110909 — Bacitrac Oint 15gm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BACITRAC OINT 15GM (CDM 110909) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/110909?code_type=CDM
MLA (9th ed.)
“BACITRAC OINT 15GM (CDM 110909) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/110909?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“BACITRAC OINT 15GM (CDM 110909) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/110909?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$1,471 (25th–75th percentile) across 7 hospitals · 95 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 110909 — 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 InpatientFacility | Cigna LifeSource | Transplant Services | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Ambetter | Managed Care | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | IEX Individual Managed Care | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicaid Managed Care | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Managed Care | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Adult) | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Pediatrics) | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Medicare Advantage | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Transplant Services | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Complete | Medicaid Managed Care | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Medicaid Managed Care | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Managed Care | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Magellan | Behavioral Health | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Transplant Services | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna | Behavioral Health | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Medicare Advantage | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alliance | Medicaid Tailored Plan | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HMO/PPO | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Local Individual | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Value | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HPN | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Distinctions Transplant Services | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Evernorth | Behavioral Health | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Liberty | Medicare Advantage | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Partners | Medicaid Tailored Plan | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Trillium | Medicaid Tailored Plan | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Behavioral Health | Behavioral Health | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Devoted | Medicare Advantage | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Apex | Medicare Advantage | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alignment Medicare | Medicare Advantage | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna Whole Health | Behavioral Health | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Behavioral Health | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Medicare Advantage | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicaid Managed Care | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Health Blue | Medicaid Managed Care | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | HealthTeam | Medicare Advantage | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna North Carolina Preferred | Behavioral Health | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Optum Transplant | Transplant Services | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare/Optum Behavioral Health | Behavioral Health | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Vaya | Medicaid Tailored Plan | — | $0.04 | $0.02 | 2025-10-21 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | NAMCI IP | $0.78 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | NAMCI PHCS | $0.78 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | NAMCI OP | $0.78 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | SUNSHINE HOMES OP | $0.78 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | SUNSHINE HOMES IP | $0.78 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | PERFORMANCE HEALTH NAMCI | $0.78 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | INPATIENT DOWNGRADE | SELF PAY MAMMO | $0.91 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | INPATIENT DOWNGRADE | SELF PAY PLASTICS I/P | $0.91 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | INPATIENT DOWNGRADE | SELF PAY I/P | $0.91 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | INPATIENT DOWNGRADE | SELF PAY O/P | $0.91 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | INPATIENT DOWNGRADE | SELF PAY PLASTICS O/P | $0.91 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | VIVA HLTH DRUMMOND | $2.41 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | VIVA HEALTH | $2.41 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | UNITED INS | $2.45 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | GOLDEN RULE | $2.45 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | MULTIPLAN | $2.45 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | GEHA OP | $2.45 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO UNITED HEALTH CARE | UHC COMPASS OUTPATIENT | $2.45 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO UNITED HEALTH CARE | UHC NAVIGATE OUTPATIENT | $2.45 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO UNITED HEALTH CARE | UHC COMPASS INPATIENT | $2.45 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO UNITED HEALTH CARE | UHC | $2.45 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | HIX | HIX UHCIP | $2.45 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | BEECH STREET | $2.45 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | HIX | HIX UHC OP | $2.45 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | WC ALAMED | $2.70 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | NEW ERA LIFE | $2.80 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | WC CELOTEX OP | $2.80 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | BEECH STREET | $2.80 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | MULTIPLAN | $2.80 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | PHCS | $2.80 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | WC FOCUS OP | $2.80 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | NORTH ALABAMA PPO IP | $2.97 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | MISC WC | $3.00 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | WC ALIGN NETWORKS OP | $3.00 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | WC SWING BED | $3.00 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | WC DEPT INDUST REL OP | $3.00 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | WC IHP LIBERTY MUTUAL | $3.00 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | LIABILITY | STATE FARM AUTO | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | MISC PPO | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | FIRST COMMUNITY OP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | LIABILITY | PROGRESSIVE | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | LIABILITY | MISC AUTO | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | LIABILITY | NATIONWIDE AUTO | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | LOCAL STATE NON MEDICAID | HOSPICE OP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | LOCAL STATE NON MEDICAID | HOSPICE IP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | LOCAL STATE NON MEDICAID | HOSPICE SO CARE OP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | LOCAL STATE NON MEDICAID | HOSPICE A E IP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | LOCAL STATE NON MEDICAID | HOSPICE A E OP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | LOCAL STATE NON MEDICAID | HOSPICE SO CARE IP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | LIBERTY NATL | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | SEDGWICK | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | PILGRIMS PRIDE | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | BC WC OP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | WC RUSS ASC DAVIES | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | PILGRIMS PRIDE/SEDGWICK | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | WC RUSS EMP ALT SERV CONC | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | WORKERS COMP | BC WC IP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | ALFA AUTO | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | FARM BUREAU | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | PRINCIPAL LIFE | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | TRAVELERS | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | UNITED AMER | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | ALLSTATE | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | RURAL CARRIERS | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | MISC CO SECONDARY PLAN | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | CENTRAL STATES | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | MISC CO | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | ALTERNATIVE INS RESOURCES | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | BANKERS LIFE | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | MEDICAID | MCD MS | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | UNITED MINE WORKERS IP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | ASSURED LIFE ASSOCIATION | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | PHYS MUTUAL | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | COMMERCIAL | GULF GUARANTY MEDPLUS | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | AL B&C CANCER PROG | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | BOILERMAKERS NATL HW IP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | HUMANA | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | USA HLTH NTWK | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | FIRST COMMUNITY IP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | HOSPICE GENTIVA IP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | ASSURED BENEFITS ADMIN | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | FRANKLIN CO COMM OP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | FRANKLIN CO COMM IP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | BOILERMAKERS NATL HW OP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | TRI STATE CARPENTERS | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | PPO | HOSPICE GENTIVA OP | $3.50 | $3.50 | $0.91 | 2025-10-30 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Health Services Coalition | COMM | $30.46 | $224.00 | $224.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Imperial NV | MCR | $33.60 | $224.00 | $224.00 | 2026-03-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | US HEALTH AND LIFE | 1991_BOMC, BOLE, BPHC US HEALTH AND LIFE 20200101 | $45.30 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | US HEALTH AND LIFE | 1991_BOMC, BOLE, BPHC US HEALTH AND LIFE 20200101 | $45.30 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | US HEALTH AND LIFE | 1991_BOMC, BOLE, BPHC US HEALTH AND LIFE 20200101 | $45.30 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | United | OptionsPPO | $46.82 | $224.00 | $224.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Centene | HIX | $47.04 | $224.00 | $224.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Select Health | HIX | $48.38 | $224.00 | $224.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | SMARTHEALTH | 3501_SMARTHEALTH 20230101 | $48.54 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | SMARTHEALTH | 3501_SMARTHEALTH 20230101 | $48.54 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | SMARTHEALTH | 3501_SMARTHEALTH 20230101 | $48.54 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | CIGNA | OAP | $50.18 | $224.00 | $224.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Select Health | COMM | $51.63 | $224.00 | $224.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Prominence HealthFirst | COMM | $67.20 | $224.00 | $224.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | PPO | $67.65 | $224.00 | $224.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | HMO | $67.65 | $224.00 | $224.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PRIORITY HEALTH APPLE | 2606_BOMC, BPHC PRIORITY HEALTH APPLE 20200101 | $71.19 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH APPLE | 2606_BOMC, BPHC PRIORITY HEALTH APPLE 20200101 | $71.19 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH APPLE | 2606_BOMC, BPHC PRIORITY HEALTH APPLE 20200101 | $71.19 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY ADVANTAGE | 2002_COFINITY ADVANTAGE 20200101 | $79.28 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY ADVANTAGE | 2002_COFINITY ADVANTAGE 20200101 | $79.28 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY ADVANTAGE | 2002_COFINITY ADVANTAGE 20200101 | $79.28 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN HUMANA MCR | 3130_BOAH MEDICARE HUMANA OUTPATIENT 20231001 | $85.75 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MOLINA MEDICARE | 3123_BOAH MEDICARE MOLINA OUTPATIENT 20230215 | $85.75 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MEDICARE | 3127_BOAH MEDICARE OUTPATIENT 20231001 | $85.75 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AUTO MVA | 3452_BOAH AUTO MVA MEDICARE OUTPATIENT 20230215 | $85.75 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN HUMANA MCR | 3130_BOAH MEDICARE HUMANA OUTPATIENT 20231001 | $85.75 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AUTO MVA | 3452_BOAH AUTO MVA MEDICARE OUTPATIENT 20230215 | $85.75 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MOLINA MEDICARE | 3123_BOAH MEDICARE MOLINA OUTPATIENT 20230215 | $85.75 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MEDICARE | 3127_BOAH MEDICARE OUTPATIENT 20231001 | $85.75 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN HUMANA MCR | 3130_BOAH MEDICARE HUMANA OUTPATIENT 20231001 | $85.75 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | AUTO MVA | 3452_BOAH AUTO MVA MEDICARE OUTPATIENT 20230215 | $85.75 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN MOLINA MEDICARE | 3123_BOAH MEDICARE MOLINA OUTPATIENT 20230215 | $85.75 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN MEDICARE | 3127_BOAH MEDICARE OUTPATIENT 20231001 | $85.75 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | CMN Global | COMM | $94.08 | $224.00 | $224.00 | 2026-03-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MAGELLAN | 2050_BOMC, BPHC MAGELLAN 20210201 | $97.08 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH HMO/PPO | 2404_BOGI BOSU PRIORITY HEALTH 20200401 | $97.08 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH HMO/PPO | 2404_BOGI BOSU PRIORITY HEALTH 20200401 | $97.08 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | MAGELLAN | 2050_BOMC, BPHC MAGELLAN 20210201 | $97.08 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | CIGNA | 2827_BOGI BOSU CIGNA 20210912 | $97.08 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MAGELLAN | 2050_BOMC, BPHC MAGELLAN 20210201 | $97.08 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA | 2827_BOGI BOSU CIGNA 20210912 | $97.08 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PRIORITY HEALTH HMO/PPO | 2404_BOGI BOSU PRIORITY HEALTH 20200401 | $97.08 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA | 2827_BOGI BOSU CIGNA 20210912 | $97.08 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY | 1993_BOMC, BPHC COFINITY PPOM 20200101 | $111.64 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY | 1993_BOMC, BPHC COFINITY PPOM 20200101 | $111.64 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY | 1993_BOMC, BPHC COFINITY PPOM 20200101 | $111.64 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Hometown Health Providers | ThirdPartyAdministratior(TPA) | $112.00 | $224.00 | $224.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Hometown Health Providers | HMO/PPO/POS | $112.00 | $224.00 | $224.00 | 2026-03-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1995_BOMC, BPHC PHCS 20200101 | $121.35 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | $121.35 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | $121.35 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1995_BOMC, BPHC PHCS 20200101 | $121.35 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | $121.35 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PHCS | 1995_BOMC, BPHC PHCS 20200101 | $121.35 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN UHC | 3184_BOAH UNITED HEALTH CARE 20240701 | $124.59 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN UHC | 3184_BOAH UNITED HEALTH CARE 20240701 | $124.59 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN UHC | 3184_BOAH UNITED HEALTH CARE 20240701 | $124.59 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | $126.20 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BC OF MICH TRAD | 3494_BOAH BLUE CROSS TRUST 20240701 | $126.20 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | $126.20 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | BC OF MICH TRAD | 3494_BOAH BLUE CROSS TRUST 20240701 | $126.20 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | BCBS ALL OTHER | 3496_BOAH BLUE CROSS TRADITIONAL 20240701 | $126.20 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BCBS ALL OTHER | 3496_BOAH BLUE CROSS TRADITIONAL 20240701 | $126.20 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BCBS ALL OTHER | 3496_BOAH BLUE CROSS TRADITIONAL 20240701 | $126.20 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | $126.20 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BC OF MICH TRAD | 3494_BOAH BLUE CROSS TRUST 20240701 | $126.20 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN PRIORITY HEALTH HMO AND PPO | 3126_BOAH PRIORITY HEALTH HMO AND PPO 20100101 | $127.82 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN PRIORITY HEALTH HMO AND PPO | 3126_BOAH PRIORITY HEALTH HMO AND PPO 20100101 | $127.82 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN PRIORITY HEALTH HMO AND PPO | 3126_BOAH PRIORITY HEALTH HMO AND PPO 20100101 | $127.82 | $161.80 | $79.28 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY | 1969_BOGI, BOSU COFINITY 20200101 | $129.44 | $161.80 | $79.28 | 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.