100803 — Liraglutide 0.6 Mg/0.1 Ml (18 Mg/3 Ml) Subcutaneous Pen Injector
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) SUBCUTANEOUS PEN INJECTOR (CDM 100803) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/100803?code_type=CDM
MLA (9th ed.)
“LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) SUBCUTANEOUS PEN INJECTOR (CDM 100803) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/100803?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) SUBCUTANEOUS PEN INJECTOR (CDM 100803) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/100803?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $280–$516 (25th–75th percentile) across 32 hospitals · 174 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 100803 — 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 |
|---|---|---|---|---|---|---|---|
| Davie Medical Center OutpatientFacility | Aetna | Behavioral Health | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna North Carolina Preferred | Behavioral Health | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $0.39 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $0.39 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $0.39 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STARKids | $0.39 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $0.39 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Medicare Advantage | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Value | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Optum Transplant | Transplant Services | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Apex | Medicare Advantage | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | IEX Individual Managed Care | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna LifeSource | Transplant Services | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Medicaid Managed Care | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Complete | Medicaid Managed Care | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Managed Care | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Devoted | Medicare Advantage | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alliance | Medicaid Tailored Plan | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HPN | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna Whole Health | Behavioral Health | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Vaya | Medicaid Tailored Plan | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Trillium | Medicaid Tailored Plan | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alignment Medicare | Medicare Advantage | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Pediatrics) | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Transplant Services | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Evernorth | Behavioral Health | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HMO/PPO | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Medicare Advantage | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Medicare Advantage | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Local Individual | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Liberty | Medicare Advantage | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Ambetter | Managed Care | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Distinctions Transplant Services | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Partners | Medicaid Tailored Plan | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Magellan | Behavioral Health | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Behavioral Health | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Behavioral Health | Behavioral Health | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare/Optum Behavioral Health | Behavioral Health | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Health Blue | Medicaid Managed Care | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicaid Managed Care | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicaid Managed Care | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Adult) | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Transplant Services | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Managed Care | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | HealthTeam | Medicare Advantage | — | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna North Carolina Preferred | Managed Care | $0.63 | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $0.86 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior | HIX | $0.98 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Humana ChoiceCare | Managed Care | $1.05 | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | DirectNet | Managed Care | $1.13 | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Cigna LifeSource | Transplant Services | $1.15 | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $1.17 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | QHP | $1.20 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS | BlueEssentials | $1.26 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $1.26 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS | HealthSelectOpenAccess(EPOSOA) | $1.34 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| Davie Medical Center InpatientFacility | Healthgram | Managed Care | $1.34 | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cone Health | Managed Care | $1.34 | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Texas Workforce Commission | WORKERSCOMP | $1.34 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS | PPO | $1.41 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Healthcare Highways | NarrowNetwork | $1.43 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | HIX | $1.51 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Oscar | HIX | $1.52 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| Davie Medical Center InpatientFacility | First Carolina Care | Managed Care | $1.54 | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Private Healthcare Systems | Managed Care | $1.57 | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | First Health (Aetna) | Managed Care | $1.63 | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Multiplan | Managed Care | $1.73 | $1.92 | $0.96 | 2025-10-21 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | NewBusiness | $1.77 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | Meritain | $1.82 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | CommercialBaseNetwork | $1.82 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Averde Health | COMM | $1.84 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | OON | $2.14 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Curative Administrators | COMM | $2.24 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Humana | PPO | $2.32 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Humana | HMO | $2.32 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | ASA | $2.37 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | SOUTHTEXASISDRATES | $2.40 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | ACCEL | $2.40 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $2.52 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS | Traditional | $2.52 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | First Health | NonExclusive | $3.21 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | First Health | Exclusive | $3.21 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | SouthWest Medical | WORKERSCOMP | $3.35 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | National Healthcare Solutions | COMM | $3.35 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Total E&P Mexico | COMM | $3.63 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Coastal Comp | COMM | $3.63 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Affiliated Healthcare | COMM | $3.80 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | PPO | $3.91 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | USA Managed Care | COMM | $4.47 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | ProNet PPO | PPO | $4.47 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | MCM Maxcare | COMM | $4.47 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $4.75 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Beech Street | COMMPPO | $5.03 | $5.59 | $5.59 | 2026-03-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Harvard Pilgrim | All Plans | $10.33 | $1,259.06 | $642.12 | 2025-01-10 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $21.00 | $1,086.07 | $206.35 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | CareSource | Medicaid | $21.63 | $1,086.07 | $206.35 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | CareSource | Medicaid | $21.63 | $666.07 | $99.91 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $28.00 | $666.07 | $99.91 | 2026-02-27 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $40.43 | $1,259.06 | $642.12 | 2025-01-10 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Magnolia TN | Exchange | $49.52 | $651.64 | $156.39 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Magnolia TN | Exchange | $49.52 | $651.64 | $156.39 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Magnolia TN | Exchange | $50.62 | $666.07 | $159.86 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Magnolia TN | Exchange | $50.62 | $666.07 | $159.86 | 2026-02-27 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHPFC | $54.48 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STAR | $54.48 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHIP | $54.48 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARPLUS | $54.48 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARKids | $54.48 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | MCR | $60.20 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | NovaSys | Commercial/Exchange | $102.50 | $651.64 | $97.75 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | NovaSys | Commercial/Exchange | $104.77 | $666.07 | $99.91 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Cigna | Medicare | $108.61 | $1,086.07 | $206.35 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Cigna | Medicare | $111.01 | $1,110.12 | $210.92 | 2026-02-27 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | STAR | $118.04 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | CHIPPerinatal | $118.04 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | CHIP | $118.04 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | STAR+PLUS | $118.04 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $121.50 | $1,259.06 | $642.12 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $125.91 | $1,259.06 | $642.12 | 2025-01-10 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Amerigroup | MGMCD | $127.12 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Amerigroup | MCDCHIPBH | $127.12 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-COLLIERVILLE OutpatientFacility | Magnolia TN | Exchange | $129.81 | $651.64 | $136.85 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL FOR WOMEN OutpatientFacility | Magnolia TN | Exchange | $129.81 | $651.64 | $136.85 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-COLLIERVILLE OutpatientFacility | Magnolia TN | Exchange | $132.68 | $666.07 | $139.88 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL FOR WOMEN OutpatientFacility | Magnolia TN | Exchange | $132.68 | $666.07 | $139.88 | 2026-02-27 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | CSN | $134.38 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $134.69 | $1,259.06 | $742.85 | 2025-01-10 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL DESOTO OutpatientFacility | Magnolia MS | Exchange | $142.77 | $651.64 | $130.33 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL - CARROLL COUNTY OutpatientFacility | Magnolia TN | Exchange | $144.08 | $651.64 | $149.88 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL NORTH MS OutpatientFacility | Magnolia MS | Exchange | $144.27 | $651.64 | $149.88 | 2026-02-27 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | OpenAccessPlus | $145.28 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL DESOTO OutpatientFacility | Magnolia MS | Exchange | $145.94 | $666.07 | $133.21 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL - CARROLL COUNTY OutpatientFacility | Magnolia TN | Exchange | $147.27 | $666.07 | $153.20 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL NORTH MS OutpatientFacility | Magnolia MS | Exchange | $147.47 | $666.07 | $153.20 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL BOONEVILLE OutpatientFacility | Magnolia MS | Exchange | $147.79 | $651.64 | $156.39 | 2026-02-25 | MRF ↗ |
| BMH-GOLDEN TRIANGLE OutpatientFacility | Magnolia MS | Exchange | $147.79 | $651.64 | $162.91 | 2026-02-27 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | MyBlueHealth | $148.00 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL BOONEVILLE OutpatientFacility | Magnolia MS | Exchange | $151.06 | $666.07 | $159.86 | 2026-02-25 | MRF ↗ |
| BMH-GOLDEN TRIANGLE OutpatientFacility | Magnolia MS | Exchange | $151.06 | $666.07 | $166.52 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Magnolia TN | Exchange | $154.05 | $651.64 | $97.75 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Magnolia TN | Exchange | $157.46 | $666.07 | $99.91 | 2026-02-27 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | HMO | $158.90 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | EPO | $158.90 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | United | OptionsPPO | $159.81 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | BAV | $163.44 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $167.26 | $1,259.06 | $642.12 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $168.62 | $1,259.06 | $642.12 | 2025-01-10 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Aetna | Commercial | $169.43 | $651.64 | $97.75 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-COLLIERVILLE OutpatientFacility | Aetna | Commercial | $169.43 | $651.64 | $136.85 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL FOR WOMEN OutpatientFacility | Aetna | Commercial | $169.43 | $651.64 | $136.85 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Aetna | Commercial | $169.43 | $651.64 | $156.39 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Aetna | Commercial | $169.43 | $651.64 | $156.39 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL InpatientFacility | Aetna | Commercial | $169.43 | $651.64 | $136.85 | 2026-02-20 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL DESOTO OutpatientFacility | Aetna | Commercial | $169.43 | $651.64 | $130.33 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL OutpatientFacility | Aetna | Commercial | $169.43 | $651.64 | $136.85 | 2026-02-20 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | PPO | $172.52 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL OutpatientFacility | Aetna | Commercial | $173.18 | $666.07 | $139.88 | 2026-02-20 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-COLLIERVILLE OutpatientFacility | Aetna | Commercial | $173.18 | $666.07 | $139.88 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Aetna | Commercial | $173.18 | $666.07 | $159.86 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Aetna | Commercial | $173.18 | $666.07 | $99.91 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL FOR WOMEN OutpatientFacility | Aetna | Commercial | $173.18 | $666.07 | $139.88 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL InpatientFacility | Aetna | Commercial | $173.18 | $666.07 | $139.88 | 2026-02-20 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Aetna | Commercial | $173.18 | $666.07 | $159.86 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL DESOTO OutpatientFacility | Aetna | Commercial | $173.18 | $666.07 | $133.21 | 2026-02-27 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Oscar | HIX | $177.06 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | NovaSys | Commercial/Exchange | $179.31 | $1,086.07 | $206.35 | 2026-02-27 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | ValueHMO | $179.78 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| MISSISSIPPI BAPTIST MEDICAL CENTER OutpatientFacility | Magnolia MS | Exchange | $181.87 | $651.64 | $136.85 | 2026-02-25 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $181.98 | $1,259.06 | $642.12 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $182.09 | $1,259.06 | $642.12 | 2025-01-10 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL DESOTO OutpatientFacility | Aetna | Medicare | $182.46 | $651.64 | $130.33 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL BOONEVILLE OutpatientFacility | Aetna | Medicare | $182.46 | $651.64 | $156.39 | 2026-02-25 | MRF ↗ |
| BMH-GOLDEN TRIANGLE OutpatientFacility | Aetna | Medicare | $182.46 | $651.64 | $162.91 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Aetna | Medicare | $182.46 | $651.64 | $156.39 | 2026-02-27 | MRF ↗ |
| MISSISSIPPI BAPTIST MEDICAL CENTER OutpatientFacility | Aetna | Medicare | $182.46 | $651.64 | $136.85 | 2026-02-25 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Aetna | Medicare | $182.46 | $651.64 | $156.39 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Aetna | Medicare | $182.46 | $651.64 | $97.75 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL NORTH MS OutpatientFacility | UMS Athletic Dept | Commercial | $182.46 | $651.64 | $149.88 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-COLLIERVILLE OutpatientFacility | Aetna | Medicare | $182.46 | $651.64 | $136.85 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL FOR WOMEN OutpatientFacility | Aetna | Medicare | $182.46 | $651.64 | $136.85 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL NORTH MS OutpatientFacility | Aetna | Medicare | $182.46 | $651.64 | $149.88 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL - CARROLL COUNTY OutpatientFacility | Aetna | Medicare | $182.46 | $651.64 | $149.88 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | NovaSys | Commercial/Exchange | $183.28 | $1,110.12 | $210.92 | 2026-02-27 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Childrens Health Plans | CHIP | $185.23 | $908.00 | $908.00 | 2026-03-01 | MRF ↗ |
| MISSISSIPPI BAPTIST MEDICAL CENTER OutpatientFacility | Magnolia MS | Exchange | $185.90 | $666.07 | $139.88 | 2026-02-25 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL DESOTO OutpatientFacility | Aetna | Medicare | $186.50 | $666.07 | $133.21 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL FOR WOMEN OutpatientFacility | Aetna | Medicare | $186.50 | $666.07 | $139.88 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-COLLIERVILLE OutpatientFacility | Aetna | Medicare | $186.50 | $666.07 | $139.88 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL BOONEVILLE OutpatientFacility | Aetna | Medicare | $186.50 | $666.07 | $159.86 | 2026-02-25 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Aetna | Medicare | $186.50 | $666.07 | $159.86 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Aetna | Medicare | $186.50 | $666.07 | $99.91 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL - CARROLL COUNTY OutpatientFacility | Aetna | Medicare | $186.50 | $666.07 | $153.20 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Aetna | Medicare | $186.50 | $666.07 | $159.86 | 2026-02-27 | MRF ↗ |
| BMH-GOLDEN TRIANGLE OutpatientFacility | Aetna | Medicare | $186.50 | $666.07 | $166.52 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL NORTH MS OutpatientFacility | Aetna | Medicare | $186.50 | $666.07 | $153.20 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL NORTH MS OutpatientFacility | UMS Athletic Dept | Commercial | $186.50 | $666.07 | $153.20 | 2026-02-27 | MRF ↗ |
| MISSISSIPPI BAPTIST MEDICAL CENTER OutpatientFacility | Aetna | Medicare | $186.50 | $666.07 | $139.88 | 2026-02-25 | 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.