102901 — Tube Inj Cemnt 4.2mm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TUBE INJ CEMNT 4.2MM (CDM 102901) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/102901?code_type=CDM
MLA (9th ed.)
“TUBE INJ CEMNT 4.2MM (CDM 102901) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/102901?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“TUBE INJ CEMNT 4.2MM (CDM 102901) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/102901?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $355–$22,777 (25th–75th percentile) across 7 hospitals · 89 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 102901 — 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 |
|---|---|---|---|---|---|---|---|
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $0.78 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $0.78 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $0.78 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STARKids | $0.78 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $0.78 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $1.71 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior | HIX | $1.94 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $2.33 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | QHP | $2.37 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS | BlueEssentials | $2.51 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $2.51 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Texas Workforce Commission | WORKERSCOMP | $2.66 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS | HealthSelectOpenAccess(EPOSOA) | $2.66 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS | PPO | $2.81 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Healthcare Highways | NarrowNetwork | $2.83 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | HIX | $2.99 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Oscar | HIX | $3.02 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | NewBusiness | $3.52 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | CommercialBaseNetwork | $3.62 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | Meritain | $3.62 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Averde Health | COMM | $3.66 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | OON | $4.24 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Curative Administrators | COMM | $4.44 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Humana | HMO | $4.60 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Humana | PPO | $4.60 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | ASA | $4.70 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | ACCEL | $4.77 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | SOUTHTEXASISDRATES | $4.77 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS | Traditional | $4.99 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $4.99 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | First Health | Exclusive | $6.38 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | First Health | NonExclusive | $6.38 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | SouthWest Medical | WORKERSCOMP | $6.65 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | National Healthcare Solutions | COMM | $6.65 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Coastal Comp | COMM | $7.21 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Total E&P Mexico | COMM | $7.21 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Affiliated Healthcare | COMM | $7.54 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | PPO | $7.76 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $7.97 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $8.64 | $48.00 | — | 2024-12-31 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | USA Managed Care | COMM | $8.87 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | MCM Maxcare | COMM | $8.87 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | ProNet PPO | PPO | $8.87 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $9.43 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Beech Street | COMMPPO | $9.98 | $11.09 | $11.09 | 2026-03-01 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $10.18 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $11.14 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $11.14 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Beacon | All Products | $24.00 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $28.27 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER BothFacility | Aetna | ASA | $34.22 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Bergen Risk | All Products | $36.00 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $38.16 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $38.16 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER BothFacility | Cigna | BH | $38.40 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon BCBS | Omnia | $39.26 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER InpatientFacility | Qualcare | PPO | $39.84 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $39.84 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER InpatientFacility | Qualcare | HMO | $39.84 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER BothFacility | Activecare First MCO | All Products | $40.80 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER BothFacility | Multiplan - PHCS | All Products | $40.80 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | shp | $41.27 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | Indemnity | $41.59 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | PPO | $42.04 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | HMO | $42.04 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional PPO | $42.48 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional HMO | $42.48 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $43.20 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $43.20 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Qualcare | Workers Comp | $45.12 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER InpatientFacility | Qualcare | Workers Comp | $46.56 | $48.00 | — | 2024-12-31 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $92.15 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $92.15 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $92.15 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $92.15 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CHORUS COMMUNITY HEALTH | CHORUS COMMUNITY HEALTH[585] | $215.88 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $258.02 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $258.02 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $274.61 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | QUARTZ | QUARTZ[44] | $288.42 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $313.31 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $313.31 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $313.31 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $322.52 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STANDARD and WPS SELECT PLUS | WPS STANDARD and WPS SELECT PLUS[137] | $341.70 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ALLIANCE | ALLIANCE[23] | $345.36 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Imperial Insurance | MGMCR | $350.17 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Oscar | HMO | $353.86 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Oscar | HIX | $353.86 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO VALUE | CENTIVO VALUE[588] | $359.81 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC | UHC[57] | $361.52 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC ACA | UHC ACA[893] | $366.66 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO MEDIAN | CENTIVO MEDIAN[587] | $388.36 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | TRILOGY | TRILOGY[47] | $394.07 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Oscar | POS | $394.40 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Oscar | PPO | $394.40 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Oscar | EPO | $394.40 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS | HPS SOLUTIONS[36] | $422.63 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CIGNA ALT NETWORK | CIGNA ALT NETWORK[788] | $427.83 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | MODA | HIX | $433.11 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STATEWIDE | WPS STATEWIDE[31] | $439.19 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS PLUS ADV | HPS SOLUTIONS PLUS ADV[882] | $443.19 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO BROAD | CENTIVO BROAD[586] | $445.47 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HEALTHEOS | HEALTHEOS[18] | $456.90 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA W PLAN | AETNA W PLAN[39] | $456.90 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | United | OptionsPPO | $458.91 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | COVENTRY | COVENTRY[13] | $459.18 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS | HPS[37] | $468.32 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | FIRST HEALTH | FIRST HEALTH[16] | $482.03 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | IHG | IHG[22] | $485.45 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA | AETNA[27] | $485.45 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueEssentials | $503.14 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $503.14 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CIGNA | CIGNA[41] | $527.49 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | PHCS (PRIVATE HEALTH CARE SYSTEMS) | PHCS (PRIVATE HEALTH CARE SYSTEMS)[21] | $528.29 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Covenant Management Systems | HMO | $530.78 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Healthcare Highways | EPO | $536.31 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | EPOSOA | $545.53 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | IMO Med - Select Network | WC | $552.90 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Healthcare Highways | PPO | $552.90 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL[140] | $565.41 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | DEAN HEALTH ACA | DEAN HEALTH ACA[811] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE | MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE[97] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | DEAN HEALTH | DEAN HEALTH[116] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE | MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE[97] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | VA CCN | VA CCN[275] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | COMMUNITY CARE | COMMUNITY CARE[115] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID TRILOGY | MEDICAID TRILOGY[128] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE UHC | MEDICARE UHC[99] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE | MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE[97] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM BLUE PRIORITY | ANTHEM BLUE PRIORITY[139] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM ACCESS PPO | ANTHEM ACCESS PPO[55] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID CHORUS COMMUNITY HEALTH PLANS | MEDICAID CHORUS COMMUNITY HEALTH PLANS[78] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID ICARE | MEDICAID ICARE[75] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID DEAN HEALTH | MEDICAID DEAN HEALTH[118] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM PATHWAY ACA | ANTHEM PATHWAY ACA[779] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM PREFERRED HMO | ANTHEM PREFERRED HMO[56] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID MANAGED HEALTH SERVICESS (MHS) | MEDICAID MANAGED HEALTH SERVICESS (MHS)[79] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE | MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE[97] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID UHC | MEDICAID UHC[85] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID ANTHEM | MEDICAID ANTHEM[83] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE HUMANA | MEDICARE HUMANA[100] | $571.12 | $571.12 | $314.12 | 2025-01-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | Traditional | $587.92 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | PPO | $587.92 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Sendero | ACHP | $589.76 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Nomi Health | COMMTier1OutofNetwork | $589.76 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Cigna | NewBusinessNetwork | $591.60 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Cigna | OpenAccess | $630.31 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Cigna | HMO | $630.31 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Cigna | OpenAccessPlus | $630.31 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Shared Health | MGMCR | $645.05 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Aetna | QHPExchange(HIX) | $650.58 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | MODA Health | EPO | $663.48 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Evry Health | BroadNetwork | $678.22 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | COMM | $681.91 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | MODA Health | PPO | $681.91 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Nomi Health | Tier2OutofNetwork | $681.91 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Nomi Health | COMMTier1 | $681.91 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | WC | $681.91 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Texas Workforce Commission | WCOMP | $718.77 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Curative Administrators | COMM | $737.20 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Harbor Health Team | COMMPPO | $737.20 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Cigna | PPO | $755.63 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Seven Corners | GVT | $829.35 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | NaphCare | MGMCR | $829.35 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Averde Health | COMM | $829.35 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $829.35 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Aetna | NarrowNetwork | $831.19 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Aetna | COMM | $864.37 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Aetna | Meritain | $864.37 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Comanche County | LOCALGOV | $921.50 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | National ChoiceCare | WC | $921.50 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Austin FC | WORKERSCOMP | $921.50 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Aetna | ASA | $1,008.12 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Physicians Cooperative of Texas | WC | $1,013.65 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Accel | $1,013.65 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Independent Medical Systems | COMM | $1,013.65 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Aetna | OON | $1,017.34 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Prime Health | WC | $1,105.80 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | First Health | PPO | $1,161.09 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $1,197.95 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | National Health Care | COMM | $1,197.95 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | First Health | PPO | $1,277.20 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Texas Municipal League | COMM | $1,290.10 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Occunet | COMM | $1,290.10 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | First Health | PPO | $1,325.12 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | MedCorp Southwest | COMM | $1,382.25 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPRockportCommunityNetwork | $1,474.40 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | HealthSmart Preferred Care | COMM | $1,474.40 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPNewtonHealthcareNetwork | $1,658.70 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCE Emergis Corporation | COMMPPO | $1,658.70 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Beech Street | COMMPPO | $1,658.70 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Multiplan | COMMPPO | $1,658.70 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Medical Control Network Solutions | MedicalControlNetwork | $1,658.70 | $1,843.00 | $1,843.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $3,668.70 | $26,205.00 | $26,205.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $3,668.70 | $26,205.00 | $26,205.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $3,904.55 | $26,205.00 | $26,205.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | CHIP | $4,310.10 | $71,835.00 | $71,835.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | CHPFC | $4,310.10 | $71,835.00 | $71,835.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | STARPLUS | $4,310.10 | $71,835.00 | $71,835.00 | 2026-03-01 | 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.