0804 — Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (ccpd)
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (CCPD) (RC 0804) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0804?code_type=RC
MLA (9th ed.)
“Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (CCPD) (RC 0804) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0804?code_type=RC. Accessed .
Chicago (notes-bibliography)
“Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (CCPD) (RC 0804) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0804?code_type=RC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $598–$1,501 (25th–75th percentile) across 63 hospitals · 190 payers.
“Negotiated” is the hospital’s negotiated facility rate for this RC 0804 — 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 |
|---|---|---|---|---|---|---|---|
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $9.39 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $9.39 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $9.57 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $9.57 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $9.68 | $242.00 | $242.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $10.33 | $242.00 | $242.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $10.45 | $242.00 | $242.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $11.57 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $11.57 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $11.97 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $11.97 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $13.07 | $242.00 | $242.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Cigna | Local Plus | $20.91 | $242.00 | $242.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Omnia | $23.78 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Omnia | $23.78 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Omnia | $24.13 | $242.00 | $242.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Indemnity | $26.42 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Managed Care | $26.42 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Managed Care | $26.42 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | PPO | $26.42 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Indemnity | $26.42 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | PPO | $26.42 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Managed Care | $26.81 | $242.00 | $242.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Indemnity | $28.94 | $242.00 | $242.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | PPO | $28.94 | $242.00 | $242.00 | 2026-05-15 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Humana ChoiceCare | Commercial | $36.66 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Coventry | Commercial | $36.66 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Commercial | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | St. Lawrence-Lewis Program/STLLC | School Employee Program | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Commercial | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Managed Medicaid | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Commercial | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Fidelis | Managed Medicaid | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Beacon Health Options | Behavioral Health/All Products | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Telemedicine Program | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Managed Medicaid | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Group Commercial | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Medicare Advantage | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Fidelis | Medicare Advantage | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Department of Correctional Services DOCCCS | Managed Medicaid | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Managed Medicaid | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Logistic Health Inc. | Commercial | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Nascentia/VNA Homecare Options Inc. | Medicare Advantage/Medicaid Long Term Care | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Essential Medicaid 1-2/5-6 | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Medicare Advantage | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Essential Medicaid 3-4 | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Medicare Advantage | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Individual Commercial | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Emblem/GHI | Commercial | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Medicare Advantage | — | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Commercial | $40.32 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $53.08 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $53.08 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $54.07 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $54.07 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $54.68 | $1,367.00 | $1,367.00 | 2026-05-15 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Blue Cross Blue Shield/Excellus | Managed Medicaid | $54.99 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $58.37 | $1,367.00 | $1,367.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $59.05 | $1,367.00 | $1,367.00 | 2026-05-15 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | HMO/PPO/POS/EPO | — | — | — | 2025-10-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Cigna | Managed Care/PPO | $62.17 | $242.00 | $242.00 | 2026-05-15 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | SD Exchange True | $64.54 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | SD Exchange True | $65.07 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $65.38 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $65.38 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $67.62 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $67.62 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | Group Health/True | $73.59 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $73.82 | $1,367.00 | $1,367.00 | 2026-05-15 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | Group Health/True | $74.19 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | SD Exchange Commercial | $75.93 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | SD Exchange Commercial | $76.56 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Wellcare | Medicare Advantage | $80.65 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Health Partners | State Employees | $81.74 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Health Partners | State Employees | $82.41 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna | Commercial | $85.91 | $242.00 | $242.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $86.02 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $86.02 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | Commercial/ND Pers | $86.57 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | Commercial/ND Pers | $87.28 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Health Partners | Commercial | $95.16 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Multiplan/PHCS | Commercial | $95.31 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Health Partners | Commercial | $95.94 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $108.16 | $2,533.00 | $2,533.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $108.16 | $2,533.00 | $2,533.00 | 2026-04-30 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | Commercial | $109.80 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $109.80 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | State Employees | $109.80 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $110.19 | $2,533.00 | $2,533.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $110.19 | $2,533.00 | $2,533.00 | 2026-04-30 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $110.70 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | Commercial | $110.70 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | State Employees | $110.70 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $111.44 | $2,786.00 | $2,786.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Cigna | Local Plus | $118.11 | $1,367.00 | $1,367.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $118.96 | $2,786.00 | $2,786.00 | 2026-05-15 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $119.14 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $120.36 | $2,786.00 | $2,786.00 | 2026-05-15 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Commercial/Group Health | $128.30 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $133.24 | $2,533.00 | $2,533.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $133.24 | $2,533.00 | $2,533.00 | 2026-04-30 | MRF ↗ |
| SANFORD USD MEDICAL CENTER InpatientFacility | Security Health Plan | Commercial | $134.20 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Omnia | $134.37 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Omnia | $134.37 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| SANFORD USD MEDICAL CENTER InpatientFacility | Security Health Plan | Commercial | $135.30 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Omnia | $136.29 | $1,367.00 | $1,367.00 | 2026-05-15 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Commercial | $137.47 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $137.80 | $2,533.00 | $2,533.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $137.80 | $2,533.00 | $2,533.00 | 2026-04-30 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Department of Correctional Services DOCCCS | Managed Medicaid | $146.63 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | United Healthcare of Kansas | Managed Medicaid | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | Amerigroup of Iowa | Managed Medicaid | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | Molina of Iowa | Managed Medicaid | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | Iowa Total Care | Managed Medicaid | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | Home State of Missouri | Managed Medicaid | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | Sunflower of Kansas | Managed Medicaid | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | Healthy Blue of Missouri | Managed Medicaid | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | United Healthcare of Missouri | Managed Medicaid | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | United Healthcare of Nebraska | Managed Medicaid | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | Ambetter | Commercial | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | Centurion | Commercial | $148.40 | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | Aetna | Medicare Advantage | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | United Healthcare | Medicare Advantage | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH InpatientFacility | Aetna of Kansas | Managed Medicaid | — | $371.00 | $315.35 | 2025-09-26 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | PPO | $149.28 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Indemnity | $149.28 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Managed Care | $149.28 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | PPO | $149.28 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Managed Care | $149.28 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Indemnity | $149.28 | $1,243.00 | $1,243.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $150.44 | $2,786.00 | $2,786.00 | 2026-05-15 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Blue Cross Blue Shield/Excellus | Commercial | $151.21 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Managed Care | $151.46 | $1,367.00 | $1,367.00 | 2026-05-15 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Cigna/MVP | Group Commercial | $152.13 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | Managed Care/PPO | $157.83 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | Managed Care/PPO | $157.83 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| SHANNON MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $163.33 | $1,175.00 | $587.50 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP OutpatientFacility | City of San Angelo | PPO | $163.33 | $1,175.00 | $587.50 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $163.33 | $1,175.00 | $587.50 | 2026-04-08 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Indemnity | $163.49 | $1,367.00 | $1,367.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | PPO | $163.49 | $1,367.00 | $1,367.00 | 2026-05-15 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | United Healthcare | CSP Top 20 | $164.21 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Medica | Choice | $164.46 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Coventry | Commercial | $164.96 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Cigna | Shared Administration | $165.00 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Cigna | Shared Administration | $165.00 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | United Healthcare | CSP Top 20 | $165.56 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Medica | Choice | $165.80 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | St. Lawrence-Lewis Program/STLLC | School Employee Program | $168.63 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Emblem/GHI | Commercial | $170.46 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| SANFORD USD MEDICAL CENTER InpatientFacility | Ucare | Commercial | $171.51 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER InpatientFacility | Ucare | Commercial | $172.91 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Multiplan/PHCS | Commercial | $174.13 | $183.29 | $146.63 | 2025-01-28 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Medica | Elect | $175.92 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Medica | Elect | $177.37 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Cigna | Shared Administration | $181.50 | $242.00 | $242.00 | 2026-05-15 | MRF ↗ |
| SANFORD USD MEDICAL CENTER InpatientFacility | Aetna | Commercial | $186.66 | $244.00 | $195.20 | 2026-03-04 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | MultiPlan | Commercial | $187.00 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | MultiPlan | Commercial | $187.00 | $220.00 | $220.00 | 2026-04-30 | MRF ↗ |
| SANFORD USD MEDICAL CENTER InpatientFacility | Aetna | Commercial | $188.19 | $246.00 | $196.80 | 2026-03-04 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | United Healthcare (UHC) | PPO | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Wellcare | Medicare Advantage HMO | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Multiplan/PHCS | PPO | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Managed Medicaid | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Cigna | PPO | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Multiplan/PHCS | PPO | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Aetna | Commercial | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $194.40 | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Cigna | PPO | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Commercial | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | HMO | — | $1,944.00 | $1,944.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $194.40 | $1,944.00 | $1,944.00 | 2026-04-15 | 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.