119 — Dental And Oral Diseases Age 0-17
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DENTAL AND ORAL DISEASES AGE 0-17 (OTHER 119) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/119?code_type=OTHER
MLA (9th ed.)
“DENTAL AND ORAL DISEASES AGE 0-17 (OTHER 119) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/119?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“DENTAL AND ORAL DISEASES AGE 0-17 (OTHER 119) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/119?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $520–$4,575 (25th–75th percentile) across 157 hospitals · 151 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 119 — 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 |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $5.48 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $5.48 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $5.48 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $5.59 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $5.64 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $5.75 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $9.83 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $9.83 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $9.83 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $10.94 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $16.15 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Commercial | $16.46 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $17.00 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Ebms | Default | $18.00 | $20.00 | $20.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Ebms | Default | $18.00 | $20.00 | $20.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Ebms | Default | $18.00 | $20.00 | $20.00 | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $18.41 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Blue Cross Blue Shield Of Mt | Default | $19.00 | $20.00 | $20.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Blue Cross Blue Shield Of Mt | Default | $19.00 | $20.00 | $20.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Blue Cross Blue Shield Of Mt | Default | $19.00 | $20.00 | $20.00 | 2026-05-21 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $19.01 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | United Healthcare | Default | $19.60 | $20.00 | $20.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Allegiance Benefit Plan Management | Default | $19.60 | $20.00 | $20.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Cigna | Default | $19.60 | $20.00 | $20.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Cigna | Default | $19.60 | $20.00 | $20.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | United Healthcare | Default | $19.60 | $20.00 | $20.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Uhc Ntca Group Health Program | Default | $19.60 | $20.00 | $20.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Allegiance Benefit Plan Management | Default | $19.60 | $20.00 | $20.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | United Healthcare | Default | $19.60 | $20.00 | $20.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Cigna | Default | $19.60 | $20.00 | $20.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Allegiance Benefit Plan Management | Default | $19.60 | $20.00 | $20.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Uhc Ntca Group Health Program | Default | $19.60 | $20.00 | $20.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Both | Uhc Ntca Group Health Program | Default | $19.60 | $20.00 | $20.00 | 2026-05-13 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $22.66 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $23.80 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $28.33 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $28.33 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $28.33 | $28.33 | $20.12 | 2026-05-08 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Ebms | Default | $36.00 | $40.00 | $40.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Ebms | Default | $36.00 | $40.00 | $40.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Ebms | Default | $36.00 | $40.00 | $40.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Blue Cross Blue Shield Of Mt | Default | $38.00 | $40.00 | $40.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Blue Cross Blue Shield Of Mt | Default | $38.00 | $40.00 | $40.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Blue Cross Blue Shield Of Mt | Default | $38.00 | $40.00 | $40.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Uhc Ntca Group Health Program | Default | $39.20 | $40.00 | $40.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | United Healthcare | Default | $39.20 | $40.00 | $40.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | United Healthcare | Default | $39.20 | $40.00 | $40.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Allegiance Benefit Plan Management | Default | $39.20 | $40.00 | $40.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Allegiance Benefit Plan Management | Default | $39.20 | $40.00 | $40.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Cigna | Default | $39.20 | $40.00 | $40.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Uhc Ntca Group Health Program | Default | $39.20 | $40.00 | $40.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Cigna | Default | $39.20 | $40.00 | $40.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Allegiance Benefit Plan Management | Default | $39.20 | $40.00 | $40.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Uhc Ntca Group Health Program | Default | $39.20 | $40.00 | $40.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | United Healthcare | Default | $39.20 | $40.00 | $40.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Cigna | Default | $39.20 | $40.00 | $40.00 | 2026-05-09 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicaid Advantage | Medicaid | $53.67 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Ppo | Commercial | $76.20 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Hmo | Commercial | $76.20 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Epo | Commercial | $76.20 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Pos | Commercial | $76.20 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Ebms | Default | $76.50 | $85.00 | $85.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Ebms | Default | $76.50 | $85.00 | $85.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Ebms | Default | $76.50 | $85.00 | $85.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Blue Cross Blue Shield Of Mt | Default | $80.75 | $85.00 | $85.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Blue Cross Blue Shield Of Mt | Default | $80.75 | $85.00 | $85.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Blue Cross Blue Shield Of Mt | Default | $80.75 | $85.00 | $85.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | United Healthcare | Default | $83.30 | $85.00 | $85.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | United Healthcare | Default | $83.30 | $85.00 | $85.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Cigna | Default | $83.30 | $85.00 | $85.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Allegiance Benefit Plan Management | Default | $83.30 | $85.00 | $85.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Allegiance Benefit Plan Management | Default | $83.30 | $85.00 | $85.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Uhc Ntca Group Health Program | Default | $83.30 | $85.00 | $85.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Uhc Ntca Group Health Program | Default | $83.30 | $85.00 | $85.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Allegiance Benefit Plan Management | Default | $83.30 | $85.00 | $85.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Uhc Ntca Group Health Program | Default | $83.30 | $85.00 | $85.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Cigna | Default | $83.30 | $85.00 | $85.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Cigna | Default | $83.30 | $85.00 | $85.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | United Healthcare | Default | $83.30 | $85.00 | $85.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Ebms | Default | $108.00 | $120.00 | $120.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Ebms | Default | $108.00 | $120.00 | $120.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Ebms | Default | $108.00 | $120.00 | $120.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Blue Cross Blue Shield Of Mt | Default | $114.00 | $120.00 | $120.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Blue Cross Blue Shield Of Mt | Default | $114.00 | $120.00 | $120.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Blue Cross Blue Shield Of Mt | Default | $114.00 | $120.00 | $120.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Cigna | Default | $117.60 | $120.00 | $120.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Uhc Ntca Group Health Program | Default | $117.60 | $120.00 | $120.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | United Healthcare | Default | $117.60 | $120.00 | $120.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Allegiance Benefit Plan Management | Default | $117.60 | $120.00 | $120.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Cigna | Default | $117.60 | $120.00 | $120.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Allegiance Benefit Plan Management | Default | $117.60 | $120.00 | $120.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Allegiance Benefit Plan Management | Default | $117.60 | $120.00 | $120.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | United Healthcare | Default | $117.60 | $120.00 | $120.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Uhc Ntca Group Health Program | Default | $117.60 | $120.00 | $120.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | United Healthcare | Default | $117.60 | $120.00 | $120.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Cigna | Default | $117.60 | $120.00 | $120.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Uhc Ntca Group Health Program | Default | $117.60 | $120.00 | $120.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Ebms | Default | $153.00 | $170.00 | $170.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Ebms | Default | $153.00 | $170.00 | $170.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Ebms | Default | $153.00 | $170.00 | $170.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Blue Cross Blue Shield Of Mt | Default | $161.50 | $170.00 | $170.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Blue Cross Blue Shield Of Mt | Default | $161.50 | $170.00 | $170.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Blue Cross Blue Shield Of Mt | Default | $161.50 | $170.00 | $170.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Uhc Ntca Group Health Program | Default | $166.60 | $170.00 | $170.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Allegiance Benefit Plan Management | Default | $166.60 | $170.00 | $170.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Uhc Ntca Group Health Program | Default | $166.60 | $170.00 | $170.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Cigna | Default | $166.60 | $170.00 | $170.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | United Healthcare | Default | $166.60 | $170.00 | $170.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Uhc Ntca Group Health Program | Default | $166.60 | $170.00 | $170.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | United Healthcare | Default | $166.60 | $170.00 | $170.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Allegiance Benefit Plan Management | Default | $166.60 | $170.00 | $170.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Cigna | Default | $166.60 | $170.00 | $170.00 | 2026-05-09 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | United Healthcare | Default | $166.60 | $170.00 | $170.00 | 2026-05-21 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Allegiance Benefit Plan Management | Default | $166.60 | $170.00 | $170.00 | 2026-05-13 | MRF ↗ |
| ROSEBUD HEALTH CARE CENTER Outpatient | Cigna | Default | $166.60 | $170.00 | $170.00 | 2026-05-21 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Buckeye Community Health Plan Medicaid | Mco | $174.54 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Uhc Community Plan Medicaid | Mco | $174.54 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Amerihealth Caritas Medicaid | Mco | $174.54 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Caresource Medicaid | Mco | $174.54 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Humana Medicaid | Mco | $174.54 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Molina Medicaid | Mco | $174.54 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Paramount Advantage Medicaid | Mco | $174.54 | — | — | 2026-05-13 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Outpatient | Aetna Medicare Advantage | — | $185.50 | $350.00 | $245.00 | 2026-05-08 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Ohio Medicaid Ffs | Medicaid | $193.26 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $193.26 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $199.06 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $199.06 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $199.06 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Amerihealth Caritas | Medicaid | $200.99 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Humana | Medicaid | $202.92 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Medicaid | $202.92 | — | — | 2026-05-09 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Inpatient | Wellmark Bcbs | Hmo | $224.00 | $350.00 | $245.00 | 2026-05-08 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Inpatient | Wellmark Bcbs | Ppo | $224.00 | $350.00 | $245.00 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Multiplan | Commercial | $247.65 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Multiplan Complimentary Network | Commercial | $247.65 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $247.65 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Aetna Medical Rental | Commercial | $259.80 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Outpatient | Wellmark Insurance | Hmo | $272.26 | — | — | 2026-05-09 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Outpatient | Wellmark Insurance | Ppo | $299.90 | — | — | 2026-05-09 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Inpatient | Medica | Commercial | $315.00 | $350.00 | $245.00 | 2026-05-08 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Inpatient | United Healthcare | — | $325.50 | $350.00 | $245.00 | 2026-05-08 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Inpatient | Aetna | — | $332.50 | $350.00 | $245.00 | 2026-05-08 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Inpatient | Aetna | Rental Network | $332.50 | $350.00 | $245.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Aetna Better Health Medicaid | Mco Aetna Better Health Il | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Il Medicaid | Mco Molina Il | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Managed Health Services Medicaid | Mco Managed Health/Network Health Plans | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Icare Medicaid | Mco Icare | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | United Healthcare Medicaid | Mco United Healthcare | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Mercy Care Medicaid | Mco Mercycare | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Chorus Community Health Plan Medicaid | Mco Chorus Community Health Plan | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Anthem Medicaid | Mco Anthem | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Meridian Medicaid | Mco Meridian Health Plan Il | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Ghc Eau Claire Medicaid | Mco Ghc Eau Claire | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Dean Health Plan Medicaid | Mco Deancare | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Wi Medicaid | Mco Molina Healthcare Of Wi | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | My Choice Medicaid | Mco Hmo My Choice | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Community Care Medicaid | Mco Community Care Family Care | $421.96 | — | — | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $472.89 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicaid | $472.89 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $472.89 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid | $472.89 | — | — | 2026-05-07 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid | $472.89 | — | — | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $473.00 | — | — | 2026-05-13 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $491.80 | — | — | 2026-05-07 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Humana | Medicaid | $496.53 | — | — | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Staywell | Wellcare Medicaid | $496.53 | — | — | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Humana | Medicaid | $497.00 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Staywell | Wellcare Medicaid | $497.00 | — | — | 2026-05-13 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $500.00 | $1,385.05 | $1,038.79 | 2026-05-08 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Vivada | Medicaid | $505.99 | — | — | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Vivada | Medicaid | $506.00 | — | — | 2026-05-13 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid | $510.72 | — | — | 2026-05-07 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Aetna | Medicaid | $510.72 | — | — | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Aetna | Medicaid | $510.72 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $520.00 | — | — | 2026-05-13 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Molina | Medicaid | $520.18 | — | — | 2026-05-07 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Sunshine State Health | Medicaid | $520.18 | — | — | 2026-05-06 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $526.32 | $1,385.05 | $1,038.79 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $526.32 | $1,385.05 | $1,038.79 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $526.32 | $1,385.05 | $1,038.79 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $526.32 | $1,385.05 | $1,038.79 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $526.32 | $1,385.05 | $1,038.79 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $526.32 | $1,385.05 | $1,038.79 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Silversummitt Healthplan | Medicare | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Western Sky Community Care | Mgd. Medicaid | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Coordinated Care | Managed Medicaid | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Trillium Community Health Plan | Mgd Mcd | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Blue Cross Blue Shield Of Ca | Commercial | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Net Of Ca | Commercial | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Aetna National | Commercial | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Aetna Better Health Of Mi | Managed Medicaid | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Alliance Coal Health Plan | Commercial | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Prime Health Services | Commercial | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Providence Health Plan | Managed Medicaid | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Sana Benefits | Commercial | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Net Federal Services | Tricare | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Stratose | Commercial | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Meridian Health Of Mi | Managed Medicaid | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Sutter Medical Foundation | Commercial | — | $42.48 | $42.48 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Uc Of Davis | Commercial | — | $42.48 | $42.48 | 2026-05-23 | 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.