10026890 — Ammonul 10mg/ml 50ml
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). AMMONUL 10MG/ML 50ML (CDM 10026890) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/10026890?code_type=CDM
MLA (9th ed.)
“AMMONUL 10MG/ML 50ML (CDM 10026890) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/10026890?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“AMMONUL 10MG/ML 50ML (CDM 10026890) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/10026890?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $72–$173,698 (25th–75th percentile) across 7 hospitals · 82 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 10026890 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION SETON HAYS Both | WELLPOINT STAR | 3674_CHIRP WELLPOINT/AMERIGROUP STAR (HAY) INPATIENT 20240901 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR | 3740_CHIRP UHC STAR (HAY) INPATIENT 20240901 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | DELL CHIP/CHIP PERINATE | 4182_DELL CHIP/STAR KIDS (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR PLUS | 4267_CHIRP UHC STAR PLUS (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR | 4256_CHIRP UHC STAR (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR PLUS | 4211_CHIRP AMERIGROUP STAR PLUS (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR PLUS | 3685_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (HAY) INPATIENT 20240901 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR KIDS | 4314_UHC STAR KIDS (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL STAR | 3707_CHIRP DELL STAR (HAY) INPATIENT 20240901 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS CHIP/CHIP PERINATE | 3597_BLUE CROSS CHIP/STAR KIDS (HAY) INPATIENT 20240901 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR PLUS | 4211_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR PLUS | 3751_CHIRP UHC STAR PLUS (HAY) INPATIENT 20240901 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS CHIP/CHIP PERINATE | 4171_BLUE CROSS CHIP (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR | 4200_CHIRP AMERIGROUP STAR (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | DELL STAR | 4233_CHIRP DELL STAR (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR KIDS | 4976_WELLPOINT/AMERIGROUP STAR KIDS (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4160_WELLPOINT/AMERIGROUP CHIP (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR | 4200_CHIRP WELLPOINT/AMERIGROUP STAR (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS STAR | 4222_CHIRP BLUE CROSS STAR (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS STAR | 3696_CHIRP BLUE CROSS STAR (HAY) INPATIENT 20240901 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS STAR KIDS | 5009_BLUE CROSS STAR KIDS (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR KIDS | 4325_UHC STAR KIDS (HAY) INPATIENT 20240901 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS CHIP/CHIP PERINATE | 4171_BLUE CROSS CHIP/STAR KIDS (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4160_AMERIGROUP CHIP/STAR KIDS (HAY) OUTPATIENT 20241201 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL CHIP/CHIP PERINATE | 3608_DELL CHIP/STAR KIDS (HAY) INPATIENT 20240901 | $5.08 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WELLPOINT STAR PLUS | 4216_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (WIL) OUTPATIENT 20241201 | $5.93 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4165_WELLPOINT/AMERIGROUP CHIP (WIL) OUTPATIENT 20241201 | $5.93 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | BCBS STAR KIDS | 5019_BLUE CROSS STAR KIDS (WIL) OUTPATIENT 20241201 | $5.93 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | BCBS CHIP/CHIP PERINATE | 4176_BLUE CROSS CHIP (WIL) OUTPATIENT 20241201 | $5.93 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WELLPOINT STAR KIDS | 4986_WELLPOINT/AMERIGROUP STAR KIDS (WIL) OUTPATIENT 20241201 | $5.93 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TRAVIS COUNTY INDIGENT | 4138_TRAVIS COUNTY INDIGENT (HAY) 20240901 | $7.63 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | TRAVIS COUNTY INDIGENT | 4140_TRAVIS COUNTY INDIGENT (WIL) 20240901 | $8.47 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | 616_WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | $9.32 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | 616_WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | $9.32 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | 618_WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | $10.17 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | 618_WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | $10.17 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | SUPERIOR AMBETTER | 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR AMBETTER | 3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT CHIP/CHIP PERINATE | 4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | WELLPOINT STAR | 4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SUPERIOR AMBETTER | 3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | WELLPOINT CHIP/CHIP PERINATE | 4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR | 4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | COUNTY INDIGENT | 501_COUNTY INDIGENT (BRK,DEL,SMV,BAS) 20140601 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL CHIP/CHIP PERINATE | 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | DELL CHIP/CHIP PERINATE | 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR PLUS | 4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | DELL CHIP/CHIP PERINATE | 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR | 4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | WELLPOINT STAR | 4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SUPERIOR AMBETTER | 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL CHIP/CHIP PERINATE | 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | WELLPOINT STAR PLUS | 4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COUNTY INDIGENT | 501_COUNTY INDIGENT (BRK,DEL,SMV,BAS) 20140601 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $11.87 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | COUNTY INDIGENT | 503_COUNTY INDIGENT (WIL) 20140701 | $13.56 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $16.10 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $16.10 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $16.10 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $16.10 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | COUNTY INDIGENT | 502_COUNTY INDIGENT (CHI,DCN) 20140701 | $16.95 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | BCBS STAR | 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201 | $16.95 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS STAR | 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201 | $16.95 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | TRAVIS COUNTY INDIGENT | 4139_TRAVIS COUNTY INDIGENT (CHI,DCN) 20240901 | $16.95 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TRAVIS COUNTY INDIGENT | 4139_TRAVIS COUNTY INDIGENT (CHI,DCN) 20240901 | $16.95 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COUNTY INDIGENT | 502_COUNTY INDIGENT (CHI,DCN) 20140701 | $16.95 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WINGS | 902_WINGS | $18.64 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WINGS | 902_WINGS | $18.64 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UTMB | 530_UTMB PRISONS (CHI,DCN) 20140101 | $19.49 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | UTMB | 530_UTMB PRISONS (CHI,DCN) 20140101 | $19.49 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TEXAS REHAB | 603_TEXAS REHAB VOCATIONAL | $19.49 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | TEXAS REHAB | 603_TEXAS REHAB VOCATIONAL | $19.49 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TX REHAB | 510_TEXAS REHAB (AUS,NW,SW) 20150101 | $22.88 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | TX REHAB | 510_TEXAS REHAB (AUS,NW,SW) 20150101 | $22.88 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | CORNERSTONE | 602_CORNERSTONE HOSPITAL | $25.43 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CORNERSTONE | 602_CORNERSTONE HOSPITAL | $25.43 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WHOLE FOODS | 4512_WHOLE FOODS 20251001 | $27.12 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | $27.12 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | $27.12 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | $27.12 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | $27.12 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WHOLE FOODS | 4512_WHOLE FOODS 20251001 | $27.12 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SENDERO IDEALCARE | 816_SENDERO IDEALCARE CHAP (CHI,DCN) 20180301 | $28.82 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS BAV EXCHANGE | 4093_BLUE CROSS BLUE SHIELD BAV EXCHANGE (CHI,DCN) 20250101 | $28.82 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SENDERO IDEALCARE | 816_SENDERO IDEALCARE CHAP (CHI,DCN) 20180301 | $28.82 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | BCBS BAV EXCHANGE | 4093_BLUE CROSS BLUE SHIELD BAV EXCHANGE (CHI,DCN) 20250101 | $28.82 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | VISTA HEALTH | 594_VISTA 360 (CHI,DCN) HEALTHPLAN | $29.66 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | VISTA HEALTH | 594_VISTA 360 (CHI,DCN) HEALTHPLAN | $29.66 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SUPERIOR STAR PLUS | 4405_CHIRP SUPERIOR STAR PLUS (WIL) OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SUPERIOR STAR KIDS | 4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | SUPERIOR STAR | 3517_CHIRP SUPERIOR STAR (WIL) INPATIENT 20240901 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR FOSTER | 4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SUPERIOR STAR KIDS | 4888_SUPERIOR STAR KIDS OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SUPERIOR STAR FOSTER | 4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SUPERIOR STAR | 3512_CHIRP SUPERIOR STAR (HAY) INPATIENT 20240901 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 204_FIRST CARE PROVIDENCE EMPLOYEE 20101001 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SUPERIOR STAR PLUS | 4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR FOSTER | 4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | SUPERIOR STAR PLUS | 4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 204_FIRST CARE PROVIDENCE EMPLOYEE 20101001 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SUPERIOR STAR PLUS | 4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR KIDS | 4888_SUPERIOR STAR KIDS OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR | 4244_CHIRP SUPERIOR STAR (HAY) OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR KIDS | 4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SUPERIOR STAR PLUS | 4378_CHIRP SUPERIOR STAR PLUS (HAY) INPATIENT 20240901 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR PLUS | 4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SUPERIOR STAR | 4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | SUPERIOR STAR | 3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SUPERIOR STAR FOSTER | 4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SUPERIOR STAR | 4249_CHIRP SUPERIOR STAR (WIL) OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | SUPERIOR STAR PLUS | 4383_CHIRP SUPERIOR STAR PLUS (WIL) INPATIENT 20240901 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR PLUS | 4395_CHIRP SUPERIOR STAR PLUS (HAY) OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR | 4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SUPERIOR STAR | 3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901 | $33.90 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $35.59 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $35.59 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SETON PERFORMANCE PLUS | 785_SETON PERFORMANCE EPO PPO (AUS,NW,SW,HAY) 20180101 | $36.44 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SETON PERFORMANCE PLUS | 788_SETON PERFORMANCE EPO PPO (WIL,DEL,BRK,BAS) 20180101 | $36.44 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SETON PERFORMANCE PLUS | 788_SETON PERFORMANCE EPO PPO (WIL,DEL,BRK,BAS) 20180101 | $36.44 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SETON PERFORMANCE PLUS | 785_SETON PERFORMANCE EPO PPO (AUS,NW,SW,HAY) 20180101 | $36.44 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | SUPERIOR CHIP/CHIP PERINATE | 3619_SUPERIOR CHIP INPATIENT 20240901 | $38.14 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR CHIP/CHIP PERINATE | 4190_SUPERIOR CHIP OUTPATIENT 20241201 | $38.14 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SUPERIOR CHIP/CHIP PERINATE | 4190_SUPERIOR CHIP OUTPATIENT 20241201 | $38.14 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | $38.14 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | $38.14 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | $38.14 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | $38.14 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SUPERIOR CHIP/CHIP PERINATE | 3619_SUPERIOR CHIP INPATIENT 20240901 | $38.14 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | AUSTIN STATE HOSPITAL | 500_AUSTIN STATE HOSPITAL | $38.14 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AUSTIN STATE HOSPITAL | 500_AUSTIN STATE HOSPITAL | $38.14 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | AETNA ACO PPO | 3438_AETNA ACO PPO 20240701 | $39.83 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA ACO PPO | 3438_AETNA ACO PPO 20240701 | $39.83 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | AETNA PPO EXCHANGE | 249_AETNA PPO EXCHANGE 20140101 | $40.68 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | $40.68 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO EXCHANGE | 249_AETNA PPO EXCHANGE 20140101 | $40.68 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | $40.68 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | $40.68 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | $40.68 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $43.22 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $43.22 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | $45.77 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | $45.77 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA EXCHANGE | 387_HUMANA EXCHANGE 20160101 | $46.61 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | HUMANA EXCHANGE | 387_HUMANA EXCHANGE 20160101 | $46.61 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $47.46 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO | 4488_AETNA PPO 20250801 | $47.46 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $47.46 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | AETNA PPO | 4488_AETNA PPO 20250801 | $47.46 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $47.46 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $47.46 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | HEART SAVER | 614_HEART SAVER (HAY,EBD) 20140101 | $49.00 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | HEART SAVER | 614_HEART SAVER (HAY,EBD) 20140101 | $49.00 | $248,140.50 | $89,330.58 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | HEART SAVER | 614_HEART SAVER (HAY,EBD) 20140101 | $49.00 | $225,582.25 | $157,907.58 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $49.16 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $49.16 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE PROVIDENCE | 205_FIRST CARE PROVIDENCE FOCUS 20100801 | $49.16 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | FIRST CARE PROVIDENCE | 205_FIRST CARE PROVIDENCE FOCUS 20100801 | $49.16 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO EXCHANGE | 552_AETNA PPO EXCHANGE (CHI,DCN) 20170415 | $50.00 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | AETNA PPO EXCHANGE | 552_AETNA PPO EXCHANGE (CHI,DCN) 20170415 | $50.00 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | AETNA HMO EXCHANGE | 551_AETNA HMO EXCHANGE (CHI,DCN) 20170415 | $50.00 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | $50.00 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | $50.00 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | AETNA HMO | 4486_AETNA HMO 20250801 | $50.00 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA HMO | 4486_AETNA HMO 20250801 | $50.00 | $84.75 | $30.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA HMO EXCHANGE | 551_AETNA HMO EXCHANGE (CHI,DCN) 20170415 | $50.00 | $84.75 | $30.51 | 2026-01-01 | 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.