0274 — Guide Cmf Proplan Mand
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GUIDE CMF PROPLAN MAND (RC 0274) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0274?code_type=RC
MLA (9th ed.)
“GUIDE CMF PROPLAN MAND (RC 0274) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0274?code_type=RC. Accessed .
Chicago (notes-bibliography)
“GUIDE CMF PROPLAN MAND (RC 0274) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0274?code_type=RC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $64–$1,320 (25th–75th percentile) across 279 hospitals · 713 payers.
“Negotiated” is the hospital’s negotiated facility rate for this RC 0274 — 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 |
|---|---|---|---|---|---|---|---|
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Medicare | $0.17 | $0.57 | $0.40 | 2026-07-15 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | United Healthcare | Medicare | $0.19 | $0.57 | $0.40 | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.24 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.24 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Blue Choice Of Sc | Commercial | $0.35 | $0.57 | $0.40 | 2026-07-15 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Commercial | $0.40 | $0.57 | $0.40 | 2026-07-15 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Cigna | Commercial | $0.40 | $0.57 | $0.40 | 2026-07-15 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Medicare | $0.46 | $1.52 | $1.06 | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | Medicare Advantage | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | United Healthcare | Medicare | $0.50 | $1.52 | $1.06 | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | HMO | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | HMO | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Trillium | Managed Medicaid | $0.50 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Health Select | PPO | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | Medicare Advantage | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | United Healthcare | Managed Medicaid | $0.50 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Carolina Complete Health | Managed Medicaid | $0.50 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | 90 Degree Benefits | Commercial | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Amerihealth | Managed Medicaid | $0.50 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Health Select | PPO | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Bcbs | Managed Medicaid | $0.50 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | 90 Degree Benefits | Commercial | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Alliance Health | Managed Medicaid | $0.50 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Aetna | Medicare Advantage Hmo | $0.51 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Aetna | Medicare Advantage Ppo | $0.51 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Bcbs | Medicare Advantage/Medicare Advantage Hmo/Medicare Advantage Ppo | $0.54 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | Trillium | Managed Medicaid | $0.55 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $0.55 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $0.55 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Carolina Complete Health | Managed Medicaid | $0.55 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Bcbs | Medicare Advantage/Medicare Advantage Hmo/Medicare Advantage Ppo | $0.55 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | Alliance Health | Managed Medicaid | $0.55 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Bcbs | Managed Medicaid | $0.55 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $0.56 | $4.00 | $2.00 | 2026-04-08 | MRF ↗ |
| RIVER CREST HOSP OutpatientFacility | City of San Angelo | PPO | $0.56 | $4.00 | $2.00 | 2025-12-08 | MRF ↗ |
| SHANNON MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $0.56 | $4.00 | $2.00 | 2025-12-08 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Cigna | Commercial | $0.58 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Cigna | Commercial | $0.58 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Cigna | Connect | $0.81 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Aetna | Whole Health | $0.82 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | Cigna | Connect | $0.83 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Cigna | Connect | $0.92 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Blue Choice Of Sc | Commercial | $0.93 | $1.52 | $1.06 | 2026-07-15 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Medcost | Ultra | $0.94 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $496.50 | $407.13 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $496.50 | $407.13 | 2025-11-26 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | 90 Degree Benefits | Commercial | $1.00 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | Health Industry Trust and Welfare Plan | Unknown | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BCBS STAR/CHIP/STAR Kids | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | EPO/HMO/POS/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | ProAmerica PPO | PPO | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | BCBS HMO/Blue Essentials | HMO | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | Choice One Inc EPO/POS | EPO | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | ChoiceCare Network PPO, POS, Med Adv | Medicare Advantage | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | ProAmerica Medicaid | Medicaid | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | National Healthcare Alliance | Unknown | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Dual Managed Care | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Superior Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | BCBS Blue Advantage | Blue Advantage | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | USA Managed Care | Unknown | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | First Care Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BCBS STAR/CHIP/STAR Kids | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | First Care Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | Galaxy Health Network | Unknown | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | Medavant Healthcare Solutions | Unknown | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | GEHA | HMO/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | Choice One Inc PPO | PPO | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | BCBS PPO/Traditional | PPO | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Ambetter | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Amerigroup | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | Great West Healthcare of Texas | Unknown | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | Private Healthcare Systems | Unknown | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Amerigroup | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | Accountable Health Plans of America | PPO | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | GEHA | HMO/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | 90 Degree Benefits | Commercial | $1.00 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Community Health Choice | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Ambetter | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Dual Managed Care | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| RICE MEDICAL CENTER Inpatient | MedCorp Southwest | Unknown | — | $18.70 | — | 2025-06-27 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | EPO/HMO/POS/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Community Health Choice | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Superior Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | AlohaCare | Mcd HMO | $1.05 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Cigna | Commercial | $1.05 | $1.52 | $1.06 | 2026-07-15 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Medcost | — | $1.06 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Commercial | $1.07 | $1.52 | $1.06 | 2026-07-15 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | United Healthcare | Commercial | $1.09 | $1.52 | $1.06 | 2026-07-15 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Bcbs | Commercial/Hmo/Ppo/Select | $1.11 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | Kaiser | Mcd HMO | $1.17 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | Scott & White | HMO/PPO | $1.20 | $4.00 | $2.00 | 2026-04-08 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | Scott & White | HMO/PPO | $1.20 | $4.00 | $2.00 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | Scott & White | HMO/PPO | $1.20 | $4.00 | $2.00 | 2025-12-08 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | Ohana | Mcd HMO | $1.20 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Aetna | Commercial/Hmo/Ppo/Pos | $1.22 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Sentara | Optima | $1.37 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Gateway Health | — | $1.37 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $1.39 | $10.00 | $5.00 | 2026-04-08 | MRF ↗ |
| SHANNON MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $1.39 | $10.00 | $5.00 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP OutpatientFacility | City of San Angelo | PPO | $1.39 | $10.00 | $5.00 | 2025-12-08 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | United Healthcare Community Plan | Medicaid Managed Care Plan | $1.42 | $8.00 | $8.00 | 2026-04-24 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Medicare | $1.44 | $4.80 | $3.36 | 2026-07-15 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Cigna | Commercial/Hmo/Ppo | $1.46 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | Kaiser | McrAdv | $1.47 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | Humana | McrAdv | $1.47 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | HMSA | McrAdv | $1.47 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | Ohana | McrAdv | $1.47 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | UHC | McrAdv | $1.47 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | AlohaCare | McrAdv | $1.47 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Cigna | Commercial/Hmo/Ppo | $1.52 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | AmeriHealth | Medicare Advantage | $1.57 | $8.00 | $8.00 | 2026-04-24 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Wellpoint | Managed Medicaid | $1.57 | $8.00 | $8.00 | 2026-04-24 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | United Healthcare | Medicare | $1.58 | $4.80 | $3.36 | 2026-07-15 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Emblem | Medicare Advantage | $1.58 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | United Healthcare | Madicare Advantage | $1.58 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Champva | — | $1.58 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Martins Point | — | $1.58 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Tricare | — | $1.58 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Fidelis Care of New Jersey | Managed Medicaid | $1.60 | $8.00 | $8.00 | 2026-04-24 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Cdphp | Medicare Advantage | $1.63 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Mvp | Medicare Advantage | $1.63 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | UHA | PPO | $1.65 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | Managed Medicaid | $1.65 | $8.00 | $8.00 | 2026-04-24 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Todays Options | — | $1.66 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Wellcare | — | $1.66 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Blue Medicare Advantage | $1.66 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Highmark Medicare Advantage | $1.69 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Fidelis | Medicare Advantage | $1.69 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Aetna | Medicare Advantage | $1.69 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Horizon Blue Cross Blue Shield | Medicare and Braven Health | $1.71 | $8.00 | $8.00 | 2026-04-24 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Humana | Medicare Advantage | $1.71 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Essential | $1.75 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $1.75 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | WEB TPA | PPO | $1.80 | $4.00 | $2.00 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | WEB TPA | PPO | $1.80 | $4.00 | $2.00 | 2026-04-08 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | WEB TPA | PPO | $1.80 | $4.00 | $2.00 | 2025-12-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Anthem Medicare Advantage | $1.81 | $5.65 | $1.53 | 2026-05-08 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Humana | Choicecare | $1.87 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | United Healthcare | Commercial/Epo/Ppo | $1.90 | $2.20 | $0.59 | 2026-07-18 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $1.92 | $45.00 | $45.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $1.92 | $45.00 | $45.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.96 | $45.00 | $45.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.96 | $45.00 | $45.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $2.00 | $50.00 | $50.00 | 2026-06-24 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Blue Hmo | $2.10 | $10.50 | $2.84 | 2026-07-15 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $2.10 | $10.50 | $2.84 | 2026-07-15 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | HMAA | PPO | $2.10 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $2.14 | $50.00 | $50.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $2.16 | $50.00 | $50.00 | 2026-06-24 | MRF ↗ |
| MAD RIVER COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Managed Medicaid | $2.17 | $14.46 | $14.46 | 2025-07-22 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Fidelis Care of New Jersey | Medicare Advantage/Dual Plan | $2.35 | $8.00 | $8.00 | 2026-04-24 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Aetna | Medicare Advantage | $2.35 | $8.00 | $8.00 | 2026-04-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2.37 | $45.00 | $45.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2.37 | $45.00 | $45.00 | 2026-04-30 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | DMBA | PPO | $2.40 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | HMA | PPO | $2.40 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | WellCare Ambetter of New Jersey | Medicare Advantage | $2.40 | $8.00 | $8.00 | 2026-04-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.45 | $45.00 | $45.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.45 | $45.00 | $45.00 | 2026-04-30 | MRF ↗ |
| RIVER CREST HOSP OutpatientFacility | City of San Angelo | PPO | $2.50 | $18.00 | $9.00 | 2025-12-08 | MRF ↗ |
| SHANNON MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $2.50 | $18.00 | $9.00 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $2.50 | $18.00 | $9.00 | 2026-04-08 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | Assurant Health | PPO | $2.64 | $4.00 | $2.00 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | Assurant Health | PPO | $2.64 | $4.00 | $2.00 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | Aetna | PPO | $2.64 | $4.00 | $2.00 | 2026-04-08 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | Aetna | PPO | $2.64 | $4.00 | $2.00 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | Aetna | PPO | $2.64 | $4.00 | $2.00 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | Assurant Health | PPO | $2.64 | $4.00 | $2.00 | 2026-04-08 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Nebraska Total Care/Centene | Medicare Advantage | $2.70 | $5.00 | $5.00 | 2026-04-23 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.70 | $50.00 | $50.00 | 2026-06-24 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Midlands Choice | Medicare Advantage | $2.70 | $5.00 | $5.00 | 2026-04-23 | MRF ↗ |
| KAHUKU MEDICAL CENTER Both | Kaiser | PPO | $2.70 | $3.00 | $1.95 | 2024-06-28 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $2.70 | $5.00 | $5.00 | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $2.70 | $5.00 | $5.00 | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Nebraska | Medicare Advantage | $2.70 | $5.00 | $5.00 | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Medica | Medicare Advantage | $2.70 | $5.00 | $5.00 | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Nebraska | Medicare Advantage | $2.70 | $5.00 | $5.00 | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Medica | Medicare Advantage | $2.70 | $5.00 | $5.00 | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $2.70 | $5.00 | $5.00 | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Nebraska Total Care/Centene | Medicare Advantage | $2.70 | $5.00 | $5.00 | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $2.70 | $5.00 | $5.00 | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Midlands Choice | Medicare Advantage | $2.70 | $5.00 | $5.00 | 2026-04-23 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $2.78 | $20.00 | $10.00 | 2026-04-08 | MRF ↗ |
| SHANNON MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $2.78 | $20.00 | $10.00 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP OutpatientFacility | City of San Angelo | PPO | $2.78 | $20.00 | $10.00 | 2025-12-08 | MRF ↗ |
| SHANNON MEDICAL CENTER OutpatientFacility | Cigna | PPO | $2.88 | $4.00 | $2.00 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP OutpatientFacility | Cigna | PPO | $2.88 | $4.00 | $2.00 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER OutpatientFacility | Cigna | PPO | $2.88 | $4.00 | $2.00 | 2026-04-08 | 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.