05494 — Level 4 Intraocular Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LEVEL 4 INTRAOCULAR PROCEDURES (OTHER 05494) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/05494?code_type=OTHER
MLA (9th ed.)
“LEVEL 4 INTRAOCULAR PROCEDURES (OTHER 05494) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/05494?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“LEVEL 4 INTRAOCULAR PROCEDURES (OTHER 05494) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/05494?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12,706–$14,718 (25th–75th percentile) across 157 hospitals · 260 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 05494 — 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 | $1,909.10 | — | — | 2026-11-01 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | KID CARE CHIP WDH | KID CARE CHIP WDH | $6,268.10 | — | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | WYOMING CANCER PROGRAM | MEDICAID BCC/COLORECTAL | $6,268.10 | — | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | MEDICAID | MEDICAID | $6,268.10 | — | — | 2026-01-21 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Humana Military | TRCR | $8,134.46 | — | — | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Humana Military | TRCR | $8,860.55 | — | — | 2024-10-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE WEST OP | $8,912.44 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE FOR LIFE OP | $8,912.44 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE FOR LIFE IP | $8,912.44 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE WEST IP | $8,912.44 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE EAST IP | $8,912.44 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE EAST OP | $8,912.44 | — | — | 2026-02-02 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Health Net | TRICR | $9,219.06 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Health Net | TRICR | $9,219.06 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Health Net | TRICR | $9,219.06 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Health Net | TRICR | $9,231.10 | — | — | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Health Net | TRICR | $9,317.85 | — | — | 2024-10-01 | MRF ↗ |
| KERALTY HOSPITAL Both | LEON HEALTH HMO | LEON HEALTH HMO | $9,700.38 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | LEON HEALTH HMO | LEON HEALTH HMO | $9,700.38 | — | — | 2024-06-28 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Health Net | TRICR | $9,761.36 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Health Net | TRICR | $9,761.36 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Health Net | TRICR | $9,761.36 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Health Net | TRICR | $9,774.11 | — | — | 2024-10-01 | MRF ↗ |
| KERALTY HOSPITAL Both | PREFERRED CARE MEDICARE | PREFERRED CARE PARTNERS | $10,270.99 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PREFERRED CARE NETWORK | PREFERRED CARE NETWORK | $10,270.99 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PREFERRED CARE NETWORK | PREFERRED CARE NETWORK | $10,270.99 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PREFERRED CARE MEDICARE | PREFERRED CARE PARTNERS | $10,270.99 | — | — | 2024-06-28 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | TRICARE | $10,329.46 | — | — | 2024-10-01 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE EAST REGION | TRICARE EAST REGION | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE WEST REGION | TRICARE WEST REGION | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRIWEST | TRIWEST | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE EAST REGION | TRICARE WEST REGION | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CHAMPVA | CHAMPVA | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | VETERAN'S ADMINISTRATION | VETERAN'S ADMINISTRATION | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | CHAMPVA IP | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE EAST REGION | TRICARE WEST REGION | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRIWEST | TRIWEST | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | CHAMPVA OP | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | CHAMPVA IP | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE EAST REGION | TRICARE EAST REGION | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | TRICARE HUMANA | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRIWEST VA CCN CLAIMS | TRICARE VA CCN CLAIMS | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE WEST REGION | TRICARE WEST REGION | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | TRICARE HUMANA | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | CHAMPVA OP | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRIWEST VA CCN CLAIMS | TRICARE VA CCN CLAIMS | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | TRICARE FOR LIFE | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TRICARE HUMANA | TRICARE FOR LIFE | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | VETERAN'S ADMINISTRATION | VETERAN'S ADMINISTRATION | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CHAMPVA | CHAMPVA | $10,367.51 | — | — | 2025-05-06 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | TRICARE | TRICARE EAST IP | $10,390.20 | — | — | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | TRICARE | TRICARE EAST OP | $10,390.20 | — | — | 2026-02-02 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Health Net | TRICR | $10,414.07 | — | — | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Humana | Tricare | $10,466.95 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Humana Military | TRCR | $10,520.57 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Humana Military | TRCR | $10,520.57 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Humana Military | TRCR | $10,534.32 | — | — | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Humana | Tricare | $10,543.95 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | TRICARE | $10,603.76 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | TRICARE | $10,603.76 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | TRICARE | $10,603.76 | — | — | 2025-01-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Humana Military | TRCR | $10,613.04 | — | — | 2026-03-07 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Humana Military | TRCR | $10,633.31 | — | — | 2024-10-01 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE | TRICARE EAST IP | $10,646.56 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | CHAMPVA | CHAMPVA IP | $10,646.56 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE IP | $10,646.56 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | CHAMPVA | CHAMPVA OP | $10,646.56 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE OP | $10,646.56 | — | — | 2026-06-19 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE | TRICARE EAST OP | $10,646.56 | — | — | 2026-06-19 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Humana | Tricare | $10,667.23 | — | — | 2024-10-01 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | AMERIGROUP OF TN | $10,752.21 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | BLUE CROSS OOS | CAH AMERIGROUP TN MCD | $10,752.21 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID FFS | TN FFS MEDICAID | $10,752.21 | — | — | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CAH AMERIGROUP TN MCD | $10,752.21 | — | — | 2026-04-17 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED MEDICARE | AVMED MEDICARE | $10,841.60 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED MEDICARE | AVMED MEDICARE | $10,841.60 | — | — | 2024-06-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MDOC MILLETTE ADMIN | MDOC MILLETTE ADMIN | $10,888.97 | — | — | 2026-09-28 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | HUMANA | TRICARE | $10,893.17 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | HUMANA | TRICARE | $10,893.17 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Value Options | TRICARE | $10,931.71 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | TriWest Health Alliance | TRICARE | $10,931.71 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $10,931.71 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | TriWest Health Alliance | TRICARE | $10,931.71 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $10,931.71 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $10,931.71 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $10,931.71 | — | — | 2025-01-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Johns Hopkins | UniformedServicesFamilyHealthPlan | $10,962.18 | — | — | 2024-10-01 | MRF ↗ |
| OVERLAND PARK REG MED CTR Outpatient | TriWest Health Alliance | TRICARE | $11,002.58 | — | — | 2025-01-01 | MRF ↗ |
| OVERLAND PARK REG MED CTR Outpatient | BCBS | TRICARE | $11,002.58 | — | — | 2025-01-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | BCBS | TRICARE | $11,002.58 | — | — | 2025-01-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | TriWest Health Alliance | TRICARE | $11,002.58 | — | — | 2025-01-01 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MEDICAID MS | MEDICAID MS | $11,016.29 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MEDICAID PNDG | MEDICAID PNDG | $11,016.29 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | UNITED MEDICAID | UNITED MEDICAID | $11,016.29 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | UHC CHIPS | UHC CHIPS | $11,016.29 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MOLINA | MOLINA | $11,016.29 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | TRUECARE MEDICAID | TRUECARE MEDICAID | $11,016.29 | — | — | 2026-09-28 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Humana Military | TRICARE | $11,047.17 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Humana | TRICR | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Outpatient | Humana | TRICR | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Humana | TRICR | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Outpatient | Humana | TRICR | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Outpatient | Humana | TRICR | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BRANDON HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | Humana | TRICR | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Humana | TRICR | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA POINCIANA HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ST PETERSBURG HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Outpatient | Humana | TRICR | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Outpatient | Humana | TRICR | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Humana | TRICR | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | Humana | TRICR | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH SHORE HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ENGLEWOOD HOSPITAL Outpatient | Humana | TRICARE | $11,069.84 | — | — | 2024-10-01 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MEDICAID | $11,126.37 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MAGNOLIA MEDICAID | IP DOWNGRADE MAG MCD | $11,126.37 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | MAGNOLIA CHIPS | MAGNOLIA CHIPS | $11,126.37 | — | — | 2026-09-28 | MRF ↗ |
| KERALTY HOSPITAL Both | BRIGHT HEALTH | BRIGHT HEALTH | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | TRICARE CHAMPUS | CHAMPUS | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SUREST | SUREST | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICARE HMO | FLORIDA COMPLETE CARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | TRICARE CHAMPUS | TRICARE-HUMANA MILITARY | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | NEIGHBORHOOD MEDICARE | NHP MEDICARE HMO | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SUMMIT HEALTH MEDICARE | SUMMIT HLTH MCARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA MEDICARE | MOLINA MCARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PROGRESSIVE COMMERICAL | PROGRESSIVE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | LEON HEALTH HMO | LEON HEALTH HMO | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA HEALTHCARE PLUS | FLORIDA HEALTHCARE PLAN | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC COMMERCIAL | MISC COMMERCIAL | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC COMMERCIAL | HOSPICE GENTIVA MCR | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC COMMERCIAL | SIERRA HLTH MCR HMO | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CAREPLUS MEDICARE | CAREPLUS | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CARE IMPROVEMENT PLUS | CARE IMPROVEMENT PLUS/UHC | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA HEALTHCARE | MOLINA HEALHTCARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA HEALTHCARE | MOLINA HEALTHCARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA HEALTHCARE PLUS | FLORIDA HEALTHCARE PLUS | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | WELLCARE MEDICARE | WELLCARE MCARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HARVARD PILGRIM HEALTH | HARVARD PILGRIM HEALTH | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | BRIGHT HEALTH | BRIGHT HEALTH | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA MEDICARE | HUMANA MCARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AFFINITY HEALTH PLAN | AFFINITY HEALTH PLAN | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MCS CLASSICARE MCR | MCS CLASSICARE MCR | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | WEST GABLES REHAB | WEST GABLES REHAB | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | WELLCARE MEDICARE | WELLCARE MCARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CENTURION OF FLORIDA | CENTURION OF FLORIDA | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA MEDICARE | AETNA MEDICARE HMO | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SUREST | SUREST | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MMM OF FLORIDA | MMM OF FLORIDA | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | VITAL CARE RESEARCH | VITAL CARE RESEARCH | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA BEHAV MCR | MOLINA BEHAV MCR | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MERCURY INDEMNITY COMPANY | MERCURY INDEMNITY COMPANY | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | NAPHCARE (CORRECTIONS) | NAPHCARE -CORRECTIONS/FCI | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOMENT HOSPICE | MOMENT HOSPICE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CONTINENTAL ASSIST | CONTINENTAL ASSIST | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA PACE CENTERS | FLORIDA PACE CENTERS | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIGROUP MEDICARE | AMERIGROUP MCARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | STAYWELL MEDICARE | STAYWELL MCARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | WEST GABLES REHAB | WEST GABLES REHAB | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA HEALTHCARE PLUS | FLORIDA HEALTHCARE PLAN | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOMENT HOSPICE | MOMENT HOSPICE CARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNITED HLTH MCARE | UNITED MEDICARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | DOCTORS HEALTHCARE MCR | DOCTORS HEALTHCARE (MCR) | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SOLIS HEALTH PLANS | SOLIS HEALTH PLANS | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | TRICARE CHAMPUS | CHAMPUS | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA HEALTHCARE PLUS | FLORIDA HEALTHCARE PLUS | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | POSITIVE MCR | POSITIVE MCR | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | VA OFFICE OF COMMUNITY CA | VA OFFICE OF COMMUNITY CA | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MMM OF FLORIDA | MMM OF FLORIDA | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA BEHAV COMM | MOLINA BEHAV COMM | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | KINDRED HOSPITAL | KINDRED HOSPITAL | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | NEIGHBORHOOD MEDICARE | NHP MEDICARE HMO | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | KAISER PERMANTE MEDICARE | KAISER PERMANTE MEDICARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | OPTIMUN HEALTHCARE MCR | OPTIMUN HEALTHCARE MCR | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | WELLMED | WELLMED | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | LONGEVITY HEALTH PLAN | LONGEVITY HEALTH PLAN | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SUMMIT HEALTH MEDICARE | SUMMIT HLTH MCARE | $11,183.97 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SIMPLY HEALTHCARE MCARE | SIMPLY HLTH MCR | $11,183.97 | — | — | 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.