1160134 — Ad Procedure Gi Lv 4
Cite this view
HANK Price Transparency. (n.d.). AD PROCEDURE GI LV 4 (CDM 1160134) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1160134?code_type=CDM
“AD PROCEDURE GI LV 4 (CDM 1160134) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1160134?code_type=CDM. Accessed .
“AD PROCEDURE GI LV 4 (CDM 1160134) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1160134?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $700–$3,502 (25th–75th percentile) across 19 hospitals · 145 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 1160134 — 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 |
|---|---|---|---|---|---|---|---|
| DEKALB REGIONAL MEDICAL CENTER Both | CIGNA | CIGNA COMMERCIAL | $52.79 | $593.58 | $593.58 | 2025-03-12 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | HEART SAVER VETERANS | 4194_HEART SAVER VETERANS (HAYS,CHI,DCN,WIL) 20250301 | $75.00 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | 616_WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | $131.91 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| DEKALB REGIONAL MEDICAL CENTER Both | UnitedHealth | UnitedHealth Commercial | $142.46 | $593.58 | $593.58 | 2025-03-12 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | 618_WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | $143.90 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | WELLPOINT STAR | 4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | WELLPOINT STAR | 4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | DELL CHIP/CHIP PERINATE | 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | COUNTY INDIGENT | 501_COUNTY INDIGENT (BRK,DEL,SMV,BAS) 20140601 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | WELLPOINT CHIP/CHIP PERINATE | 4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | SUPERIOR AMBETTER | 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | DELL CHIP/CHIP PERINATE | 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | SUPERIOR AMBETTER | 3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | WELLPOINT STAR PLUS | 4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $167.89 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Aetna Medicare Advantage | Aetna Medicare Advantage | $196.17 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $227.85 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $227.85 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | TRAVIS COUNTY INDIGENT | 4139_TRAVIS COUNTY INDIGENT (CHI,DCN) 20240901 | $239.84 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | BCBS STAR | 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201 | $239.84 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | COUNTY INDIGENT | 502_COUNTY INDIGENT (CHI,DCN) 20140701 | $239.84 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| MCKENZIE-WILLAMETTE MEDICAL CENTER Outpatient | KAISER MCAID | KAISER MCAID | $263.69 | $1,806.07 | $1,083.64 | 2026-10-18 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | WINGS | 902_WINGS | $263.82 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | UTMB | 530_UTMB PRISONS (CHI,DCN) 20140101 | $275.82 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | TEXAS REHAB | 603_TEXAS REHAB VOCATIONAL | $275.82 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| MCKENZIE-WILLAMETTE MEDICAL CENTER Outpatient | PACIFICSOURCE MCAID | PACIFICSOURCE MCAID | $281.75 | $1,806.07 | $1,083.64 | 2026-10-18 | MRF ↗ |
| MCKENZIE-WILLAMETTE MEDICAL CENTER Outpatient | PACIFICSOURCE HLTHIER OR | PACIFICSOURCE HLTHIER OR | $281.75 | $1,806.07 | $1,083.64 | 2026-10-18 | MRF ↗ |
| MCKENZIE-WILLAMETTE MEDICAL CENTER Outpatient | TRILLIUM MCAID-ALL PLANS | TRILLIUM MCAID-ALL PLANS | $281.75 | $1,806.07 | $1,083.64 | 2026-10-18 | MRF ↗ |
| MCKENZIE-WILLAMETTE MEDICAL CENTER Outpatient | HEALTHNET MCD | HEALTHNET MCD | $307.03 | $1,806.07 | $1,083.64 | 2026-10-18 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | TX REHAB | 510_TEXAS REHAB (AUS,NW,SW) 20150101 | $323.78 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Cigna | Commercial POS | $326.95 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | CORNERSTONE | 602_CORNERSTONE HOSPITAL | $359.76 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| MCKENZIE-WILLAMETTE MEDICAL CENTER Outpatient | KAISER MCR ADV | KAISER MCR ADV | $361.21 | $1,806.07 | $1,083.64 | 2026-10-18 | MRF ↗ |
| MCKENZIE-WILLAMETTE MEDICAL CENTER Outpatient | HEALTHNET MCR ADV | HEALTHNET MCR ADV | $379.27 | $1,806.07 | $1,083.64 | 2026-10-18 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | $383.74 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | $383.74 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | WHOLE FOODS | 4512_WHOLE FOODS 20251001 | $383.74 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| Mesa View Regional Hospital Outpatient | ANTHEM BCBS MCR ADV | ANTHEM BCBS MCR ADV | $404.26 | $2,021.28 | $1,212.77 | 2026-09-17 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS BAV EXCHANGE | 4093_BLUE CROSS BLUE SHIELD BAV EXCHANGE (CHI,DCN) 20250101 | $407.73 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | SENDERO IDEALCARE | 816_SENDERO IDEALCARE CHAP (CHI,DCN) 20180301 | $407.73 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| DEKALB REGIONAL MEDICAL CENTER Both | NovaNet | NovaNet Commercial | $408.15 | $593.58 | $593.58 | 2025-03-12 | MRF ↗ |
| DEKALB REGIONAL MEDICAL CENTER Both | Multiplan | Multiplan Commercial | $415.51 | $593.58 | $593.58 | 2025-03-12 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | VISTA HEALTH | 594_VISTA 360 (CHI,DCN) HEALTHPLAN | $419.72 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | NovaSys-Centene Qualchoice | NovaSys-Centene Qualchoice | $425.03 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Employer's Health Choice | Employer's Health Choice | $457.72 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Multiplan | Multiplan | $457.72 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | SUPERIOR STAR PLUS | 4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901 | $479.68 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | SUPERIOR STAR KIDS | 4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $479.68 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 204_FIRST CARE PROVIDENCE EMPLOYEE 20101001 | $479.68 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | SUPERIOR STAR KIDS | 4888_SUPERIOR STAR KIDS OUTPATIENT 20241201 | $479.68 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | SUPERIOR STAR PLUS | 4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $479.68 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | SUPERIOR STAR | 4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201 | $479.68 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | SUPERIOR STAR | 3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901 | $479.68 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | SUPERIOR STAR FOSTER | 4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201 | $479.68 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | SUPERIOR STAR FOSTER | 4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201 | $479.68 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CAH CARESOURCE IP | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | UNITED HEALTHCARE MCD | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID FFS | CAH MEDICAID GA | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | DNU CAH AMBETTER MCAID | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CARESOURCE | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CAH PEACH STATE HLTH MCD | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | PEACH STATE HEALTH MCAID | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | WELLCARE | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MISC MEDICAID MCO | MISC MEDICAID MCO | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | AMERICHOICE JOHN DEERE | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | THERAPY NETWORK OF GA | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID FFS | IP DOWNGRADE GA MCD | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | WELLCARE OF FL | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | AMERIGROUP OF GA | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | HUMANA MCD | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID FFS | MEDICAID D | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CAH WELLCARE MCD | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CAH UHC COMMUNITY PLAN | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | AMBETTER MCAID | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | UHC COMMUNITY PLAN | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CAH CARESOURCE | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID FFS | MEDICAID GA IP DOWNGRADE | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID FFS | TN FFS MEDICAID | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | WELLCARE OF GA | $482.98 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Workers Compensation | PPO Plus Workers Compensation | $490.42 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $503.66 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | SETON PERFORMANCE PLUS | 785_SETON PERFORMANCE EPO PPO (AUS,NW,SW,HAY) 20180101 | $515.66 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | SETON PERFORMANCE PLUS | 788_SETON PERFORMANCE EPO PPO (WIL,DEL,BRK,BAS) 20180101 | $515.66 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Aetna | Commercial PPO | $523.11 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Primary | PPO Plus Primary | $523.11 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | $539.64 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | $539.64 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | SUPERIOR CHIP/CHIP PERINATE | 3619_SUPERIOR CHIP INPATIENT 20240901 | $539.64 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | SUPERIOR CHIP/CHIP PERINATE | 4190_SUPERIOR CHIP OUTPATIENT 20241201 | $539.64 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | AUSTIN STATE HOSPITAL | 500_AUSTIN STATE HOSPITAL | $539.64 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | AMERIGROUP OF GA | $540.42 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CAH CARESOURCE | $540.42 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CAH CARESOURCE IP | $540.42 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CARESOURCE | $540.42 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CAH AMERIGROUP GA MCD | $540.42 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | MunicipalHealthBenefitProgram - Commercial-Mut Defined | Municipal Health Benefit Fund | $555.81 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Corvel | Corvel | $555.81 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | PPO Plus Secondary | PPO Plus Secondary | $555.81 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | AETNA ACO PPO | 3438_AETNA ACO PPO 20240701 | $563.62 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | $575.62 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | $575.62 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | AETNA PPO EXCHANGE | 249_AETNA PPO EXCHANGE 20140101 | $575.62 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Arkansas Managed Care Organization-Southern | Arkansas Managed Care Organization-Southern | $588.50 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Mercy Health Plan | Mercy Health Plan | $588.50 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| DEKALB REGIONAL MEDICAL CENTER Both | NAMCI | NAMCI Commericial | $593.58 | $593.58 | $593.58 | 2025-03-12 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $635.58 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | SELECT HEALTH MCR ADV | SELECT HEALTH MCR ADV | $644.09 | $1,215.27 | $729.16 | 2026-01-31 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | $647.57 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | HUMANA INC. - Medicare Part A | Humana Medicare | $653.89 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | CareSource MCD | CareSource MCD | $653.89 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | ARKANSAS BLUE CROSS BLUE SHIELD - Medicare-HMO | BCBS-USAble HMO | $653.89 | $653.89 | $653.89 | 2026-01-08 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | HUMANA EXCHANGE | 387_HUMANA EXCHANGE 20160101 | $659.56 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $671.55 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $671.55 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | AETNA PPO | 4488_AETNA PPO 20250801 | $671.55 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | FIRST CARE PROVIDENCE | 205_FIRST CARE PROVIDENCE FOCUS 20100801 | $695.54 | $1,199.20 | $431.71 | 2026-01-01 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH BLUECARE PLUS | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | BCBS INPT DOWNGRADE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | BLUE CROSS SHBP MEDICARE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | UHC MEDICARE SOLUTION | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE | CAH MEDICARE IP | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE | CAH MEDICARE OP | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | UHC INPATIENT DOWNGRADE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH BC SHBP MCR ADV | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | CHAMP VA IP DOWNGRADE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | HUMANA MCR PPO | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE | MEDICARE PART B | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH HUMANA MCR PPO | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | COMMERCIAL HMO PPO | NEW ERA LIFE INSURANCE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CIGNA MEDICARE ADVANTAGE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | MEDICARE SOLUTIONS PFFS | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MCARE MCAID HMO DUAL | CAH MISC DUAL ELIGIBLE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | PEACH STATE MMC | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | BLUECARE PLUS | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE | CAH MEDICARE PSYCH | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MCARE MCAID HMO DUAL | UHC COMM PLN MEDICARE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH BLUE ADV TN | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | VETERNAS ADMINISTRATION | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | BLUE ADVANTAGE TN | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | COMMERCIAL HMO PPO | NALC | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | AETNA MEDICARE ADVANTAGE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH HUMANA MEDICARE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | UHC CARE IMPROVEMENT PLUS | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | HUMANA GOLD SR CHOICE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | COMMERCIAL HMO PPO | AARP HEALTH CARE OPTIONS | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH CLEAR SPRINGS HE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | AMERIGROUP MEDICARE ADVAN | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE | INPATIENT DOWNGRADE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | BLUE ADVANTAGE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MISC MEDICARE ADVANTAGE | CAH MISC MEDICARE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | BLUE ADVANTAGE GA | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | HUMANA INPT DOWNGRADE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH CLEAR SPRINGS HEALTH | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MCARE MCAID HMO DUAL | MISC DUAL ELIGIBLE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CLOVER HEALTH | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH AETNA MCR ADV | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CIGNA INPT DOWNGRADE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | UHC MEDICARE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | VETERANS ADMINISTRATION | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH AARP MCR ADV | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH HUMANA PPO | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE | MEDICARE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | HUMANA MEDICARE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MCARE MCAID HMO DUAL | UHC | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MISC MEDICARE ADVANTAGE | CAH MISC MEDICARE ADV | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE | CAH MEDICARE PART B ONLY | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MISC MEDICARE ADVANTAGE | MISC MEDICARE ADVANTAGE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH PRUITTHEALTH | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH UHC MC | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH CLOVER HEALTH | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | PRUITT H IP DOWNGRADE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE | CAH MEDICARE SWING | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | AETNA INPT DOWNGRADE | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MCARE MCAID HMO DUAL | CAH UHC COMM PLN MC | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH CIGNA MCR ADV | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | DNU AARP MEDICARE ADV | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | CAH VA CCN OPTUM | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | CAH MISC MEDICARE HMO | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | COMMERCIAL HMO PPO | AETNA SENIOR SUPPLEMENTAL | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | MISC MEDICARE HMO | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICARE HMO | PRUITTHEALTH PREMIER PFFS | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | VA CCN OPTUM | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | CHAMPUS | CAH VA CCN OPTUM SWING | $700.48 | $3,502.42 | $2,101.45 | 2026-04-17 | 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.