospital."
Alice Smith,Spouse,42,Female,Blood Test,diagnostic,City Hospital,2024-04-19,true,Gold PPO,"Gold PPO, Medicare Advantage",30.00,58.00,0.00,3.50,91.50,4.7,"Lipid panel at City Hospital."
Alice Smith,Spouse,42,Female,Vision Exam,preventive,Sunrise Health,2024-06-11,true,Gold PPO,"Gold PPO, Bronze HDHP",38.00,108.00,0.00,0.00,146.00,4.3,"Vision Exam performed at Sunrise Health."
Bob Johnson,Self,55,Male,Dental Cleaning,preventive,Green Valley Clinic,2024-12-03,true,Family Plan - Silver EPO,"Family Plan - Silver EPO, Gold PPO",60.00,120.00,0.00,0.00,180.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Bob Johnson,Self,55,Male,Blood Test,diagnostic,Regional Medical Center,2025-01-22,true,Family Plan - Silver EPO,"Family Plan - Silver EPO, Gold PPO",28.00,55.00,0.00,3.00,86.00,4.6,"A1C panel performed at Regional Medical Center."
Charlie Smith,Self,13,Male,X Ray,diagnostic,City Hospital,2025-03-28,true,Gold PPO,"Gold PPO, Medicare Advantage",110.00,140.00,0.00,2.00,252.00,4.7,"Ankle X Ray performed at City Hospital."
Frank Lee,Father,72,Male,CT Scan,diagnostic,Regional Medical Center,2024-08-29,false,Bronze HDHP,"Gold PPO, Medicare Advantage",1750.00,820.00,0.00,9.00,2579.00,4.6,"Head CT performed at Regional Medical Center."
Frank Lee,Father,72,Male,Annual Physical Exam,preventive,Sunrise Health,2024-11-19,true,Bronze HDHP,"Gold PPO, Bronze HDHP",95.00,225.00,0.00,5.50,325.50,4.3,"Annual Physical Exam performed at Sunrise Health."
Frank Lee,Father,72,Male,Vision Exam,preventive,Sunrise Health,2024-09-02,true,Bronze HDHP,"Gold PPO, Bronze HDHP",42.00,118.00,0.00,0.00,160.00,4.3,"Vision Exam performed at Sunrise Health."
Frank Lee,Father,72,Male,Blood Test,diagnostic,City Hospital,2025-02-25,true,Bronze HDHP,"Gold PPO, Medicare Advantage",30.00,58.00,0.00,4.00,92.00,4.7,"Comprehensive metabolic panel at City Hospital."
Grace Wong,Daughter,16,Female,Annual Physical Exam,preventive,Green Valley Clinic,2025-02-11,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",75.00,175.00,0.00,4.00,254.00,4.5,"Annual Physical Exam performed at Green Valley Clinic."
Grace Wong,Daughter,16,Female,Dental Cleaning,preventive,Green Valley Clinic,2024-11-30,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",58.00,118.00,0.00,0.00,176.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Grace Wong,Daughter,16,Female,Vision Exam,preventive,Sunrise Health,2025-01-26,true,Gold PPO,"Gold PPO, Bronze HDHP",36.00,106.00,0.00,0.00,142.00,4.3,"Vision Exam performed at Sunrise Health."
Henry Park,Self,38,Male,MRI,diagnostic,City Hospital,2024-07-15,true,Family Plan - Silver EPO,"Gold PPO, Family Plan - Silver EPO",1500.00,830.00,0.00,11.00,2341.00,4.7,"Shoulder MRI performed at City Hospital."
Henry Park,Self,38,Male,Annual Physical Exam,preventive,Regional Medical Center,2024-08-08,true,Family Plan - Silver EPO,"Gold PPO, Family Plan - Silver EPO",90.00,210.00,0.00,5.00,305.00,4.6,"Annual Physical Exam performed at Regional Medical Center."
Henry Park,Self,38,Male,X Ray,diagnostic,City Hospital,2024-07-10,true,Family Plan - Silver EPO,"Gold PPO, Medicare Advantage",120.00,145.00,0.00,2.50,267.50,4.7,"Shoulder X Ray performed at City Hospital."
Henry Park,Self,38,Male,Dental Cleaning,preventive,Green Valley Clinic,2024-10-04,true,Family Plan - Silver EPO,"Gold PPO, Family Plan - Silver EPO",62.00,122.00,0.00,0.00,184.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Isabel Cruz,Mother,69,Female,Appendectomy,surgery,City Hospital,2024-03-12,true,Gold PPO,"Gold PPO, Medicare Advantage",9100.00,5800.00,2200.00,195.00,17295.00,4.7,"Open appendectomy performed at City Hospital."
Isabel Cruz,Mother,69,Female,CT Scan,diagnostic,City Hospital,2024-03-11,true,Gold PPO,"Gold PPO, Medicare Advantage",1620.00,780.00,0.00,8.50,2408.50,4.7,"Pre-op CT abdomen/pelvis at City Hospital."
Isabel Cruz,Mother,69,Female,Annual Physical Exam,preventive,Sunrise Health,2024-06-22,true,Gold PPO,"Gold PPO, Bronze HDHP",95.00,225.00,0.00,5.50,325.50,4.3,"Annual Physical Exam performed at Sunrise Health."
Isabel Cruz,Mother,69,Female,Blood Test,diagnostic,City Hospital,2025-01-30,true,Gold PPO,"Gold PPO, Medicare Advantage",32.00,62.00,0.00,3.50,97.50,4.7,"Comprehensive metabolic panel at City Hospital."
Jack Miller,Self,29,Male,X Ray,diagnostic,Sunrise Health,2024-05-04,true,Bronze HDHP,"Gold PPO, Bronze HDHP",95.00,130.00,0.00,2.00,227.00,4.3,"Knee X Ray performed at Sunrise Health."
Jack Miller,Self,29,Male,Annual Physical Exam,preventive,Sunrise Health,2025-02-06,true,Bronze HDHP,"Gold PPO, Bronze HDHP",85.00,200.00,0.00,4.50,289.50,4.3,"Annual Physical Exam performed at Sunrise Health."
Jack Miller,Self,29,Male,Dental Cleaning,preventive,Green Valley Clinic,2024-10-17,true,Bronze HDHP,"Family Plan - Silver EPO",58.00,118.00,0.00,0.00,176.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Karen Davis,Spouse,46,Female,MRI,diagnostic,Regional Medical Center,2024-04-09,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",1480.00,810.00,0.00,11.00,2301.00,4.6,"Brain MRI performed at Regional Medical Center."
Karen Davis,Spouse,46,Female,Annual Physical Exam,preventive,Regional Medical Center,2024-11-25,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",100.00,225.00,0.00,5.50,330.50,4.6,"Annual Physical Exam performed at Regional Medical Center."
Karen Davis,Spouse,46,Female,Dental Cleaning,preventive,Green Valley Clinic,2024-09-30,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",60.00,120.00,0.00,0.00,180.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Liam OBrien,Son,9,Male,Annual Physical Exam,preventive,City Hospital,2025-03-05,true,Gold PPO,"Gold PPO, Medicare Advantage",70.00,170.00,0.00,4.00,244.00,4.7,"Annual Physical Exam performed at City Hospital."
Liam OBrien,Son,9,Male,Vision Exam,preventive,Sunrise Health,2024-12-19,true,Gold PPO,"Gold PPO, Bronze HDHP",35.00,105.00,0.00,0.00,140.00,4.3,"Vision Exam performed at Sunrise Health."
Liam OBrien,Son,9,Male,Dental Cleaning,preventive,Green Valley Clinic,2025-04-11,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",55.00,115.00,0.00,0.00,170.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Maria Lopez,Daughter,19,Female,Annual Physical Exam,preventive,Green Valley Clinic,2025-01-08,true,Family Plan - Silver EPO,"Gold PPO, Family Plan - Silver EPO",80.00,185.00,0.00,4.50,269.50,4.5,"Annual Physical Exam performed at Green Valley Clinic."
Maria Lopez,Daughter,19,Female,Blood Test,diagnostic,City Hospital,2025-02-14,true,Family Plan - Silver EPO,"Gold PPO, Medicare Advantage",28.00,55.00,0.00,3.00,86.00,4.7,"Iron panel performed at City Hospital."
Maria Lopez,Daughter,19,Female,Vision Exam,preventive,Sunrise Health,2024-08-20,true,Family Plan - Silver EPO,"Gold PPO, Bronze HDHP",38.00,108.00,0.00,0.00,146.00,4.3,"Vision Exam performed at Sunrise Health."