0036U — Xome Tum & Nml Spec Seq Alys
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Xome tum & nml spec seq alys (OTHER 0036U) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0036U?code_type=OTHER
MLA (9th ed.)
“Xome tum & nml spec seq alys (OTHER 0036U) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0036U?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Xome tum & nml spec seq alys (OTHER 0036U) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0036U?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,780–$8,045 (25th–75th percentile) across 640 hospitals · 509 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
| 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 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 PREFERRED | 2733_SPOK 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 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 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 ↗ |
| 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 ↗ |
| 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 NOWATA Both | BLUE CROSS BLUE SHIELD PREFERRED | 2735_NHOK BLUE CROSS BLUE SHIELD BLUE PREFERRED 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 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 ↗ |
| 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 NOWATA Both | BLUE CROSS BLUE SHIELD CHOICE | 2725_NHOK 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 ↗ |
| 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 JANE PHILLIPS Both | BLUE CROSS BLUE SHIELD CHOICE | 2726_JPOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $48.64 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2740_NHOK 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 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 ↗ |
| 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 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 ↗ |
| 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 ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | BLUE CROSS | BLUE CROSS | $86.01 | — | — | 2025-12-28 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Bluelincs | $217.63 | — | — | 2025-10-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Advantage | $217.63 | — | — | 2025-10-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Preferred | $270.27 | — | — | 2025-10-31 | 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 | 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 | 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 | AmeriHealth Caritas | 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 | 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 | Buckeye (Centene) | 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 | PARAMOUNT | 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 | Safe Program | 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 ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $550.66 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $572.11 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $572.11 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $572.11 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $583.01 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $583.01 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $597.03 | — | — | 2026-06-15 | 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 ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $608.62 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $608.62 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $608.62 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $614.42 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $620.21 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $620.21 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $637.60 | — | — | 2026-06-15 | 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 ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Molina | 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 | Anthem | 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 | Caresource | Medicaid | $687.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | AmeriHealth Caritas | Medicaid | $687.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Buckeye (Centene) | Medicaid | $687.71 | — | — | 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 | 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 | Buckeye (Centene) | 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 | Caresource | 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 | Safe Program | Medicaid | $700.56 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | PARAMOUNT | Medicaid | $700.56 | — | — | 2025-01-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER SOUTH OutpatientFacility | Blue Cross Blue Shield | All Products | $708.27 | — | — | 2025-12-30 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $721.34 | — | — | 2026-06-15 | 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 ↗ |
| 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 (Centene) | 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 | Anthem | 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 Community Health | 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 | Caresource | Medicaid | $748.94 | — | — | 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 ↗ |
| UNION HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $757.41 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $757.41 | — | — | 2026-06-15 | 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 ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | UHC | Managed Medicaid | $759.80 | — | — | 2026-04-01 | 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 ↗ |
| 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 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| UNION HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $771.83 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $771.83 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $793.47 | — | — | 2026-06-15 | 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 ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed 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 | MEDICAID | MEDICAID | $800.63 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | 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 | ICare | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $872.69 | — | — | 2025-07-22 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $1,032.38 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | UHC | Managed Medicaid - Non-Cap | $1,032.38 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Humana | Managed Medicaid - Non-Cap | $1,032.38 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Caresource | Managed Medicaid - Non-Cap | $1,032.38 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $1,032.38 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $1,032.38 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $1,032.38 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative | Badgercare | $1,033.04 | — | — | 2025-07-22 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $1,051.60 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $1,051.60 | — | — | 2025-12-23 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Daniel Memorial | Managed Medicaid | $1,168.25 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $1,168.25 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $1,168.25 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Daniel Memorial | Managed Medicaid | $1,168.25 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Nassaua County Sheriff's Office | Managed Medicaid | $1,168.25 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $1,168.25 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Daniel Memorial | Managed Medicaid | $1,168.25 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Humana | Managed Medicaid | $1,168.25 | — | — | 2026-02-06 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | Humana | MANAGED MEDICAID | $1,168.26 | — | — | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | Humana | MANAGED MEDICAID | $1,168.26 | — | — | 2026-03-31 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | BCBS OF NEBRASKA SELECT | ALL PRODUCTS | $1,199.81 | — | — | 2025-12-27 | 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.