05094 — Level 4 Breast/lymphatic Surgery And Related Proce
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LEVEL 4 BREAST/LYMPHATIC SURGERY AND RELATED PROCE (OTHER 05094) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/05094?code_type=OTHER
MLA (9th ed.)
“LEVEL 4 BREAST/LYMPHATIC SURGERY AND RELATED PROCE (OTHER 05094) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/05094?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“LEVEL 4 BREAST/LYMPHATIC SURGERY AND RELATED PROCE (OTHER 05094) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/05094?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13,309–$16,337 (25th–75th percentile) across 157 hospitals · 260 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 05094 — 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 |
|---|---|---|---|---|---|---|---|
| BERTRAND CHAFFEE HOSPITAL Both | NOVA HEALTHCARE | NOVA HEALTHCARE | $1,813.66 | — | — | 2026-11-01 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | WYOMING CANCER PROGRAM | MEDICAID BCC/COLORECTAL | $8,909.76 | — | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | KID CARE CHIP WDH | KID CARE CHIP WDH | $8,909.76 | — | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | MEDICAID | MEDICAID | $8,909.76 | — | — | 2026-01-21 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Humana Military | TRCR | $10,082.50 | — | — | 2026-03-07 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE OP | $10,114.33 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | CHAMPVA | CHAMPVA IP | $10,114.33 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE | TRICARE EAST OP | $10,114.33 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE | TRICARE EAST IP | $10,114.33 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | CHAMPVA | CHAMPVA OP | $10,114.33 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE IP | $10,114.33 | — | — | 2026-06-19 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CAH AMERIGROUP TN MCD | $10,214.71 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID FFS | TN FFS MEDICAID | $10,214.71 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | AMERIGROUP OF TN | $10,214.71 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | BLUE CROSS OOS | CAH AMERIGROUP TN MCD | $10,214.71 | — | — | 2026-04-17 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MOLINA | MOLINA | $10,465.58 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MEDICAID MS | MEDICAID MS | $10,465.58 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MEDICAID PNDG | MEDICAID PNDG | $10,465.58 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | UNITED MEDICAID | UNITED MEDICAID | $10,465.58 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | TRUECARE MEDICAID | TRUECARE MEDICAID | $10,465.58 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | UHC CHIPS | UHC CHIPS | $10,465.58 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MAGNOLIA CHIPS | MAGNOLIA CHIPS | $10,570.17 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MEDICAID | $10,570.17 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MAGNOLIA MEDICAID | IP DOWNGRADE MAG MCD | $10,570.17 | — | — | 2026-09-28 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Humana Military | TRCR | $10,632.44 | — | — | 2026-03-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE EAST OP | $10,851.60 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE FOR LIFE IP | $10,851.60 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE EAST IP | $10,851.60 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE WEST IP | $10,851.60 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE WEST OP | $10,851.60 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE FOR LIFE OP | $10,851.60 | — | — | 2026-02-02 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | TriAtlantic | TRICR | $11,426.83 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | TriAtlantic | TRICR | $11,426.83 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | TriAtlantic | TRICR | $11,426.83 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | TriAtlantic | TRICR | $11,426.83 | — | — | 2026-03-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | IHA MEDISOURCE | IHA MEDISOURCE | $11,551.53 | — | — | 2026-11-01 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | IHA ESSENTIAL PLANS | IHA ESSENTIAL PLANS | $11,551.53 | — | — | 2026-11-01 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | IHA ESSENTIAL PLANS | IHA ESSENTIAL PLANS | $11,551.53 | — | — | 2026-11-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Humana Military | TRCR | $11,562.69 | — | — | 2024-10-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | TriAtlantic | TRICR | $11,673.13 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Humana | TRICARE | $11,758.46 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | CAH CHAMPVA | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | CAH TRICARE EAST | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | TRIWEST | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | CHAMPUS | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | TRICARE EAST | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | CHAMPVA | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | BLUE CROSS OOS | BLUE CROSS FED EMPLOYEE | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | TRICARE FOR LIFE | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | CAH TRIWEST | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | CAH TRICARE PRIME | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | WELLPOINT GA | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | TRICARE PRIME | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | CAH TRICARE FOR LIFE | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS FED | $12,017.31 | — | — | 2026-04-17 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | INS MGT ADMIN OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | COMMERCIAL INSURANCE | ICE HEALTH IP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | COMMERCIAL INSURANCE | ICE HEALTH OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICARE WPS | MEDICARE WPS IP REHAB | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICARE WPS | MEDICARE WPS IP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICARE WPS | MEDICARE WPS PSYCH | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICARE WPS | MEDICARE WPS OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | COMMERCIAL INSURANCE | CHAMPVA IP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR HEALTHY BLUE DUAL OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR UHC OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | COMMERCIAL INSURANCE | CHAMPVA OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | VERITY IP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR PEOPLES HEALTH OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | VA CCN IP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR HMO MISC OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR UHC PSYCH | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | VA CCN OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR WELLCARE OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | COMMERCIAL INSURANCE | TPA IP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | TRICARE IP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | TRICARE FOR LIFE OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR WELLCARE IP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR HMO MISC PSYCH | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | TRICARE FOR LIFE IP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | DEACTIVATE VANTAGE MC OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR HMO MISC REHAB | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR HUMANA OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | TRICARE OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICARE WPS | MEDICARE WPS PT B IP ONLY | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR AETNA OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | BLUE CROSS | MCR BCBS ADVANTAGE OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | INS MGT ADMIN IP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | VERITY OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR PEOPLES HEALTH IP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | COMMERCIAL INSURANCE | TPA OP | $12,065.51 | — | — | 2026-09-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Health Net | TRICR | $12,099.00 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Health Net | TRICR | $12,099.00 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Health Net | TRICR | $12,099.00 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Health Net | TRICR | $12,099.00 | — | — | 2026-03-07 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | WELLPOINT GA | $12,377.82 | — | — | 2026-04-17 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Humana | TRICARE | $12,410.71 | — | — | 2026-03-01 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | MEDICARE | MEDICARE WPS OP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | TRIWEST | TRICARE WEST OP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | MEDICARE | MEDICARE WPS IP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | MEDICARE | MEDICARE WPS PT B IP ONLY | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | MEDICARE HMO | DOWNGRADE MEDICARE HMO | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | MEDICARE HMO | MCR HMO MISC OP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | TRIWEST | TRICARE WEST IP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | MEDICARE HMO | MCR HMO MISC IP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | GULF SOUTH RISK SERVICES | GULF SOUTH IP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | GULF SOUTH RISK SERVICES | GULF SOUTH OP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | TRICARE EAST | TRICARE EAST OP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | AETNA OP | MCR AETNA OP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | AETNA OP | MCR AETNA IP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | CHAMPVA | CHAMPVA IP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | VANTAGE MEDICARE | DEACTIVATE VANTAGE MCR | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | HEALTHY BLUE DUAL ADV | MCR HEALTHY BLUE DUAL IP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | TRICARE EAST | TRICARE EAST IP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | HEALTHY BLUE DUAL ADV | MCR HEALTHY BLUE DUAL OP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | MCR LAGNIAPPE | MCR LAGNIAPPE OP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | MCR LAGNIAPPE | MCR LAGNIAPPE IP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | UHC GROUP MEDICARE ADVANT | MCR UHC OP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | CHAMPVA | CHAMPVA OP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | HUMANA MEDICARE ADVANTAGE | MCR HUMANA IP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | VA CCN OPTUM | VA CCN OP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | UHC GROUP MEDICARE ADVANT | MCR UHC IP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | VA CCN OPTUM | VA CCN IP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | HUMANA MEDICARE ADVANTAGE | MCR HUMANA OP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | BLUE ADVANTAGE | MCR BCBS ADVANTAGE OP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| WINN PARISH MEDICAL CENTER Both | BLUE ADVANTAGE | MCR BCBS ADVANTAGE IP | $12,478.59 | — | — | 2026-04-23 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Humana Military | TRCR | $12,594.77 | — | — | 2024-10-01 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | CHAMPVA OP | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | CHAMPVA OP | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | TRICARE FOR LIFE | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | CHAMPVA IP | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE WEST REGION | TRICARE WEST REGION | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | TRICARE HUMANA | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | VETERAN'S ADMINISTRATION | VETERAN'S ADMINISTRATION | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE EAST REGION | TRICARE EAST REGION | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRIWEST VA CCN CLAIMS | TRICARE VA CCN CLAIMS | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE EAST REGION | TRICARE WEST REGION | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | CHAMPVA IP | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | TRICARE HUMANA | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRIWEST | TRIWEST | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CHAMPVA | CHAMPVA | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | TRICARE FOR LIFE | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE WEST REGION | TRICARE WEST REGION | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | VETERAN'S ADMINISTRATION | VETERAN'S ADMINISTRATION | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE EAST REGION | TRICARE EAST REGION | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRIWEST | TRIWEST | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE EAST REGION | TRICARE WEST REGION | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRIWEST VA CCN CLAIMS | TRICARE VA CCN CLAIMS | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CHAMPVA | CHAMPVA | $12,623.26 | — | — | 2025-05-06 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE HUMANA | MCR HUMANA IP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE HUMANA | MCR HUMANA OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | UNITED HEALTHCARE-UT | SPECIAL GUARANTOR | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE UHC MCR COMPLETE | DEACTIVATE UHC MCR COMPLE | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | VA | VA CCN OP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | HUMANA MEDICARE HMO | MCR HUMANA OP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | WELLCARE | MCR WELLCARE IP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | HUMANA MEDICARE HMO | MCR HUMANA IP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICARE HMO MISC | DOWNGRADE MCARE HMO PT B | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE PEOPLES HEALTH | MCR PEOPLES HEALTH OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | HEALTHY BLUE DUAL ADV | MCR HEALTHY BLUE DUAL IP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | HEALTHY BLUE DUAL ADV | MCR HEALTHY BLUE DUAL OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | WELLCARE | MCR WELLCARE OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICARE HMO MISC | MCR UHC OP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | BLUE CROSS ADVANTAGE | MCR BCBS ADVANTAGE IP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE MDG CARE MISC | MCR HMO MISC OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | ICE HEALTH SERVICE CORP | ICE HEALTH IP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE MDG CARE MISC | MCR HMO DOWNGRADE | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE MDG CARE MISC | MCR HMO MISC IP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | ICE HEALTH SERVICE CORP | ICE HEALTH OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE AETNA MGD CARE | MCR AETNA OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE BCBS ID#PMV-MDV | MCR BCBS ADVANTAGE OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE AETNA MGD CARE | MCR AETNA IP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE BCBS ID#PMV-MDV | MCR BCBS ADVANTAGE IP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE AMERIGROUP TX | MCR AMERIGROUP TX OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | VA | VA CCN IP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MCR LAGNIAPPE | MCR LAGNIAPPE IP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MCR LAGNIAPPE | MCR LAGNIAPPE OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | COMPASSIONATE CARE HOSPIC | HOS COMPASSIONATE CARE IP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | HARBOR HOSPICE | HARBOR HOSPICE OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | HARBOR HOSPICE | HARBOR HOSPICE IP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE UHC MCR ADV | MCR UHC OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE | TRICARE WEST IP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MUTUAL OF OMAHA | MUTUAL OF OMAHA OP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE AMERIGROUP TX | MCR AMERIGROUP TX IP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | COMPASSIONATE CARE HOSPIC | HOS COMPASSIONATE CARE OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE | TRICARE WEST OP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICARE HMO MISC | MCR AETNA IP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICARE HMO MISC | DOWNGRADE LOC IP TO OP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | BLUE CROSS ADVANTAGE | MCR BCBS ADVANTAGE OP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | LTU ATHLETICS | CORNERSTONE HOSPITAL IP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICARE | MEDICARE NOV IP REHAB | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICARE | MEDICARE NOV PT B IP ONLY | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MEDICARE PEOPLES HEALTH | MCR PEOPLES HEALTH IP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MCR AMERICAN HLTH ADV | MCR AMERICAN HLTH ADV OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICARE | MEDICARE NOV IP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | GOLDEN RULE | DEACTIVATE GOLDEN RULE | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | MCR AMERICAN HLTH ADV | MCR AMERICAN HLTH ADV IP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICARE | MEDICARE NOV OP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MUTUAL OF OMAHA | MUTUAL OF OMAHA IP | $12,642.92 | — | — | 2026-06-19 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | TRIWEST | TRICARE WEST OP | $12,642.92 | — | — | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | HEART OF HOSPICE | HEART OF HOSPICE IP | $12,642.92 | — | — | 2026-04-30 | 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.