0673T — Abltj B9 Thyr Ndul Perq Lasr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ABLTJ B9 THYR NDUL PERQ LASR (CPT 0673T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0673T?code_type=CPT
MLA (9th ed.)
“ABLTJ B9 THYR NDUL PERQ LASR (CPT 0673T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0673T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ABLTJ B9 THYR NDUL PERQ LASR (CPT 0673T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0673T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,646–$4,315 (25th–75th percentile) across 816 hospitals · 1,377 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 0673T — 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 |
|---|---|---|---|---|---|---|---|
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | VETERANS [99909] | UVA HB VETERANS CHOICE | $13.77 | $20,157.96 | $12,094.78 | 2026-03-24 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $32.48 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $32.48 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $32.48 | — | — | 2026-03-18 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $37.22 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $37.22 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $37.22 | — | — | 2026-03-18 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $40.52 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $40.52 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $40.52 | — | — | 2026-03-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $61.85 | $20,157.96 | $12,094.78 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $61.85 | $20,157.96 | $12,094.78 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $61.85 | $20,157.96 | $12,094.78 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $61.85 | $20,157.96 | $12,094.78 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | — | — | — | $66.91 | $65.57 | 2025-11-05 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $88.11 | — | — | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC PHCS PRIMARY | — | $1,398.00 | $908.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SAMC PHCS PRIMARY | — | $1,398.00 | $908.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $90.87 | $1,398.00 | $908.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $90.87 | $1,398.00 | $908.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC PHCS PRIMARY | — | $1,398.00 | $908.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $90.87 | $1,398.00 | $908.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $90.87 | $1,398.00 | $908.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SAMC PHCS PRIMARY | — | $1,398.00 | $908.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $1,569.00 | $1,019.85 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $1,569.00 | $1,019.85 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $1,569.00 | $1,019.85 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $101.99 | $1,569.00 | $1,019.85 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $101.99 | $1,569.00 | $1,019.85 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $101.99 | $1,569.00 | $1,019.85 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $1,569.00 | $1,019.85 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $101.99 | $1,569.00 | $1,019.85 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $101.99 | $1,569.00 | $1,019.85 | 2026-06-04 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $179.31 | $5,584.61 | $2,848.15 | 2025-01-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $209.70 | $1,398.00 | $908.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $209.70 | $1,398.00 | $908.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $209.70 | $1,398.00 | $908.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $209.70 | $1,398.00 | $908.70 | 2026-06-10 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $215.73 | $5,584.61 | $2,010.46 | 2026-09-19 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $235.35 | $1,569.00 | $1,019.85 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $235.35 | $1,569.00 | $1,019.85 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $239.51 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA CONTRACTED [320193] | HB ROGR HUMANA | — | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $253.72 | $5,584.61 | $2,010.46 | 2026-09-19 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $277.00 | — | — | 2026-07-29 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $277.00 | — | — | 2026-07-29 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $297.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $297.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $297.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $297.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | Premier | $300.00 | $11,266.69 | $11,266.69 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | Premier | $300.00 | $11,266.69 | $11,266.69 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | Premier | $300.00 | $10,150.17 | $10,150.17 | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | Premier | $300.00 | $11,266.69 | $11,266.69 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $316.14 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | Superior Health Plan | Medicaid | $316.14 | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $316.14 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | Superior Health Plan | Medicaid | $316.14 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC WOODARD | $329.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ROGR OK MANAGED MEDICAID | $329.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB ROGR OK MANAGED MEDICAID | $329.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC LACLEDE - NEW 07.01.25 | $329.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB ROGR DEC WOODARD | $329.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC TALL TREE | $329.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB ROGR OK MANAGED MEDICAID | $329.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC SCHAEFER QCG | $329.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC BARTEL | $329.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB ROGR DEC LEVEL HEALTH - NEW 01.01.26 | $329.00 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | United Healthcare | Medicaid/CHIP | $338.27 | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Medicaid/CHIP | $338.27 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Medicaid/CHIP | $338.27 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | Superior Health Plan | Medicaid | $344.88 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $352.04 | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $352.70 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | Medciare Advantage (MMG) | $359.61 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | NetworkBlue (MMG) | $365.46 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | PHS/PPC/HMO (MMG) | $365.46 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | HealthOptions (MMG) | $365.46 | — | — | 2025-10-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Medicaid/CHIP | $369.02 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | STAR+PLUS | $370.97 | — | — | 2026-08-17 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB ROGR PASSE EMPOWER | $377.19 | $1,316.00 | $855.40 | 2026-06-08 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Humana | HMO/PPO | $377.85 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $377.85 | — | — | 2025-10-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $379.65 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $379.65 | — | — | 2026-05-14 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | Superior Health Plan | Medicaid | $431.10 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | Superior Health Plan | Medicaid | $431.10 | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | Humana Military | TRICARE | — | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | Superior Health Plan | Medicaid | $431.10 | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Aetna Senior Health Plan | MCR | $432.00 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Aetna Senior Health Plan | MCR | $432.00 | — | — | 2026-03-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | Aetna | Medicaid | $439.72 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Medical Mutual of Ohio | Northern Ohio Commercial | $453.17 | $1,607.00 | $1,205.25 | 2025-05-16 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | Cook Children's Health Plan | Medicaid | $459.84 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $459.84 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | Superior Health Plan | Medicaid | $459.84 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Medicaid/CHIP | $461.27 | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Medicaid/CHIP | $461.27 | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Medicaid/CHIP | $461.27 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $463.24 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $463.24 | — | — | 2026-05-13 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Commercial | $467.96 | — | — | 2026-04-30 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | Aetna | Medicaid | $469.03 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | Aetna | Commercial | $475.00 | — | — | 2026-01-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | All Payor/Commercial | $477.00 | — | — | 2026-04-30 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Medicaid/CHIP | $492.03 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Molina Healthcare | Managed Medicaid | — | $2,750.00 | $687.50 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Point Comfort - Adult Refugee | Managed Medicaid | — | $2,750.00 | $687.50 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Wellpoint | Managed Medicaid/CHIP | — | $2,750.00 | $687.50 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield Star/CHIP | Managed Medicaid | — | $2,750.00 | $687.50 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Community First Health Plan | Commercial | $494.00 | $2,750.00 | $687.50 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Driscoll Health Plan | Managed Medicaid | — | $2,750.00 | $687.50 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | United Healthcare | Managed Medicaid | — | $2,750.00 | $687.50 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | First Care/Scott and White | Managed Medicaid | — | $2,750.00 | $687.50 | 2025-10-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Commercial | $495.20 | — | — | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Health Inc. Ppo/Pos | All Payor | $498.00 | — | — | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Verity Commercial And First Choice Network | All Payor | — | — | — | 2026-10-17 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $10,150.17 | $10,150.17 | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $11,266.69 | $11,266.69 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $11,266.69 | $11,266.69 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $11,266.69 | $11,266.69 | 2026-03-01 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Great West Network | All Plans | $501.55 | $5,584.61 | $2,010.46 | 2026-09-19 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $509.09 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $509.09 | — | — | 2026-05-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Medicaid/CHIP | $522.78 | $2,873.98 | $1,724.39 | 2026-06-29 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | PPO/Commercial | $525.00 | — | — | 2026-04-30 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | Superior Health Plan | Medicaid | $534.56 | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Aetna | Ppo | $536.00 | — | — | 2026-07-15 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Aetna | Ppo | $536.00 | — | — | 2026-07-17 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv Aetna | All Plans | $538.92 | $5,584.61 | $2,848.15 | 2025-01-10 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | Humana Military | TRICARE | — | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | Superior Health Plan | Medicaid | $546.06 | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare - Commercial Hmo Ppo | All Payor | $553.00 | — | — | 2026-10-17 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $554.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $554.00 | — | — | 2026-05-13 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | TRPN | All Plans | $558.46 | $5,584.61 | $2,848.15 | 2025-01-10 | MRF ↗ |
| Shepherd Center Outpatient | United Healthcare | Commercial | $567.00 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | United Healthcare | Commercial | $567.00 | — | — | 2026-09-21 | MRF ↗ |
| University Of Toledo Medical Center Both | [Anthem] | [Pathway Exchange] | $567.00 | — | — | 2026-07-15 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $569.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $569.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $569.00 | — | — | 2026-09-21 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $569.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $569.00 | — | — | 2026-09-21 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $569.00 | — | — | 2026-05-22 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | United Healthcare | Medicaid/CHIP | $571.92 | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | Superior Health Plan | Medicaid | $574.80 | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | Humana Military | TRICARE | — | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Superior Health Plan | Medicaid | $574.80 | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | Medicare Advantage - Aetna | All Plans | $577.72 | $5,584.61 | $2,904.00 | 2026-01-01 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $578.06 | — | — | 2026-02-13 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $578.84 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $578.84 | — | — | 2026-07-31 | MRF ↗ |
| ST CHARLES PARISH HOSPITAL Outpatient | Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | — | — | — | 2026-07-15 | MRF ↗ |
| ST CHARLES PARISH HOSPITAL Outpatient | Healthcomp & Personify Health (Formerly Gilsbar) | All Payor | — | — | — | 2026-07-15 | MRF ↗ |
| ST CHARLES PARISH HOSPITAL Outpatient | First Health Network | All Payor | — | — | — | 2026-07-15 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | First Health Network | All Payor | — | — | — | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Triwest Military � Tricare - Behavioral Health | All Payor | $583.29 | — | — | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | — | — | — | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Verity Commercial And First Choice Network | All Payor | — | — | — | 2026-07-31 | MRF ↗ |
| ST CHARLES PARISH HOSPITAL Outpatient | Galaxy Health Network Ppo | All Payor | — | — | — | 2026-07-15 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Cigna Healthcare | All Payor | — | — | — | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | — | — | — | 2026-07-31 | MRF ↗ |
| ST CHARLES PARISH HOSPITAL Outpatient | Zelis | All Payor | — | — | — | 2026-07-15 | MRF ↗ |
| ST CHARLES PARISH HOSPITAL Outpatient | Triwest Military � Tricare - Behavioral Health | All Payor | $583.29 | — | — | 2026-07-15 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Healthcomp & Personify Health (Formerly Gilsbar) | All Payor | — | — | — | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Usa Managed Care Network | All Payor | — | — | — | 2026-07-31 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Triwest Military � Tricare - Behavioral Health | All Payor | $583.29 | — | — | 2026-08-17 | MRF ↗ |
| ST CHARLES PARISH HOSPITAL Outpatient | Galaxy Health Network Wc | All Payor | — | — | — | 2026-07-15 | MRF ↗ |
| ST CHARLES PARISH HOSPITAL Outpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | — | — | — | 2026-07-15 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | United Healthcare | Medicaid/CHIP | $584.28 | $2,873.98 | $1,724.39 | 2026-06-13 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | United | TENNCARE | $592.00 | — | — | 2024-10-01 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $593.00 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $594.64 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $594.64 | — | — | 2026-05-13 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $596.21 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $596.21 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $596.21 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $596.21 | — | — | 2026-07-31 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Healthsync | $597.00 | — | — | 2026-07-17 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv Aetna | All Plans | $597.42 | $5,584.61 | $3,294.92 | 2025-01-10 | 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.