0242U — Trgt Gen Seq Alys Pnl 55-74
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TRGT GEN SEQ ALYS PNL 55-74 (HCPCS 0242U) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0242U?code_type=HCPCS
MLA (9th ed.)
“TRGT GEN SEQ ALYS PNL 55-74 (HCPCS 0242U) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0242U?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TRGT GEN SEQ ALYS PNL 55-74 (HCPCS 0242U) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0242U?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,000–$7,100 (25th–75th percentile) across 1,175 hospitals · 1,311 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0242U — 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 |
|---|---|---|---|---|---|---|---|
| LARKIN COMMUNITY HOSPITAL Outpatient | CIGNA PPO-ALL OTHER PLANS | CIGNA PPO-ALL OTHER PLANS | $21.50 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | HEALTHSUN-ALL PLANS | HEALTHSUN-ALL PLANS | $25.80 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | HUMANA HMO/PPO/POS-ALL OTHER PLANS | HUMANA HMO/PPO/POS-ALL OTHER PLANS | $25.80 | $86.00 | $60.20 | 2025-12-10 | 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 ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | STAR NETWORK-ALL PLANS | STAR NETWORK-ALL PLANS | $34.40 | $86.00 | $60.20 | 2025-12-10 | 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 ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | JMH HEALTH PLAN HMO/PPO-ALL OTHER PLANS | JMH HEALTH PLAN HMO/PPO-ALL OTHER PLANS | $47.30 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | 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 ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | HAA PREFERRED PARTNERS-ALL PLANS | HAA PREFERRED PARTNERS-ALL PLANS | $51.60 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | MAGELLAN HEALTHCARE-ALL PLANS | MAGELLAN HEALTHCARE-ALL PLANS | $51.60 | $86.00 | $60.20 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | GLOBAL EXCEL-ALL PLANS | GLOBAL EXCEL-ALL PLANS | $51.60 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | CIGNA BEHAV - ALL PLANS | CIGNA BEHAV - ALL PLANS | $60.20 | $86.00 | $60.20 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | MEDRISK MEDICARE ADVAN-ALL OTHER PLANS | MEDRISK MEDICARE ADVAN-ALL OTHER PLANS | $60.20 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | CORVEL MCARE WORKERS COMP-ALL PLANS | CORVEL MCARE WORKERS COMP-ALL PLANS | $77.40 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | SUNSHINE BEHAV COMM - ALL OTHER PLANS | SUNSHINE BEHAV COMM - ALL OTHER PLANS | $80.64 | $86.00 | $60.20 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | LONGEVITY MCR ADV-ALL PLANS | LONGEVITY MCR ADV-ALL PLANS | $80.64 | $86.00 | $60.20 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | CLEAR SPRING HEALTH-ALL PLANS | CLEAR SPRING HEALTH-ALL PLANS | $84.68 | $86.00 | $60.20 | 2025-12-16 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $85.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $85.89 | — | — | 2025-01-01 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | CENTURION-ALL PLANS | CENTURION-ALL PLANS | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | DOCTORS HEALTHCARE-ALL PLANS | DOCTORS HEALTHCARE-ALL PLANS | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | FLORIDA HEALTH SOLUTION/HMO-ALL PLANS | FLORIDA HEALTH SOLUTION/HMO-ALL PLANS | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | FIRST MED HP OF FL-ALL PLANS | FIRST MED HP OF FL-ALL PLANS | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | HUMANA MEDICARE | HUMANA MEDICARE | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | AETNA MEDICARE | AETNA MEDICARE | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | AETNA MCR ADV | AETNA MCR ADV | $86.00 | $86.00 | $60.20 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | CAREPLUS HEALTH-ALL OTHER PLANS | CAREPLUS HEALTH-ALL OTHER PLANS | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | AETNA COMMERCIAL-ALL OTHER PLANS | AETNA COMMERCIAL-ALL OTHER PLANS | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | COVENTRY/VISTA SUMMIT MEDICARE-ALL OTHER PLANS | COVENTRY/VISTA SUMMIT MEDICARE-ALL OTHER PLANS | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | BRIGHT HEALTH MEDICARE | BRIGHT HEALTH MEDICARE | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | CAREPLUS MEDICARE | CAREPLUS MEDICARE | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | SIMPLY HEALTHCARE MEDICARE-ALL OTHER PLANS | SIMPLY HEALTHCARE MEDICARE-ALL OTHER PLANS | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | AVMED-ALL PLANS | AVMED-ALL PLANS | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $86.00 | $86.00 | $60.20 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | COVENTRY COMML-ALL PLANS | COVENTRY COMML-ALL PLANS | $86.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $89.33 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $89.33 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $90.18 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $90.18 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $90.18 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $90.18 | — | — | 2025-01-01 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | FLORIDA PACE MEDICARE-ALL PLANS | FLORIDA PACE MEDICARE-ALL PLANS | $90.30 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $91.04 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $91.04 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | HMA MCR ADV | HMA MCR ADV | $92.74 | $86.00 | $60.20 | 2025-12-16 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $93.62 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $93.62 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $93.62 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $93.62 | — | — | 2025-01-01 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $100.00 | — | — | 2025-01-31 | 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 ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | BRIGHT HEALTH-ALL OTHER PLANS | BRIGHT HEALTH-ALL OTHER PLANS | $103.20 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $113.00 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $113.00 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $113.00 | — | — | 2026-03-18 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | BCBS NWB BLUE OPTIONS | BCBS NWB BLUE OPTIONS | $126.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $129.50 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $129.50 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $129.50 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Humana | Managed Medicaid | $136.17 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $136.17 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Molina | Managed Medicaid | $136.17 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Buckeye | Managed Medicaid | $136.17 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Anthem | Managed Medicaid | $136.17 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $136.17 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | CareSource | Managed Medicaid | $136.17 | — | — | 2025-07-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $141.00 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $141.00 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $141.00 | — | — | 2026-03-18 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | BCBS PPC/PPO-ALL OTHER PLANS | BCBS PPC/PPO-ALL OTHER PLANS | $149.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $161.69 | — | — | 2025-01-01 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | BCBS HMO HEALTH OPTIONS | BCBS HMO HEALTH OPTIONS | $162.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | UHC | Medicaid | $167.68 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | UHC | Medicaid | $167.68 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | UHC | Medicaid | $168.16 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Anthem | Medicaid | $169.29 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Molina | Medicaid | $169.29 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Anthem | Medicaid | $169.29 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Molina | Medicaid | $169.29 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Molina | Medicaid | $169.77 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Humana | Medicaid | $171.39 | — | — | 2025-01-01 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | BCBS PHS | BCBS PHS | $172.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | OSCAR HEALTH-ALL PLANS | OSCAR HEALTH-ALL PLANS | $172.00 | $86.00 | $60.20 | 2025-12-10 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Buckeye (Centene) | Medicaid | $172.52 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Caresource | Medicaid | $172.52 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | AmeriHealth Caritas | Medicaid | $172.52 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Caresource | Medicaid | $172.52 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | AmeriHealth Caritas | Medicaid | $172.52 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Buckeye (Centene) | Medicaid | $172.52 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Buckeye Community Health | Medicaid | $173.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Caresource | Medicaid | $173.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | AmeriHealth Caritas | Medicaid | $173.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Buckeye (Centene) | Medicaid | $173.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Safe Program | Medicaid | $176.24 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | PARAMOUNT | Medicaid | $176.24 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $183.07 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $183.07 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $190.39 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $190.39 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $192.22 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $192.22 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $194.05 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $194.05 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Caresource | Medicaid | $195.88 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Buckeye (Centene) | Medicaid | $195.88 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Buckeye Community Health | Medicaid | $195.88 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | AmeriHealth Caritas | Medicaid | $195.88 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Caresource | Medicaid | $195.88 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $195.88 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Buckeye Community Health | Medicaid | $195.88 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | AmeriHealth Caritas | Medicaid | $195.88 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $195.88 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Buckeye (Centene) | Medicaid | $195.88 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | PARAMOUNT | Medicaid | $199.55 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Safe Program | Medicaid | $199.55 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | PARAMOUNT | Medicaid | $199.55 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Safe Program | Medicaid | $199.55 | — | — | 2025-01-01 | 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 ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | FCC MEDICAID | FCC MEDICAID | $259.51 | $86.00 | $60.20 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | BSN MEDICAID-ALL PLANS | BSN MEDICAID-ALL PLANS | $259.51 | $86.00 | $60.20 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | SUNSHINE BEHAV MCAID | SUNSHINE BEHAV MCAID | $259.51 | $86.00 | $60.20 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | MIAMI CHILDRENS HP-ALL PLANS | MIAMI CHILDRENS HP-ALL PLANS | $259.51 | $86.00 | $60.20 | 2025-12-16 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $260.91 | — | — | 2026-03-18 | 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 ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | HMO | $321.27 | — | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLMARK BLUE CROSS | HMO | $321.27 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | HMO | $321.27 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | PPO | $352.76 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | PPO | $352.76 | — | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLMARK BLUE CROSS | PPO | $352.76 | — | — | 2025-06-04 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Traditional | $367.29 | — | — | 2025-10-31 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | MBH | $406.58 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | BCBS | MBH | $406.58 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | MBH | $406.58 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | EPO | $460.39 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | HPN | $460.39 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | HPN | $460.39 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | EPO | $460.39 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | BAV | $496.27 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | BCBS | BAV | $496.27 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | BAV | $496.27 | — | — | 2025-01-01 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $513.35 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $519.93 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $543.47 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Summacare | MEDICARE ADVANTAGE | $543.47 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $556.58 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $559.77 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | CARESOURCE | Managed Medicaid | $559.77 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $563.71 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $567.39 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $567.39 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $567.39 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $568.99 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $568.99 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | ANTHEM | Managed Medicaid | $570.64 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | MOLINA | Managed Medicaid | $570.64 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $572.79 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $574.65 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $574.65 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $574.65 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $578.20 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $578.20 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $580.13 | — | — | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $581.31 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $585.60 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $585.60 | — | — | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $588.29 | — | — | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $588.29 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $594.41 | — | — | 2025-06-28 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $595.00 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $595.00 | — | — | 2024-10-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | Managed Medicaid | $597.82 | — | — | 2025-06-28 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Indemnity/Traditional | $597.91 | — | — | 2025-10-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $597.91 | — | — | 2025-10-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | POS/PPO | $597.91 | — | — | 2025-10-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Essential | $597.91 | — | — | 2025-10-14 | 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 ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $602.02 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $605.74 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $616.91 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $616.91 | — | — | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $617.70 | — | — | 2025-06-28 | 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.