01643 — Y90 Ibritumomab, Rx
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Y90 ibritumomab, rx (OTHER 01643) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/01643?code_type=OTHER
MLA (9th ed.)
“Y90 ibritumomab, rx (OTHER 01643) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/01643?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Y90 ibritumomab, rx (OTHER 01643) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/01643?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $55,120–$63,512 (25th–75th percentile) across 135 hospitals · 29 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 01643 — 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 |
|---|---|---|---|---|---|---|---|
| RUSSELLVILLE HOSPITAL Both | MMC MEDICARE MANAGED CARE | MMC BLUE ADVANTAGE | $30,841.52 | — | — | 2025-10-30 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICARE MANAGED CARE | DNU MMC BLUE ADVANTAGE | $30,841.52 | — | — | 2026-02-05 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | MMC MEDICARE MANAGED CARE | MMC MISC | $30,841.52 | — | — | 2025-10-30 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICARE MANAGED CARE | DNU MMC MISC | $30,841.52 | — | — | 2026-02-05 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICARE MANAGED CARE | DNU MMC HUMANA GOLD | $30,841.52 | — | — | 2026-02-05 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | KID CARE CHIP WDH | KID CARE CHIP WDH | $34,745.70 | — | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | WYOMING CANCER PROGRAM | MEDICAID BCC/COLORECTAL | $34,745.70 | — | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | MEDICAID | MEDICAID | $34,745.70 | — | — | 2026-01-21 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Humana Military | TRCR | $42,618.41 | — | — | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Humana Military | TRCR | $42,618.41 | — | — | 2026-03-07 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | TriAtlantic | TRICR | $48,300.87 | — | — | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | TriAtlantic | TRICR | $48,300.87 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | TriAtlantic | TRICR | $48,300.87 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | TriAtlantic | TRICR | $48,300.87 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | TriAtlantic | TRICR | $48,300.87 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Humana Military | TRCR | $49,107.43 | — | — | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Humana Military | TRCR | $49,107.43 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Health Net | TRICR | $51,142.10 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Health Net | TRICR | $51,142.10 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Health Net | TRICR | $51,142.10 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Health Net | TRICR | $51,142.10 | — | — | 2026-03-07 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Health Net | TRICR | $53,983.32 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Blue Shield | TRICARE | $53,983.32 | — | — | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Humana Military | TRCR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Humana Military | TRICR | $55,119.81 | — | — | 2026-09-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Outpatient | Humana | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Humana Military | CHAMPUS/TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-09-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Humana Military | TRICR | $55,119.81 | — | — | 2025-11-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Humana Military | TRCR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Humana Military | TRCR | $55,119.81 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Humana Military | TRCR | $55,119.81 | — | — | 2026-03-07 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Humana Military | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Outpatient | Humana | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | Humana | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA POINCIANA HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Humana Military | TRCR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | Humana | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Humana | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| FRANKFORT REGIONAL MEDICAL CENTER Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Humana Military | TRCR | $55,119.81 | — | — | 2026-03-07 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Humana | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Humana Military | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Humana Military | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| PALM BEACH GARDENS MEDICAL CENTER Outpatient | Humana | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Humana Military | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Outpatient | Humana | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Outpatient | Humana | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Humana Military | TRCR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Humana Military | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Humana Military | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Outpatient | Humana | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Humana | TRICR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Humana | TRICARE | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Humana | Tricare | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Health Net | TRICR | $55,655.09 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Health Net | TRICR | $55,655.09 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Health Net | TRICR | $55,655.09 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Health Net | TRICR | $55,655.09 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Health Net | TRICR | $55,655.09 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Humana | Tricare | $55,688.06 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Martin's Point Health | TRICR | $55,688.06 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Martin's Point Health | TRICR | $55,688.06 | — | — | 2025-11-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Martin's Point Health | TRICR | $55,688.06 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Martin's Point Health | TRICR | $55,688.06 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Martin's Point Health | TRICR | $55,688.06 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | Humana | TRICR | $56,256.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-05-14 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | TriWest Health Alliance | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Health Net | Tricare | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Health Net | Tricare | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Johns Hopkins | UniformedServicesFamilyHealthPlan | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | Tricare | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Sierra Military Health | TRICR | $56,824.55 | — | — | 2025-11-01 | MRF ↗ |
| Research Medical Center Outpatient | BCBS | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | TriWest Health Alliance | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | CareSource | Tricare | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Johns Hopkins | UniformedServicesFamilyHealthPlan | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | CareSource | Tricare | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Martin's Point Health | TRICR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY GREEN OAKS HOSPITAL Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Health Net | Tricare | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Health Net | Tricare | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Martin's Point Health | TRICR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Managed Health Network | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Johns Hopkins | UniformedServicesFamilyHealthPlan | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Health Net | Tricare | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | CareSource | Tricare | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Johns Hopkins | UniformedServicesFamilyHealthPlan | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Johns Hopkins | UniformedServicesFamilyHealthPlan | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Humana | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Outpatient | CareSource | Tricare | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Sierra Military Health | TRICR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Sierra Military Health | TRICR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Value Options | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | CareSource | Tricare | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Humana | TRICARE | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | CareSource | Tricare | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | CareSource | Tricare | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-03-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | TriWest Health Alliance | TRCR | $56,824.55 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Christus (USFHP) | TRICARE | $56,824.55 | — | — | 2026-09-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Martin's Point Health | TRICR | $56,824.55 | — | — | 2026-09-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Health Net | TRICR | $58,928.92 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Health Net | TRICR | $58,928.92 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Health Net | TRICR | $58,928.92 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Health Net | TRICR | $58,928.92 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Blue Shield | TRICARE | $62,202.75 | — | — | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Health Net | TRICR | $62,202.75 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Humana | TRICARE | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Outpatient | Humana | TRICR | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ENGLEWOOD HOSPITAL Outpatient | Humana | TRICARE | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Humana | TRICARE | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Humana | TRICARE | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | HUMANA | TRICARE | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Humana | TRICARE | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Humana Military | TRCR | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Humana | TRICR | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Humana | TRICR | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Humana Military | TRCR | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Humana | TRICARE | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Humana Military | TRCR | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Outpatient | Humana | TRICR | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | Humana | TRICR | $63,512.28 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Outpatient | Humana | TRICR | $63,512.28 | — | — | 2024-10-01 | 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.