0480 — Pm Device Program Eval
Cite this view
HANK Price Transparency. (n.d.). Pm Device Program Eval (OTHER 0480) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0480?code_type=OTHER
“Pm Device Program Eval (OTHER 0480) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0480?code_type=OTHER. Accessed .
“Pm Device Program Eval (OTHER 0480) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0480?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $113–$3,284 (25th–75th percentile) across 65 hospitals · 120 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0480 — 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 |
|---|---|---|---|---|---|---|---|
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Blue Hmo | $5.75 | $28.73 | $7.76 | 2026-05-08 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $5.75 | $28.73 | $7.76 | 2026-05-08 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Pa Health And Wellness | Managed Medicaid | $6.63 | $44.10 | $35.28 | 2026-05-08 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Medicare Advantage | $6.65 | $165.73 | $132.58 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $6.65 | $165.73 | $132.58 | 2026-05-06 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $6.65 | $165.73 | $132.58 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Medicare Advantage | $6.65 | $165.73 | $132.58 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Medicare Advantage | $6.65 | $165.73 | $132.58 | 2026-05-07 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $6.65 | $165.73 | $132.58 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $6.65 | $165.73 | $132.58 | 2026-05-07 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $6.65 | $165.73 | $132.58 | 2026-05-06 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $6.65 | $165.73 | $132.58 | 2026-05-07 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Mvp | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-06 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Mvp | Managed Medicaid | $7.72 | $70.56 | $35.28 | 2026-05-14 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Fidelis | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Fidelis | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-07 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Bcbs | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-06 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Bcbs | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-23 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Mvp | Managed Medicaid | $7.72 | $70.56 | $35.28 | 2026-05-23 | MRF ↗ |
| CORNING HOSPITAL Both | Bcbs | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Fidelis | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-08 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Bcbs | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-08 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | United Healthcare | Managed Medicaid | $7.72 | $70.56 | $35.28 | 2026-05-23 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Fidelis | Managed Medicaid | $7.72 | $70.56 | $35.28 | 2026-05-14 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | United Healthcare | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-06 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Fidelis | Managed Medicaid | $7.72 | $70.56 | $35.28 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Bcbs | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-07 | MRF ↗ |
| CORNING HOSPITAL Both | Fidelis | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-08 | MRF ↗ |
| CORNING HOSPITAL Both | United Healthcare | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-08 | MRF ↗ |
| CORNING HOSPITAL Both | Mvp | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-08 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Mvp | Essential | $7.72 | $70.56 | $35.28 | 2026-05-23 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Fidelis | Managed Medicaid | $7.72 | $70.56 | $56.45 | 2026-05-06 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | United Healthcare | Managed Medicaid | $7.72 | $70.56 | $35.28 | 2026-05-14 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Mvp | Essential | $7.72 | $70.56 | $35.28 | 2026-05-14 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Geisinger | Medicare Advantage | — | $51.45 | $41.16 | 2026-05-23 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $7.76 | $51.45 | $41.16 | 2026-05-06 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $7.76 | $51.45 | $41.16 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Geisinger | Medicare Advantage | — | $51.45 | $41.16 | 2026-05-07 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Medicare Advantage | $7.76 | $51.45 | $41.16 | 2026-05-07 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $7.76 | $51.45 | $41.16 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Health Partners | Medicare Advantage | — | $51.45 | $41.16 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Upmc | Medicare Advantage | — | $51.45 | $41.16 | 2026-05-07 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $7.76 | $51.45 | $41.16 | 2026-05-06 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Medicare Advantage | $7.76 | $51.45 | $41.16 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $7.76 | $51.45 | $41.16 | 2026-05-07 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $7.76 | $51.45 | $41.16 | 2026-05-07 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Medicare Advantage | $7.76 | $51.45 | $41.16 | 2026-05-06 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Upmc | Medicare Advantage | — | $51.45 | $41.16 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Health Partners | Medicare Advantage | — | $51.45 | $41.16 | 2026-05-07 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Emblem | Medicare Advantage | $7.94 | $44.10 | $35.28 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Health Partners | Medicare Advantage | $7.94 | $165.73 | $132.58 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $7.94 | $165.73 | $132.58 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Geisinger | Medicare Advantage | $8.05 | $165.73 | $132.58 | 2026-05-08 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Molina | — | $8.11 | $70.56 | $56.45 | 2026-05-23 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Bcbs | Managed Medicaid | $8.11 | $70.56 | $35.28 | 2026-05-23 | MRF ↗ |
| CORNING HOSPITAL Both | Cdphp | Managed Medicaid | $8.11 | $70.56 | $56.45 | 2026-05-08 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Molina | — | $8.11 | $70.56 | $56.45 | 2026-05-06 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Cdphp | Managed Medicaid | $8.11 | $70.56 | $56.45 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Cdphp | Managed Medicaid | $8.11 | $70.56 | $56.45 | 2026-05-07 | MRF ↗ |
| CORNING HOSPITAL Both | Molina | — | $8.11 | $70.56 | $56.45 | 2026-05-08 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Molina | — | $8.11 | $70.56 | $56.45 | 2026-05-07 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Bcbs | Managed Medicaid | $8.11 | $70.56 | $35.28 | 2026-05-14 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Molina | — | $8.11 | $70.56 | $56.45 | 2026-05-08 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Molina | — | $8.11 | $70.56 | $56.45 | 2026-05-08 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Molina | — | $8.11 | $70.56 | $35.28 | 2026-05-14 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Molina | — | $8.11 | $70.56 | $35.28 | 2026-05-23 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Cdphp | Managed Medicaid | $8.11 | $70.56 | $56.45 | 2026-05-06 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Cdphp | Managed Medicaid | $8.11 | $70.56 | $56.45 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Humana | Medicare Advantage | $8.22 | $165.73 | $132.58 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Upmc | Medicare Advantage | $8.33 | $165.73 | $132.58 | 2026-05-08 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $8.39 | $55.65 | $44.52 | 2026-05-07 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $8.39 | $55.65 | $44.52 | 2026-05-23 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $8.39 | $55.65 | $44.52 | 2026-05-06 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $8.39 | $55.65 | $44.52 | 2026-05-23 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $8.39 | $55.65 | $44.52 | 2026-05-06 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Medicare Advantage | $8.39 | $55.65 | $44.52 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Medicare Advantage | $8.39 | $55.65 | $44.52 | 2026-05-07 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $8.39 | $55.65 | $44.52 | 2026-05-07 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Medicare Advantage | $8.39 | $55.65 | $44.52 | 2026-05-06 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Cdphp | Managed Medicaid | $8.49 | $70.56 | $35.28 | 2026-05-14 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Cdphp | Managed Medicaid | $8.49 | $70.56 | $35.28 | 2026-05-23 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $8.73 | $165.73 | $132.58 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $8.73 | $165.73 | $132.58 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Medicare Advantage | $8.73 | $165.73 | $132.58 | 2026-05-08 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Mvp | Managed Medicaid | $8.91 | $90.10 | $45.05 | 2026-05-14 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Mvp | Essential | $8.91 | $90.10 | $45.05 | 2026-05-14 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Mvp | Essential | $8.91 | $90.10 | $45.05 | 2026-05-23 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | United Healthcare | Managed Medicaid | $8.91 | $90.10 | $45.05 | 2026-05-23 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Fidelis | Managed Medicaid | $8.91 | $90.10 | $45.05 | 2026-05-23 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Mvp | Managed Medicaid | $8.91 | $90.10 | $45.05 | 2026-05-23 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Fidelis | Managed Medicaid | $8.91 | $90.10 | $45.05 | 2026-05-14 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | United Healthcare | Managed Medicaid | $8.91 | $90.10 | $45.05 | 2026-05-14 | MRF ↗ |
| CORNING HOSPITAL Both | Fidelis | Managed Medicaid | $8.91 | $82.32 | $65.86 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Fidelis | Managed Medicaid | $8.91 | $82.32 | $65.86 | 2026-05-08 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Fidelis | Managed Medicaid | $8.91 | $82.32 | $65.86 | 2026-05-07 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Bcbs | Managed Medicaid | $8.91 | $82.32 | $65.86 | 2026-05-08 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Fidelis | Managed Medicaid | $8.91 | $82.32 | $65.86 | 2026-05-23 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Fidelis | Managed Medicaid | $8.91 | $82.32 | $65.86 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Tricare | Medicare Advantage | $9.26 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $9.26 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $9.26 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Medicare Advantage | $9.26 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Cdphp | Medicare Advantage | $9.26 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $9.26 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Highmark Wholecare Medicare Advantage | $9.26 | $165.73 | $132.58 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Mvp | Medicare Advantage | $9.26 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Icircle | Medicare Advantage | $9.26 | $165.73 | $132.58 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Emblem | Medicare Advantage | $9.26 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Health Partners | Medicare Advantage | $9.26 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Molina | — | $9.36 | $82.32 | $65.86 | 2026-05-23 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Bcbs | Managed Medicaid | $9.36 | $90.10 | $45.05 | 2026-05-23 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Molina | — | $9.36 | $90.10 | $45.05 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Cdphp | Managed Medicaid | $9.36 | $82.32 | $65.86 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Cdphp | Managed Medicaid | $9.36 | $82.32 | $65.86 | 2026-05-07 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Bcbs | Managed Medicaid | $9.36 | $90.10 | $45.05 | 2026-05-14 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Molina | — | $9.36 | $90.10 | $45.05 | 2026-05-14 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Molina | — | $9.36 | $82.32 | $65.86 | 2026-05-08 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Molina | — | $9.36 | $82.32 | $65.86 | 2026-05-07 | MRF ↗ |
| CORNING HOSPITAL Both | Molina | — | $9.36 | $82.32 | $65.86 | 2026-05-08 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Molina | — | $9.36 | $82.32 | $65.86 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Cdphp | Managed Medicaid | $9.36 | $82.32 | $65.86 | 2026-05-08 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Molina | — | $9.36 | $82.32 | $65.86 | 2026-05-06 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Geisinger | Medicare Advantage | $9.39 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Fidelis | Exchange | $9.44 | $44.10 | $22.05 | 2026-05-23 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Fidelis | Exchange | $9.44 | $44.10 | $22.05 | 2026-05-14 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Humana | Medicare Advantage | $9.59 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Upmc | Medicare Advantage | $9.72 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Cdphp | Managed Medicaid | $9.80 | $90.10 | $45.05 | 2026-05-23 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Cdphp | Managed Medicaid | $9.80 | $90.10 | $45.05 | 2026-05-14 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Tricare | Medicare Advantage | $10.02 | $55.65 | $44.52 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Mvp | Medicare Advantage | $10.02 | $55.65 | $44.52 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $10.02 | $55.65 | $44.52 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Emblem | Medicare Advantage | $10.02 | $55.65 | $44.52 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Health Partners | Medicare Advantage | $10.02 | $55.65 | $44.52 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $10.02 | $55.65 | $44.52 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Cdphp | Medicare Advantage | $10.02 | $55.65 | $44.52 | 2026-05-08 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $10.13 | $67.20 | $53.76 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $10.13 | $67.20 | $53.76 | 2026-05-23 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $10.13 | $67.20 | $53.76 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $10.13 | $67.20 | $53.76 | 2026-05-06 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $10.13 | $67.20 | $53.76 | 2026-05-07 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $10.13 | $67.20 | $53.76 | 2026-05-07 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Geisinger | Medicare Advantage | $10.16 | $55.65 | $44.52 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $10.19 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $10.19 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $10.23 | $33.00 | $8.91 | 2026-05-13 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $10.29 | $68.25 | $54.60 | 2026-05-07 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $10.29 | $68.25 | $54.60 | 2026-05-07 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $10.29 | $68.25 | $54.60 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $10.29 | $68.25 | $54.60 | 2026-05-23 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $10.29 | $68.25 | $54.60 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $10.29 | $68.25 | $54.60 | 2026-05-06 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Humana | Medicare Advantage | $10.37 | $55.65 | $44.52 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Upmc | Medicare Advantage | $10.52 | $55.65 | $44.52 | 2026-05-08 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Carolina Complete Health | Managed Medicaid | $10.60 | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Alliance | Managed Medicaid | $10.60 | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Carolina Complete Health | Managed Medicaid | $10.60 | $43.00 | $25.80 | 2026-05-24 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Wellcare | Managed Medicaid | $10.60 | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $10.60 | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Wellcare | Managed Medicaid | $10.60 | $43.00 | $25.80 | 2026-05-24 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Healthy Blue North Carolina | Managed Medicaid | $10.60 | $43.00 | $25.80 | 2026-05-24 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $10.60 | $43.00 | $25.80 | 2026-05-24 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $10.60 | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Alliance | Managed Medicaid | $10.60 | $43.00 | $25.80 | 2026-05-24 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $10.60 | $43.00 | $25.80 | 2026-05-24 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Healthy Blue North Carolina | Managed Medicaid | $10.60 | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $10.64 | $70.56 | $56.45 | 2026-05-07 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $10.64 | $70.56 | $56.45 | 2026-05-07 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $10.64 | $70.56 | $56.45 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $10.64 | $70.56 | $56.45 | 2026-05-23 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $10.64 | $70.56 | $56.45 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $10.64 | $70.56 | $56.45 | 2026-05-06 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Three Way Trillium | — | $10.67 | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Three Way Trillium | — | $10.67 | $43.00 | $25.80 | 2026-05-24 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Trillium | Managed Medicaid | $10.71 | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Trillium | Managed Medicaid | $10.71 | $43.00 | $25.80 | 2026-05-24 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Highmark Wholecare Medicare Advantage | $10.80 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Icircle | Medicare Advantage | $10.80 | $51.45 | $41.16 | 2026-05-08 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Health Choice | Managed Medicaid | $10.88 | $49.00 | $18.62 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Modivcare | Managed Medicaid | $10.88 | $49.00 | $18.62 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Carolina Complete Health | Managed Medicaid | $10.88 | $49.00 | $18.62 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Carolina Complete Health | Managed Medicaid | $10.88 | $49.00 | $18.62 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Health Choice | Managed Medicaid | $10.88 | $49.00 | $18.62 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Modivcare | Managed Medicaid | $10.88 | $49.00 | $18.62 | 2026-05-06 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Partners | Managed Medicaid | $10.92 | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Vaya Health | Managed Medicaid | $10.92 | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Partners | Managed Medicaid | $10.92 | $43.00 | $25.80 | 2026-05-24 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Vaya Health | Managed Medicaid | $10.92 | $43.00 | $25.80 | 2026-05-24 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $11.02 | $55.65 | $44.52 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $11.02 | $55.65 | $44.52 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Medicare Advantage | $11.02 | $55.65 | $44.52 | 2026-05-08 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Vaya Health | Managed Medicaid | $11.04 | $49.00 | $18.62 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Vaya Health | Tailored Plan | $11.04 | $49.00 | $18.62 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Vaya Health | Three Way | $11.04 | $49.00 | $18.62 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Vaya Health | Three Way | $11.04 | $49.00 | $18.62 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Vaya Health | Managed Medicaid | $11.04 | $49.00 | $18.62 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Vaya Health | Tailored Plan | $11.04 | $49.00 | $18.62 | 2026-05-06 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $11.08 | $73.50 | $58.80 | 2026-05-07 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $11.08 | $73.50 | $58.80 | 2026-05-07 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $11.08 | $73.50 | $58.80 | 2026-05-06 | 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.