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Cherokee Cherokee York Lancaster Spartanburg Greenville Pickens Oconee Knox Greene Cocke Sevier Blount Monroe Polk Carter Johnson Unicoi Graham Clay Macon Rabun Towns Union Fannin Swain Jackson Haywood Transylvania Henderson Buncombe McDowell Burke Cleveland Gaston Mecklenburg Lincoln Catawba Caldwell Avery Watauga Ashe Wilkes Alleghany Surry Stokes Union Stanly Davidson Forsyth Yadkin Davie Rowan Iredell Alexander Cabarrus Rutherford Polk Madison Yancey Mitchell Angel Medical Center Macon County Blue Ridge Regional Medical Center Mitchell County CarePartners Rehab Hospital Buncombe County Highlands Cashiers Hospital Macon County Mission Hospital Buncombe County The McDowell Hospital McDowell County Transylvania Regional Hospital Transylvania County Alleghany County Memorial Hospital Alleghany CHS Anson Anson Ashe Memorial Hospital Ashe Charles A Cannon Jr Memorial Hosp Avery CHS Blue Ridge Burke CHS Northeast Cabarrus Caldwell Memorial Hospital Caldwell Catawba Valley Medical Center Catawba Frye Regional Medical Center Catawba Murphy Medical Center Inc Cherokee CHS Cleveland Cleveland CHS Kings Mountain Cleveland Lexington Memorial Hospital Davidson Novant Health Thomasville Medical Davidson Davie County Hospital Davie Davie County Hospital - Plaza 1 Davie Brenners Children's Hospital Forsyth Forsyth Memorial Hosp Outpt Dept Forsyth Novant Health Medical Park Hospital Forsyth Caromont Regional Medical Center Gaston Haywood Regional Medical Ctr Haywood Marg R Pardee Memorial Hospital Henderson Park Ridge Health Henderson Davis Regional Medical Center Iredell Frye Regional Medical Center Iredell Iredell Memorial Hospital Iredell Harris Regional Hospital Jackson CHS Lincoln Lincoln Carolinas Healthcare Sys Pineville Mecklenburg Carolinas Healthcare System Univ Mecklenburg Carolinas Medical Center Mecklenburg Carolinas Medical Center-mercy Mecklenburg Carolinas Rehabilitation Mecklenburg Horizons Outpatient Services Mecklenburg Novant Health Huntersville Med Ctr Mecklenburg Novant Health Matthews Medical Ctr Mecklenburg Novant Health Presbyterian Medical Mecklenburg St Lukes Hospital Polk Rutherford Regional Medical Center Rutherford CHS Stanly Stanly Lifebrite Community Hospital Of Stokes Stokes Hugh Chatham Memorial Hospital Surry Northern Hospital Of Surry County Surry Cherokee Indian Hospital Swain Swain County Hospital Swain CHS-Union Union Catawba Valley Medical Center Watauga Wilkes Regional Medical Center Wilkes Alternative NC Hospitals by County Mission Hospitals Out-of-Network October 4, 2017 Acute Care Hospitals and Ambulatory Surgery Centers = No Longer In Network = In Network Hospital = Ambulatory Surgery Centers ®, SM Marks of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.

Acute Care Hospitals and Ambulatory Surgery Centers

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Page 1: Acute Care Hospitals and Ambulatory Surgery Centers

Cherokee Cherokee

York

Lancaster

Spartanburg

GreenvillePickens

Oconee

KnoxGreene

Cocke

Sevier

Blount

Monroe

Polk

Carter

Johnson

Unicoi

Graham

Clay

Macon

RabunTowns

UnionFannin

Swain

Jackson

Haywood

TransylvaniaHenderson

Buncombe McDowell

Burke

ClevelandGaston

Mecklenburg

Lincoln

Catawba

Caldwell

Avery

Watauga

Ashe

Wilkes

AlleghanySurry

Stokes

Union

Stanly

Davidson

ForsythYadkin

Davie

Rowan

IredellAlexander

CabarrusRutherford

Polk

MadisonYancey

Mitchell

Angel Medical CenterMacon County

Blue Ridge Regional Medical CenterMitchell County

CarePartners Rehab HospitalBuncombe County

Highlands Cashiers HospitalMacon County

Mission HospitalBuncombe County

The McDowell HospitalMcDowell County

Transylvania Regional HospitalTransylvania County

Alleghany County Memorial Hospital AlleghanyCHS Anson AnsonAshe Memorial Hospital AsheCharles A Cannon Jr Memorial Hosp AveryCHS Blue Ridge BurkeCHS Northeast CabarrusCaldwell Memorial Hospital CaldwellCatawba Valley Medical Center CatawbaFrye Regional Medical Center CatawbaMurphy Medical Center Inc CherokeeCHS Cleveland ClevelandCHS Kings Mountain Cleveland

Lexington Memorial Hospital DavidsonNovant Health Thomasville Medical DavidsonDavie County Hospital DavieDavie County Hospital - Plaza 1 DavieBrenners Children's Hospital ForsythForsyth Memorial Hosp Outpt Dept ForsythNovant Health Medical Park Hospital ForsythCaromont Regional Medical Center GastonHaywood Regional Medical Ctr HaywoodMarg R Pardee Memorial Hospital HendersonPark Ridge Health HendersonDavis Regional Medical Center Iredell

Frye Regional Medical Center IredellIredell Memorial Hospital IredellHarris Regional Hospital JacksonCHS Lincoln LincolnCarolinas Healthcare Sys Pineville MecklenburgCarolinas Healthcare System Univ MecklenburgCarolinas Medical Center MecklenburgCarolinas Medical Center-mercy MecklenburgCarolinas Rehabilitation MecklenburgHorizons Outpatient Services MecklenburgNovant Health Huntersville Med Ctr MecklenburgNovant Health Matthews Medical Ctr Mecklenburg

Novant Health Presbyterian Medical MecklenburgSt Lukes Hospital PolkRutherford Regional Medical Center RutherfordCHS Stanly StanlyLifebrite Community Hospital Of Stokes StokesHugh Chatham Memorial Hospital SurryNorthern Hospital Of Surry County SurryCherokee Indian Hospital SwainSwain County Hospital SwainCHS-Union UnionCatawba Valley Medical Center WataugaWilkes Regional Medical Center Wilkes

Alternative NC Hospitals by County

Mission Hospitals Out-of-Network October 4, 2017

Acute Care Hospitals and Ambulatory Surgery Centers

= No Longer In Network = In Network Hospital = Ambulatory Surgery Centers

®, SM Marks of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.

Page 2: Acute Care Hospitals and Ambulatory Surgery Centers

NAME COUNTYBlount Memorial Hospital BlountSycamore Shoals Hospital CarterTennova Healthcare Newport Medical Center CockeFranklin Woods Community Hospital FranklinLaughlin Memorial Hospital Inc GreeneTakoma Regional Hospital GreeneEast Tennessee Children Hospital KnoxFort Sanders Regional Medical Center KnoxParkwest Medical Center KnoxRoane Medical Center Knox

Select Specialty Hospital Knoxville KnoxSelect Specialty Hospital North Knoxville KnoxTennova Healthcare North Knoxville Medical Center KnoxTennova Healthcare Physicians Reg Med Ctr KnoxTennova Healthcare Turkey Creek Medical Center KnoxUniversity of Tennessee Medical Center KnoxSweetwater Hospital Association MonroeCopper Basin Medical Center PolkLeconte Medical Center SevierUnicoi County Memorial Hospital Inc Unicoi

Tennessee Hospitals

NAME COUNTYFannin Regional Hospital FanninMountain Lakes Medical Center RabunChatuge Regional Hospital Inc TownsUnion General Hospital Union

Georgia Hospitals

NAME COUNTYPioneer Ambulatory Surgery Center AlamanceAsheville Eye Surgery Center BuncombeEndoscopy Center Of North Carolina, Llc BuncombeOrthopaedic Surgery Ctr BuncombeSurgery Ctr Of Morganton Eye Phys BurkeEye Surgery And Laser Clinic CabarrusGateway Surgery Center CabarrusThe Center Of Morehead City Llc CarteretGastroenterology Associates Pa CatawbaGraystone Eye Surgery Center Llc CatawbaViewmont Surgery Ctr Llc CatawbaCleveland Ambulatory Service ClevelandEye Surgery Ctr Of Shelby ClevelandCchc Endoscopy Center CravenFayetteville Ambulatory Surgical CumberlandSentara Kitty Hawk DareJames E Davis Ambulatory Surg Ctr DurhamPiedmont Endoscopy Center & Salem E ForsythPiedmont Outpatient Surgery Center ForsythPlastic Surgery Center Of N C ForsythWfubmc Endoscopy Center ForsythCaromont Endoscopy Center GastonCaromont Specialty Surgery GastonGreater Gaston Endoscopy Center GastonEagle Endoscopy Center GuilfordGreensboro Specialty Surgical Ctr GuilfordGuilford Endoscopy Center GuilfordHigh Point Endoscopy center Inc GuilfordHigh Point Surgery Center GuilfordLebauer Endoscopy Center GuilfordPiedmont Surgical Center GuilfordSurgical Center Of Greensboro GuilfordSurgical Center Of Greensboro Llc GuilfordSurgical Eye Center Of Greensboro GuilfordCarolina Mountain Gastro Center Llc HendersonIredell Head Neck & Ear IredellIredell Surgical Center Iredell

Piedmont Healthcare Endoscopy Ctr IredellThe Surgery Center At Edgewater LancasterWestern Carolina Endoscopy Center MaconCarolina Center For Specialty Surg MecklenburgCarolina Endoscopy Center Huntersville MecklenburgCarolina Endoscopy Ctr Pineville MecklenburgCarolina Endoscopy Ctr University MecklenburgCarolinas Gastroenterology Center-m MecklenburgCarolinas Gastroenterology Ctr-balle MecklenburgCharlotte Surgery Center MecklenburgEndoscopy Center At Lake Norman Ll C MecklenburgMallard Creek Surgery Center MecklenburgMatthews Surgery Center Llc MecklenburgNovant Health Ballantyne Outpatient MecklenburgPresb Surg Ctr At Huntersville MecklenburgSouthpark Surgery Center MecklenburgEye Surgery Center Of The Carolinas MooreSurgery Center Of Pinehurst MooreWilmington Surgcare New HanoverEast Carolina Gastro Endoscopy Ctr OnslowEast Carolina Endoscopy Center PittQuadrangle Endoscopy Ctr PittVidant Surgicenter PittRandolph Hlth Endoscopy Ctr RandolphThe Surgery Ctr At Se Health Park RobesonCarolina Endoscopy Ctr Monroe UnionUnion West Surgery Center UnionBlue Ridge Surgery Center WakeCapital City Surgery Center Llc WakeHolly Springs Surgery Center WakeRaleigh Orthopaedic Surgery Center WakeRaleigh Plastic Surgery Center WakeRex Surgery Center Of Cary WakeTriangle Orthopaedics Surg Ctr Llc WakeGoldsboro Endoscopy Center WayneC G S Endoscopy Center Pllc WilsonEastern Regional Surgical Center WilsonWilson Ob/gyn Pa Wilson

NC Ambulatory Surgery Centers

NAME COUNTYMary Black Health System Gaffney CherokeeBon Secours St Francis Surgery Center GreenvilleGHS Cancer Inst Andrews GreenvilleGHS Cancer Inst Eastside GreenvilleGHS Cardiovascular Svcs Simp GreenvilleGHS Center for Ped Med-West GreenvilleGHS Greenville Memorial Hospital GreenvilleGHS Greer Memorial Hospital GreenvilleGHS Int Med Subspec Clinic GreenvilleGHS Patewood Memorial Hospital GreenvilleGHS Patewood OP Center Bldg A GreenvilleGHS Surgery Orthopedics Clinic GreenvilleGHS Vascular Health Alliance GreenvilleGHS Womens-Childrens Program GreenvilleGHS Wonder Center Greenville

Institute of Vascular Health GreenvilleSt Francis Eastside GreenvilleSt Francis Hospital Inc GreenvilleGHS Diabetes Self Care Mgt Prog Greenville GHS Cancer Inst Seneca OconeeGHS Oconee Memorial Hospital OconeeAnmed Health Cannon PickensSpartanburg Hospital for Restorative CA SpartanburgSpartanburg Medical Center SpartanburgGibbs Infusion Center Northgrove SpartanburgAnticoagulation Clinic Northgrove SpartanburgGHS Cancer Inst Spartanburg SpartanburgMary Black Memorial Hospital SpartanburgBearden Josey Center for Breast Health SpartanburgPiedmont Medical Center York

South Carolina Hospitals

®, SM Marks of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.