0686T — Histotripsy Mal Hepatcel Tis
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HISTOTRIPSY MAL HEPATCEL TIS (CPT 0686T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0686T?code_type=CPT
MLA (9th ed.)
“HISTOTRIPSY MAL HEPATCEL TIS (CPT 0686T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0686T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HISTOTRIPSY MAL HEPATCEL TIS (CPT 0686T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0686T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $14,501–$26,648 (25th–75th percentile) across 759 hospitals · 1,440 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 0686T — 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 |
|---|---|---|---|---|---|---|---|
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $25,318.00 | — | 2026-07-01 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $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 | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | 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 ↗ |
| 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 | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | 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 ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $61.85 | $60,671.14 | $36,402.68 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $61.85 | $60,671.14 | $36,402.68 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | — | — | — | $66.91 | $65.57 | 2025-11-05 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|PPO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|PPO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|Surefit | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|PPO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|HMO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|Surefit | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|HMO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|PPO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|PPO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|Surefit | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|HMO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|Surefit | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|HMO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|Surefit | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|HMO | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $43,822.00 | $15,337.70 | 2026-02-28 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | VISTA | COVENTRY MEDICAID | $167.89 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $184.45 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $184.45 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $189.99 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $189.99 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $189.99 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $189.99 | — | — | 2026-07-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Healthy Kids | $190.80 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $190.80 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $190.80 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Healthy Kids | $190.80 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Sunshine State | Medicaid HMO | $200.34 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Medicaid HMO | $200.34 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Medicaid HMO | $200.34 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Sunshine State | Medicaid HMO | $200.34 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Medicaid HMO | $200.34 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State | Medicaid HMO | $200.34 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Medicaid HMO | $200.34 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State | Medicaid HMO | $200.34 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Molina | Medicaid HMO | $206.06 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Molina | Healthy Kids | $206.06 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Molina | Healthy Kids | $206.06 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Molina | Medicaid HMO | $206.06 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina | Healthy Kids | $206.06 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina | Healthy Kids | $206.06 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina | Medicaid HMO | $206.06 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina | Medicaid HMO | $206.06 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care | Medicaid HMO | $209.88 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Community Care Plan | Medicaid HMO | $209.88 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan | Medicaid HMO | $209.88 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Florida Community Care | Medicaid HMO | $209.88 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Amerihealth Caritas | Medicaid HMO | $209.88 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Community Care Plan | Medicaid HMO | $209.88 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas | Medicaid HMO | $209.88 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care | Medicaid HMO | $209.88 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan | Medicaid HMO | $209.88 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Amerihealth Caritas | Medicaid HMO | $209.88 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Florida Community Care | Medicaid HMO | $209.88 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas | Medicaid HMO | $209.88 | — | — | 2026-06-30 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | AMERIGROUP | AMERIGROUP | $220.51 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| DOCTORS HOSPITAL Both | MEDICAID | SIMPLYHLTH MD HMO NC | $220.51 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| SOUTH MIAMI HOSPITAL Both | MEDICAID | SIMPLYHLTH MD HMO NC | $220.51 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| DOCTORS HOSPITAL Both | AMERIGROUP | AMERIGROUP | $220.51 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | MEDICAID | SIMPLYHLTH MD HMO NC | $220.51 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| WEST KENDALL BAPTIST HOSPITAL Both | MEDICAID | SIMPLYHLTH MD HMO NC | $220.51 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| WEST KENDALL BAPTIST HOSPITAL Both | AMERIGROUP | AMERIGROUP | $220.51 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| SOUTH MIAMI HOSPITAL Both | AMERIGROUP | AMERIGROUP | $220.51 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | MEDICAID | SIMPLYHLTH MD HMO NC | $227.47 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Both | UNITED HEALTHCARE | UNITED HEALTHY KIDS | $227.47 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Both | UNITED HEALTHCARE | UNITED MD HMO | $227.47 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Both | MEDICAID | SIMPLYHLTH MD HMO NC | $227.47 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Both | SUNSHINE STATE | SUNSHINE ST MD HMONC | $227.47 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | AMERIGROUP | AMERIGROUP | $227.47 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Both | AMERIGROUP | AMERIGROUP | $227.47 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Both | WELLCARE | WELL CARE MD HMONC | $227.47 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | UNITED HEALTHCARE | UNITED MD HMO | $231.54 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | WELLCARE | WELL CARE MD HMONC | $231.54 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| DOCTORS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHY KIDS | $231.54 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| SOUTH MIAMI HOSPITAL Both | WELLCARE | WELL CARE MD HMONC | $231.54 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| DOCTORS HOSPITAL Both | UNITED HEALTHCARE | UNITED MD HMO | $231.54 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| WEST KENDALL BAPTIST HOSPITAL Both | WELLCARE | WELL CARE MD HMONC | $231.54 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| WEST KENDALL BAPTIST HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHY KIDS | $231.54 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| SOUTH MIAMI HOSPITAL Both | UNITED HEALTHCARE | UNITED MD HMO | $231.54 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHY KIDS | $231.54 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| SOUTH MIAMI HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHY KIDS | $231.54 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| DOCTORS HOSPITAL Both | WELLCARE | WELL CARE MD HMONC | $231.54 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| WEST KENDALL BAPTIST HOSPITAL Both | UNITED HEALTHCARE | UNITED MD HMO | $231.54 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| SOUTH MIAMI HOSPITAL Both | SUNSHINE STATE | SUNSHINE ST MD HMONC | $233.74 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | SUNSHINE STATE | SUNSHINE ST MD HMONC | $233.74 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| DOCTORS HOSPITAL Both | SUNSHINE STATE | SUNSHINE ST MD HMONC | $233.74 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| WEST KENDALL BAPTIST HOSPITAL Both | SUNSHINE STATE | SUNSHINE ST MD HMONC | $233.74 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| DOCTORS HOSPITAL Both | AETNA | AETNA BETTER HEALTH MEDICAID | $238.15 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| DOCTORS HOSPITAL Both | AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $238.15 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $238.15 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| SOUTH MIAMI HOSPITAL Both | VISTA | COVENTRY MEDICAID | $238.15 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| WEST KENDALL BAPTIST HOSPITAL Both | AETNA | AETNA BETTER HEALTH MEDICAID | $238.15 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| SOUTH MIAMI HOSPITAL Both | AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $238.15 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| DOCTORS HOSPITAL Both | VISTA | COVENTRY MEDICAID | $238.15 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | AETNA | AETNA BETTER HEALTH MEDICAID | $238.15 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| WEST KENDALL BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $238.15 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| SOUTH MIAMI HOSPITAL Both | AETNA | AETNA BETTER HEALTH MEDICAID | $238.15 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| WEST KENDALL BAPTIST HOSPITAL Both | AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $238.15 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Both | AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $238.85 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Both | AETNA | AETNA BETTER HEALTH MEDICAID | $238.85 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Both | VISTA | COVENTRY MEDICAID | $238.85 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | UNITED HEALTHCARE | UNITED MD HMO | $238.85 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHY KIDS | $238.85 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | WELLCARE | WELL CARE MD HMONC | $238.85 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | SUNSHINE STATE | SUNSHINE ST MD HMONC | $241.12 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| SOUTH MIAMI HOSPITAL Both | MEDICAID | PRESTIGE MD HMO NC | $242.56 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| DOCTORS HOSPITAL Both | MEDICAID | PRESTIGE MD HMO NC | $242.56 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| WEST KENDALL BAPTIST HOSPITAL Both | MEDICAID | PRESTIGE MD HMO NC | $242.56 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | MEDICAID | PRESTIGE MD HMO NC | $242.56 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | AETNA | AETNA BETTER HEALTH MEDICAID | $245.67 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $245.67 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | MEDICAID | PRESTIGE MD HMO NC | $250.22 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Both | MEDICAID | PRESTIGE MD HMO NC | $250.22 | $24,107.00 | $15,669.55 | 2026-03-30 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $297.00 | $6,114.00 | $3,974.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $297.00 | $6,114.00 | $3,974.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $297.00 | $6,114.00 | $3,974.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $297.00 | $6,114.00 | $3,974.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $6,114.00 | $3,974.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $6,114.00 | $3,974.10 | 2026-06-08 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $316.09 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $318.07 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $318.07 | — | — | 2026-03-18 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Blue Lincs HMO | BCBS Blue Lincs HMO | $331.41 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Advantage PPO | BCBS Advantage PPO | $331.41 | — | — | 2026-08-30 | 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 ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $362.25 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $364.52 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $364.52 | — | — | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB ROGR PASSE EMPOWER | $377.19 | $6,114.00 | $3,974.10 | 2026-06-08 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $394.41 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $396.89 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $396.89 | — | — | 2026-03-18 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Preferred | BCBS Preferred | $402.23 | — | — | 2026-08-30 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS CONNCARE/QHP [8020] | BMC HB TUFTS SUBSIDIZED PLANS | $431.24 | $42,804.00 | $19,261.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,997.00 | $4,548.05 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $454.81 | $6,997.00 | $4,548.05 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,997.00 | $4,548.05 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,997.00 | $4,548.05 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,997.00 | $4,548.05 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $454.81 | $6,997.00 | $4,548.05 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $454.81 | $6,997.00 | $4,548.05 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $454.81 | $6,997.00 | $4,548.05 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $454.81 | $6,997.00 | $4,548.05 | 2026-06-04 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Anthem | PPO | $461.00 | — | — | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Anthem | PPO | $461.00 | — | — | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Anthem | HMO | $461.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Anthem | HMO | $461.00 | — | — | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Anthem | HMO | $461.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Anthem | HMO | $461.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Anthem | PPO | $461.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Anthem | PPO | $461.00 | — | — | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Anthem | PPO | $461.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Anthem | HMO | $461.00 | — | — | 2026-03-01 | MRF ↗ |
| ANDERSON HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $461.94 | — | — | 2025-01-21 | MRF ↗ |
| ANDERSON HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $461.94 | — | — | 2025-01-21 | MRF ↗ |
| ANDERSON HOSPITAL OutpatientFacility | Illinois Medicaid | Illinois Medicaid | $461.94 | — | — | 2025-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Choice | BCBS Choice | $473.44 | — | — | 2026-08-30 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $488.25 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $488.25 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $488.25 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $488.25 | — | — | 2026-05-14 | 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.