0036U — Xome Tum & Nml Spec Seq Alys
Cite this view
HANK Price Transparency. (n.d.). XOME TUM & NML SPEC SEQ ALYS (HCPCS 0036U) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0036U?code_type=HCPCS
“XOME TUM & NML SPEC SEQ ALYS (HCPCS 0036U) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0036U?code_type=HCPCS. Accessed .
“XOME TUM & NML SPEC SEQ ALYS (HCPCS 0036U) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0036U?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,780–$7,170 (25th–75th percentile) across 1,178 hospitals · 1,189 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0036U — 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 |
|---|---|---|---|---|---|---|---|
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $4.51 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $4.51 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $4.51 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $4.51 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $4.51 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $4.51 | — | — | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD CHOICE | 2724_OHOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $34.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2742_JPOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $34.74 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD CHOICE | 2724_OHOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $34.74 | — | — | 2026-01-01 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | BLUE CROSS | PLUS PMAP/MNCARE G | $37.76 | — | — | 2025-12-28 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD LINCS | 2728_SPOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD LINCS | 2731_MCOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | BLUE CROSS BLUE SHIELD CHOICE | 2726_JPOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD PREFERRED | 2734_OHOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD CHOICE | 2723_SPOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD PREFERRED | 2736_MCOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2739_OHOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD PREFERRED | 2733_SPOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | BLUE CROSS BLUE SHIELD LINCS | 2732_JPOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD PREFERRED | 2733_SPOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD LINCS | 2729_OHOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2738_SPOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD LINCS | 2728_SPOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD CHOICE | 2723_SPOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | BLUE CROSS BLUE SHIELD PREFERRED | 2737_JPOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD PREFERRED | 2734_OHOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2739_OHOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD LINCS | 2729_OHOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD PREFERRED | 2736_MCOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD LINCS | 2731_MCOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2738_SPOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2741_MCOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $52.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2741_MCOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $52.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD CHOICE | 2727_MCOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $52.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD CHOICE | 2727_MCOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $52.11 | — | — | 2026-01-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Cigna | Medicare Advantage | $68.00 | — | — | 2025-10-24 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | BLUE CROSS | BLUE CROSS | $86.01 | — | — | 2025-12-28 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | — | — | 2026-02-06 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | — | — | 2026-02-05 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $100.00 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $100.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $100.00 | — | — | 2025-01-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $108.03 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $108.03 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $108.03 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $123.80 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $123.80 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $123.80 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $134.80 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $134.80 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $134.80 | — | — | 2026-03-18 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Advantage | $217.63 | — | — | 2025-10-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Bluelincs | $217.63 | — | — | 2025-10-31 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $220.01 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $220.01 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $220.01 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $220.01 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $220.01 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $220.01 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | National Transplant | $220.01 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $220.01 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $223.97 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $223.97 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $223.97 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $223.97 | — | — | 2026-02-06 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $223.97 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $223.97 | — | — | 2026-02-06 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $223.97 | — | — | 2026-02-05 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $249.43 | — | — | 2026-03-18 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Preferred | $270.27 | — | — | 2025-10-31 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $281.76 | — | — | 2026-01-28 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $282.90 | — | — | 2026-01-29 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Choice | $319.13 | — | — | 2025-10-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Traditional | $367.29 | — | — | 2025-10-31 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $452.35 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $452.35 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $470.44 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $470.44 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $474.97 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $474.97 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $474.97 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $474.97 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $479.49 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $479.49 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $493.06 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $493.06 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $493.06 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $493.06 | — | — | 2025-01-01 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | BCBSAL | All Products | $515.81 | — | — | 2026-04-10 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | BCBSAL | All Products | $515.81 | — | — | 2026-04-10 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $568.82 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $568.82 | — | — | 2024-10-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Buckeye | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Humana | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | CareSource | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Molina | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Anthem | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER EAST OutpatientFacility | Blue Cross Blue Shield | All Products | $598.02 | — | — | 2025-12-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER EAST OutpatientFacility | Blue Cross Blue Shield | All Products | $598.02 | — | — | 2025-12-30 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $642.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | UHC | Medicaid | $668.43 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | UHC | Medicaid | $670.37 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | UHC | Medicaid | $670.37 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Molina | Medicaid | $674.86 | — | — | 2025-01-01 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $676.78 | — | — | 2026-01-28 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Anthem | Medicaid | $676.82 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Molina | Medicaid | $676.82 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Anthem | Medicaid | $676.82 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Molina | Medicaid | $676.82 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Humana | Medicaid | $681.28 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Buckeye Community Health | Medicaid | $687.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Buckeye (Centene) | Medicaid | $687.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Caresource | Medicaid | $687.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | AmeriHealth Caritas | Medicaid | $687.71 | — | — | 2025-01-01 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $688.96 | — | — | 2026-01-28 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Caresource | Medicaid | $689.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Buckeye (Centene) | Medicaid | $689.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | AmeriHealth Caritas | Medicaid | $689.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | AmeriHealth Caritas | Medicaid | $689.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Caresource | Medicaid | $689.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Buckeye (Centene) | Medicaid | $689.71 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $699.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $699.94 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | PARAMOUNT | Medicaid | $700.56 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Safe Program | Medicaid | $700.56 | — | — | 2025-01-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER SOUTH OutpatientFacility | Blue Cross Blue Shield | All Products | $708.27 | — | — | 2025-12-30 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $717.00 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $717.00 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $717.00 | — | — | 2026-03-01 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | HMO | $724.17 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | HMO | $724.17 | — | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLMARK BLUE CROSS | HMO | $724.17 | — | — | 2025-06-04 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $727.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $727.94 | — | — | 2025-01-01 | MRF ↗ |
| PRATTVILLE BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | All Products | $732.20 | — | — | 2025-12-30 | MRF ↗ |
| PRATTVILLE BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | All Products | $732.20 | — | — | 2025-12-30 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $734.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $734.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $741.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $741.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Buckeye Community Health | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | AmeriHealth Caritas | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Buckeye (Centene) | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Caresource | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Buckeye (Centene) | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Caresource | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | AmeriHealth Caritas | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Buckeye Community Health | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid | $759.80 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $759.80 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | UHC | Managed Medicaid | $759.80 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $759.80 | — | — | 2026-04-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Safe Program | Medicaid | $762.93 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | PARAMOUNT | Medicaid | $762.93 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | PARAMOUNT | Medicaid | $762.93 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Safe Program | Medicaid | $762.93 | — | — | 2025-01-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Humana | Managed Medicaid | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | PPO | $795.15 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | PPO | $795.15 | — | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLMARK BLUE CROSS | PPO | $795.15 | — | — | 2025-06-04 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $800.63 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $800.63 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $800.63 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $800.63 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $816.64 | — | — | 2025-07-22 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $822.16 | — | — | 2026-03-31 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.