0164U — Gastroenterology (irritable Bowel Syndrome [ibs]), Immunoassay For Anti-cdtb And Anti-vinculin Antibodies, Utilizing Plasma, Algorithm For Elevated Or Not Elevated Qualitative Results
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results (CPT 0164U) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0164U?code_type=CPT
MLA (9th ed.)
“Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results (CPT 0164U) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0164U?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results (CPT 0164U) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0164U?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $112–$134 (25th–75th percentile) across 745 hospitals · 861 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 0164U — 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 |
|---|---|---|---|---|---|---|---|
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $5.85 | — | — | 2026-03-18 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Aetna | Aetnacommercial | — | — | — | 2026-07-31 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Hmo | $6.91 | — | — | 2026-04-01 | MRF ↗ |
| University Of Toledo Medical Center Both | [Anthem] | [Hmo Ppo] | $6.91 | — | — | 2026-07-15 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Anthem | Blue Preferred/Blue Access | $6.91 | — | — | 2025-10-03 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Ppo | $6.91 | — | — | 2026-04-01 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemtraditional | $6.91 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthembluepos/Ppo | $6.91 | — | — | 2026-07-31 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Traditional | $6.91 | — | — | 2026-04-01 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Anthem Pathway | HMO/PPO | $6.91 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Anthem | Traditional | $6.91 | — | — | 2025-10-03 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthempathwayhmo/Hic/Tiered | $6.91 | — | — | 2026-07-31 | MRF ↗ |
| University Of Toledo Medical Center Both | [Anthem] | [Bcbs Traditional] | $6.91 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Anthem] | [Pathway Exchange] | $6.91 | — | — | 2026-07-15 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER, INC OutpatientFacility | Bcbs | Anthem Ppo | $7.22 | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER BRASELTON OutpatientFacility | Bcbs | Anthem Ppo | $7.22 | — | — | 2026-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | BCBS | MBH | $11.74 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | MBH | $11.74 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | MBH | $11.74 | — | — | 2025-01-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem Hmo | $12.09 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem Ppo | $12.09 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem Traditional | $12.09 | — | — | 2026-04-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United Healthcare | MGMCD | $13.00 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | EPO | $13.30 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | HPN | $13.30 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | HPN | $13.30 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | EPO | $13.30 | — | — | 2025-01-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $13.33 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $13.33 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Commercial (Granger) | $13.34 | — | — | 2026-09-21 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH OutpatientFacility | United Healthcare of Kansas | Managed Medicaid | $13.36 | — | — | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH OutpatientFacility | Aetna of Kansas | Managed Medicaid | $13.36 | — | — | 2025-09-26 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | United | KSMGMCD | $13.36 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | United | KSMGMCD | $13.36 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United Healthcare | MGMCD | $13.36 | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | United | KSMGMCD | $13.36 | — | — | 2026-03-01 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH OutpatientFacility | Sunflower of Kansas | Managed Medicaid | $13.36 | — | — | 2025-09-26 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | United | KSMGMCD | $13.36 | — | — | 2025-01-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | United | KSMGMCD | $13.36 | — | — | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Sunflower State Health Plan | MCD | $13.39 | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $13.52 | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Amerigroup | MCD | $13.52 | — | — | 2024-10-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $13.63 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $13.63 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $13.63 | — | — | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | HealthyBlue | MGMCD | $13.63 | — | — | 2025-01-01 | MRF ↗ |
| Research Medical Center Outpatient | HealthyBlue | MGMCD | $13.63 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Sunflower State Health Plan | MCD | $13.76 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Sunflower State Health Plan | MCD | $13.76 | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Sunflower State Health Plan | MCD | $13.76 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Sunflower State Health Plan | MCD | $13.76 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Sunflower State Health Plan | MCD | $13.76 | — | — | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Sunflower State Health Plan | MCD | $13.76 | — | — | 2025-01-01 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | Anthem Pathway of Kentucky | HMO/HPN | $13.82 | — | — | 2026-02-03 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | Ppo/Hmo | $13.82 | — | — | 2026-05-14 | MRF ↗ |
| UofL Health - South Hospital Outpatient | Anthem | Ky Pathway Ppo/Hmo | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center Northeast Outpatient | Anthem | Traditional | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center Southwest Outpatient | Anthem | Ppo/Hmo | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | Ky Pathway Ppo/Hmo | $13.82 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Pathway Ppo/Hmo | $13.82 | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Peace Hospital Outpatient | Anthem | Pathways Ppo/Hmo | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Peace Hospital Outpatient | Anthem | Commercial | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center Northeast Outpatient | Anthem | Ppo/Hmo | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | Anthem IN On Exchange | Commercial | $13.82 | — | — | 2026-02-09 | MRF ↗ |
| UofL Health - Medical Center Northeast Outpatient | Anthem | Ky Pathway Ppo/Hmo | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center Southwest Outpatient | Anthem | Ky Pathway Ppo/Hmo | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Anthem | Pathway Ppo/Hmo | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | Anthem KY Pathway | HPN/PPO | $13.82 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | Anthem | HMO/PPO/Traditional | $13.82 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | Anthem IN On Exchange | Commercial | $13.82 | — | — | 2026-02-13 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Traditional | $13.82 | — | — | 2026-08-01 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Pathway Ppo/Hmo | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | Anthem Blue Preferred/Blue Access | HMO/HIC/PPO | $13.82 | — | — | 2026-02-03 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | Traditional | $13.82 | — | — | 2026-05-14 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Anthem | Traditional | $13.82 | — | — | 2026-08-01 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Anthem | Traditional | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Anthem | Ppo/Hmo | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Anthem | Ky Pathway Ppo/Hmo | $13.82 | — | — | 2026-08-01 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Traditional | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | Anthem KY Pathway | HMO | $13.82 | — | — | 2026-02-09 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | Ky Pathway Ppo/Hmo | $13.82 | — | — | 2026-05-22 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | Anthem IN Off Exchange | Commercial | $13.82 | — | — | 2026-02-09 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | HMO | $13.82 | — | — | 2026-09-25 | MRF ↗ |
| UofL Health - Medical Center Southwest Outpatient | Anthem | Traditional | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $13.82 | — | — | 2025-04-24 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO OutpatientFacility | Blue Cross Blue Shield Pathway X | PPO | $13.82 | — | — | 2026-09-25 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | Anthem Blue Traditional | Commercial (Traditional) | $13.82 | — | — | 2026-02-03 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO OutpatientFacility | Blue Cross Blue Shield Pathway X | HMO | $13.82 | — | — | 2026-09-25 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | PPO | $13.82 | — | — | 2026-09-25 | MRF ↗ |
| FRANKFORT REGIONAL MEDICAL CENTER Outpatient | Anthem | Traditional/HMO/PPO | $13.82 | — | — | 2026-03-01 | MRF ↗ |
| FRANKFORT REGIONAL MEDICAL CENTER Outpatient | Anthem | PathwayHMO | $13.82 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | Ppo/Hmo | $13.82 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | Traditional | $13.82 | — | — | 2026-05-22 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $13.82 | — | — | 2025-04-24 | MRF ↗ |
| UofL Health - South Hospital Outpatient | Anthem | Ppo/Hmo | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Anthem | Ppo/Hmo | $13.82 | — | — | 2026-08-01 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | HealthLink | Commercial | $13.82 | — | — | 2026-02-03 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Pathway Ppo/Hmo | $13.82 | — | — | 2026-08-01 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $13.82 | — | — | 2026-06-03 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Ppo/Hmo | $13.82 | — | — | 2026-08-01 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Traditional | $13.82 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Ppo/Hmo | $13.82 | — | — | 2026-05-14 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $13.82 | — | — | 2026-06-03 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | Anthem KY Pathway | HMO | $13.82 | — | — | 2026-02-13 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Traditional | $13.82 | — | — | 2026-05-22 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | Anthem | HMO/PPO/Traditional | $13.82 | — | — | 2026-02-09 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Pathway Ppo/Hmo | $13.82 | — | — | 2026-05-14 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | Anthem IN Off Exchange | Commercial | $13.82 | — | — | 2026-02-13 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Ppo/Hmo | $13.82 | — | — | 2026-05-22 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | Anthem KY Pathway | HPN/PPO | $13.82 | — | — | 2026-02-09 | MRF ↗ |
| UofL Health - South Hospital Outpatient | Anthem | Traditional | $13.82 | — | — | 2026-07-15 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna Better Health | MCD | $13.89 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Unicare | MGMCD | $13.89 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Unicare | MGMCD | $13.89 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $13.89 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Amerigroup | MGMCD | $13.89 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Unicare | MGMCD | $13.89 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Amerigroup | MGMCD | $13.89 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Amerigroup | MGMCD | $13.89 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $13.89 | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Aetna Better Health | MCD | $13.89 | — | — | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Aetna Better Health | MCD | $13.89 | — | — | 2025-01-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Amerigroup | MCD | $13.89 | — | — | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Amerigroup | MGMCD | $13.89 | — | — | 2025-01-01 | MRF ↗ |
| Research Medical Center Outpatient | Amerigroup | MGMCD | $13.89 | — | — | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Unicare | MGMCD | $13.89 | — | — | 2025-01-01 | MRF ↗ |
| Research Medical Center Outpatient | Unicare | MGMCD | $13.89 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Home State Health Plan | MCD | $14.03 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Home State Health Plan | MCD | $14.03 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Home State Health Plan | MCD | $14.16 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | BAV | $14.33 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | BCBS | BAV | $14.33 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | BAV | $14.33 | — | — | 2025-01-01 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS OutpatientFacility | Aetna Better Health of Kansas | Medicaid (All Contracted Plans) | $15.36 | — | — | 2026-04-17 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedNonOptions | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Multiplan | BeechStreetWC | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedOptions | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Anthem | BlueCrossofGeorgia | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Medcost | MedCostPPO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedExchange | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Employers Choice Network | EmployersChoiceNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Encompass Health Lab | EncompassHealthLab | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Medical Development International | MedicalDevelopmentInternational | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Clover Insurance Co | CloverMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Memorial Health Partners/GHP | MemorialHealthPartnersGHP | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPAR | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Eon Health Medicare | EONHealthMedicare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Amerihealth | AmerihealthCaritasMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Aetna | AetnaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Amerihealth | SelectHealthPlan | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | AbsoluteMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| Research Medical Center Outpatient | Home State Health Plan | MCD | $16.17 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | United | MOMGMCD | $16.70 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $16.80 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $16.80 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $16.80 | — | — | 2026-03-01 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | POS/PPO | $17.27 | — | — | 2025-10-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Essential | $17.27 | — | — | 2025-10-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $17.27 | — | — | 2025-10-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Indemnity/Traditional | $17.27 | — | — | 2025-10-14 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | United Healthcare | UnitedExchange | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Life Care Center | LifeCareCenterManagedSNF | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Memorial Health Partners/GHP | MemorialHealthPartnersGHP | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | NHC Healthcare Of Bluffton Snf | NHCHealthcareBlufftonSNF | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Encompass Health Lab | EncompassHealthLab | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Hargray | Hargray | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Medical Savings PPO | MedicalSavingsPPO | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Fraser Health Center Managed | FraserHealthCenterManagedSNF | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Preferred Plan of Georgia | PreferredPlanofGeorgiaPPO | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | AllyAlign Health | AllyAlignHealthMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Align Network | AlignNetworkWC | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Broad Creek Care Center | BroadCreekCareCenter | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Clover Insurance Co | CloverMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Physician Care Network | PhysiciansCareNetworkAccess | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Eon Health Medicare | EONHealthMedicare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2024-12-08 | 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.