05194 — Level 4 Endovascular Procedures
Cite this view
HANK Price Transparency. (n.d.). LEVEL 4 ENDOVASCULAR PROCEDURES (OTHER 05194) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/05194?code_type=OTHER
“LEVEL 4 ENDOVASCULAR PROCEDURES (OTHER 05194) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/05194?code_type=OTHER. Accessed .
“LEVEL 4 ENDOVASCULAR PROCEDURES (OTHER 05194) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/05194?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,119–$18,495 (25th–75th percentile) across 157 hospitals · 260 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 05194 — 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 | $2,412.57 | — | — | 2026-11-01 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | MEDICAID | MEDICAID | $8,865.87 | — | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | KID CARE CHIP WDH | KID CARE CHIP WDH | $8,865.87 | — | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | WYOMING CANCER PROGRAM | MEDICAID BCC/COLORECTAL | $8,865.87 | — | — | 2026-01-21 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE EAST OP | $11,199.86 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE WEST IP | $11,199.86 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE FOR LIFE IP | $11,199.86 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE FOR LIFE OP | $11,199.86 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE EAST IP | $11,199.86 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE WEST OP | $11,199.86 | — | — | 2026-02-02 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Humana Military | TRCR | $11,505.74 | — | — | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Humana Military | TRCR | $12,532.74 | — | — | 2024-10-01 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE EAST REGION | TRICARE EAST REGION | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRIWEST VA CCN CLAIMS | TRICARE VA CCN CLAIMS | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRIWEST VA CCN CLAIMS | TRICARE VA CCN CLAIMS | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | TRICARE HUMANA | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRIWEST | TRIWEST | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | TRICARE FOR LIFE | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | CHAMPVA IP | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | CHAMPVA IP | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | CHAMPVA OP | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | CHAMPVA OP | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | TRICARE HUMANA | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CHAMPVA | CHAMPVA | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | TRICARE FOR LIFE | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE EAST REGION | TRICARE WEST REGION | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | VETERAN'S ADMINISTRATION | VETERAN'S ADMINISTRATION | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE EAST REGION | TRICARE EAST REGION | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CHAMPVA | CHAMPVA | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE WEST REGION | TRICARE WEST REGION | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | VETERAN'S ADMINISTRATION | VETERAN'S ADMINISTRATION | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE WEST REGION | TRICARE WEST REGION | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRIWEST | TRIWEST | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE EAST REGION | TRICARE WEST REGION | $13,028.38 | — | — | 2025-05-06 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Health Net | TRICR | $13,039.84 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Health Net | TRICR | $13,039.84 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Health Net | TRICR | $13,039.84 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Health Net | TRICR | $13,056.88 | — | — | 2024-10-01 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | TRICARE | TRICARE EAST IP | $13,056.89 | — | — | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | TRICARE | TRICARE EAST OP | $13,056.89 | — | — | 2026-02-02 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | IHA ESSENTIAL PLANS | IHA ESSENTIAL PLANS | $13,072.12 | — | — | 2026-11-01 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | IHA MEDISOURCE | IHA MEDISOURCE | $13,072.12 | — | — | 2026-11-01 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | IHA ESSENTIAL PLANS | IHA ESSENTIAL PLANS | $13,072.12 | — | — | 2026-11-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Health Net | TRICR | $13,179.58 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Humana Military | TRCR | $13,411.90 | — | — | 2026-03-07 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE IP | $13,454.25 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE | TRICARE EAST IP | $13,454.25 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | CHAMPVA | CHAMPVA OP | $13,454.25 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE OP | $13,454.25 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE | TRICARE EAST OP | $13,454.25 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | CHAMPVA | CHAMPVA IP | $13,454.25 | — | — | 2026-06-19 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | AMERIGROUP OF TN | $13,587.77 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | BLUE CROSS OOS | CAH AMERIGROUP TN MCD | $13,587.77 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID FFS | TN FFS MEDICAID | $13,587.77 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CAH AMERIGROUP TN MCD | $13,587.77 | — | — | 2026-04-17 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MDOC MILLETTE ADMIN | MDOC MILLETTE ADMIN | $13,683.67 | — | — | 2026-09-28 | MRF ↗ |
| KERALTY HOSPITAL Both | LEON HEALTH HMO | LEON HEALTH HMO | $13,720.64 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | LEON HEALTH HMO | LEON HEALTH HMO | $13,720.64 | — | — | 2024-06-28 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Health Net | TRICR | $13,806.89 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Health Net | TRICR | $13,806.89 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Health Net | TRICR | $13,806.89 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Health Net | TRICR | $13,824.94 | — | — | 2024-10-01 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | TRUECARE MEDICAID | TRUECARE MEDICAID | $13,921.49 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | UHC CHIPS | UHC CHIPS | $13,921.49 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MOLINA | MOLINA | $13,921.49 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MEDICAID MS | MEDICAID MS | $13,921.49 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | UNITED MEDICAID | UNITED MEDICAID | $13,921.49 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MEDICAID PNDG | MEDICAID PNDG | $13,921.49 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MAGNOLIA MEDICAID | IP DOWNGRADE MAG MCD | $14,060.61 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MAGNOLIA CHIPS | MAGNOLIA CHIPS | $14,060.61 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MEDICAID | $14,060.61 | — | — | 2026-09-28 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Humana Military | TRCR | $14,143.44 | — | — | 2026-03-01 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CHAMPVA | CHAMPVA OP | $14,370.03 | — | — | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CHAMPVA | CHAMPVA IP | $14,370.03 | — | — | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | TRICARE | TRICARE FOR LIFE IP | $14,370.03 | — | — | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | TRICARE | TRICARE WEST IP | $14,370.03 | — | — | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CHRISTUS HEALTH PLAN | CHRISTUS HEALTH IP | $14,370.03 | — | — | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CHRISTUS HEALTH PLAN | US FAMILY HEALTH IP | $14,370.03 | — | — | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CHRISTUS HEALTH PLAN | CHRISTUS HEALTH OP | $14,370.03 | — | — | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | TRICARE | TRICARE FOR LIFE OP | $14,370.03 | — | — | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | TRICARE | TRICARE WEST OP | $14,370.03 | — | — | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CHRISTUS HEALTH PLAN | US FAMILY HEALTH OP | $14,370.03 | — | — | 2025-12-04 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | MANAGED CARE | US IMAGING MCARE OP | $14,506.86 | — | — | 2025-10-30 | MRF ↗ |
| KERALTY HOSPITAL Both | PREFERRED CARE NETWORK | PREFERRED CARE NETWORK | $14,527.73 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PREFERRED CARE NETWORK | PREFERRED CARE NETWORK | $14,527.73 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PREFERRED CARE MEDICARE | PREFERRED CARE PARTNERS | $14,527.73 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PREFERRED CARE MEDICARE | PREFERRED CARE PARTNERS | $14,527.73 | — | — | 2024-06-28 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | TRICARE | $14,610.44 | — | — | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Health Net | TRICR | $14,730.12 | — | — | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Humana | Tricare | $14,804.92 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Humana Military | TRCR | $14,880.76 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Humana Military | TRCR | $14,880.76 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Humana Military | TRCR | $14,900.21 | — | — | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Humana | Tricare | $14,913.82 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | TRICARE | $14,998.41 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | TRICARE | $14,998.41 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | TRICARE | $14,998.41 | — | — | 2025-01-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Humana Military | TRCR | $15,040.23 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Humana | Tricare | $15,088.20 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | TriAtlantic | TRICR | $15,200.15 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | TriAtlantic | TRICR | $15,200.15 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | TriAtlantic | TRICR | $15,200.15 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | TriAtlantic | TRICR | $15,200.15 | — | — | 2026-03-07 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED MEDICARE | AVMED MEDICARE | $15,334.83 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED MEDICARE | AVMED MEDICARE | $15,334.83 | — | — | 2024-06-28 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | IHA MEDISOURCE | IHA MEDISOURCE | $15,366.04 | — | — | 2026-11-01 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | IHA ESSENTIAL PLANS | IHA ESSENTIAL PLANS | $15,366.04 | — | — | 2026-11-01 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | IHA ESSENTIAL PLANS | IHA ESSENTIAL PLANS | $15,366.04 | — | — | 2026-11-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | HUMANA | TRICARE | $15,407.78 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | HUMANA | TRICARE | $15,407.78 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | TriWest Health Alliance | TRICARE | $15,462.28 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Value Options | TRICARE | $15,462.28 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | TriWest Health Alliance | TRICARE | $15,462.28 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $15,462.28 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $15,462.28 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $15,462.28 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $15,462.28 | — | — | 2025-01-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Johns Hopkins | UniformedServicesFamilyHealthPlan | $15,505.39 | — | — | 2024-10-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | TriAtlantic | TRICR | $15,527.77 | — | — | 2026-03-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | TriWest Health Alliance | TRICARE | $15,562.53 | — | — | 2025-01-01 | MRF ↗ |
| OVERLAND PARK REG MED CTR Outpatient | BCBS | TRICARE | $15,562.53 | — | — | 2025-01-01 | MRF ↗ |
| OVERLAND PARK REG MED CTR Outpatient | TriWest Health Alliance | TRICARE | $15,562.53 | — | — | 2025-01-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | BCBS | TRICARE | $15,562.53 | — | — | 2025-01-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Humana Military | TRICARE | $15,625.58 | — | — | 2024-10-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Humana | TRICARE | $15,641.28 | — | — | 2026-09-01 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Outpatient | Humana | TRICR | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Humana | TRICR | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Outpatient | Humana | TRICR | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Humana | TRICR | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ENGLEWOOD HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BRANDON HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Outpatient | Humana | TRICR | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH SHORE HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Humana | TRICR | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | Humana | TRICR | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA POINCIANA HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Outpatient | Humana | TRICR | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Outpatient | Humana | TRICR | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ST PETERSBURG HOSPITAL Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Humana | TRICARE | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | Humana | TRICR | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Humana | TRICR | $15,657.67 | — | — | 2024-10-01 | MRF ↗ |
| KERALTY HOSPITAL Both | BRIGHT HEALTH | BRIGHT HEALTH | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA MEDICARE | MOLINA MCARE | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | WEST GABLES REHAB | WEST GABLES REHAB | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HEALTHSUN | HEALTHSUN | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA MEDICARE | AETNA MEDICARE HMO | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SUREST | SUREST | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIGROUP MEDICARE | AMERIGROUP MCARE | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MMM OF FLORIDA | MMM OF FLORIDA | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | TRICARE CHAMPUS | CHAMPUS | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA HEALTHCARE PLUS | FLORIDA HEALTHCARE PLUS | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | TRICARE CHAMPUS | TRICARE-HUMANA MILITARY | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA HEALTHCARE PLUS | FLORIDA HEALTHCARE PLAN | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA PACE CENTERS | FLORIDA PACE CENTERS | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MEDICARE | MEDICARE PSYCH | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SOLIS HEALTH PLANS | SOLIS HEALTH PLANS | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SIMPLY HEALTHCARE MCARE | SIMPLY HLTH MCR | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICARE HMO | FLORIDA COMPLETE CARE | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | DOCTORS HEALTHCARE MCR | DOCTORS HEALTHCARE (MCR) | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AFFINITY HEALTH PLAN | AFFINITY HEALTH PLAN | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CAREPLUS MEDICARE | CAREPLUS | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | NEIGHBORHOOD MEDICARE | NHP MEDICARE HMO | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC COMMERCIAL | MISC COMMERCIAL | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA HEALTHCARE | MOLINA HEALHTCARE | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC COMMERCIAL | HOSPICE GENTIVA MCR | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC COMMERCIAL | SIERRA HLTH MCR HMO | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SUMMIT HEALTH MEDICARE | SUMMIT HLTH MCARE | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMBETTER HEALTH | AMBETTER SUNSHINE | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CARE IMPROVEMENT PLUS | CARE IMPROVEMENT PLUS/UHC | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA MEDICARE | HUMANA MCARE | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CENTURION OF FLORIDA | CENTURION OF FLORIDA | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HARVARD PILGRIM HEALTH | HARVARD PILGRIM HEALTH | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA HEALTHCARE | MOLINA HEALTHCARE | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MCS CLASSICARE MCR | MCS CLASSICARE MCR | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | OPTIMUN HEALTHCARE MCR | OPTIMUN HEALTHCARE MCR | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | LEON HEALTH HMO | LEON HEALTH HMO | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PROGRESSIVE COMMERICAL | PROGRESSIVE | $15,819.09 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | WELLCARE MEDICARE | WELLCARE MCARE | $15,819.09 | — | — | 2024-06-28 | 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.