124 — Pr Benign Punch
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR BENIGN PUNCH (CDM 124) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/124?code_type=CDM
MLA (9th ed.)
“PR BENIGN PUNCH (CDM 124) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/124?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“PR BENIGN PUNCH (CDM 124) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/124?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18–$723 (25th–75th percentile) across 7 hospitals · 86 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 124 — 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 |
|---|---|---|---|---|---|---|---|
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem Pathways Essentials | $3.25 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All HMO/POS | $3.25 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | $3.31 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | $3.31 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All PPO | $3.34 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All PPO | — | $6.00 | $3.42 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | $3.40 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All Traditional Plans | $3.46 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | All Managed Care | $3.51 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $3.51 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | $3.53 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $3.57 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | $3.57 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHPFC | $3.90 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STAR | $3.90 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARPLUS | $3.90 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARKids | $3.90 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHIP | $3.90 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Sagamore Health Network/Cigna | PPO - NON-DRG | $4.02 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | United Healthcare | All Managed Care | $4.13 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Marketplace Plans | $4.20 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Managed Care | $4.20 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | MCR | $4.31 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - NAP | $4.41 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | HMO - Coventry | $4.41 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - First Health | $4.41 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | USA Managed Care Organization | All PPO | $4.50 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Multiplan | PPO - Multiplan Plans | $4.71 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Community Health Alliance | All PPO Plans | $4.80 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | SIHO Insurance Services | All PPO Plans | $4.80 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Indiana University Health | All Managed Care | $4.80 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Encore Health Network | PPO | $4.86 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | $5.10 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Multiplan | PPO - PHCS Private Healthcare Plans | $5.10 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Suburban Health Organization | PPO - Direct | $5.10 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | $5.40 | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Community Health Choice MCD | STAR+PLUS | $8.45 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Community Health Choice MCD | CHIPPerinatal | $8.45 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Community Health Choice MCD | CHIP | $8.45 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Community Health Choice MCD | STAR | $8.45 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Amerigroup | MGMCD | $9.10 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Amerigroup | MCDCHIPBH | $9.10 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Cigna | CSN | $9.62 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Cigna | OpenAccessPlus | $10.40 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | MyBlueHealth | $10.60 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Childrens Health Plans | CHIP | $10.79 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | United | OptionsPPO | $10.92 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior | EPO | $11.38 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior | HMO | $11.38 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | BAV | $11.70 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Cigna | PPO | $12.35 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Oscar | HIX | $12.68 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior | ValueHMO | $12.87 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | HMO | $14.63 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | EPOSOA | $14.95 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | PPO | $15.21 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Childrens Health Plans | STARKIDS | $15.40 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Childrens Health Plans | STAR | $15.40 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Healthcare Highways | NarrowNetwork | $16.57 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| Columbus Springs East Outpatient | First Health | Commercial | $16.64 | $26.00 | $360.00 | 2025-09-23 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | QHPExchange | $17.23 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Molina Healthcare | HIX | $17.55 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| Columbus Springs East Outpatient | MULTIPLAN/PHCS/BEECH STREET | Commercial PPO | $17.68 | $26.00 | $360.00 | 2025-09-23 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Evry Health | BroadNetwork | $17.75 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| Columbus Springs East Outpatient | Health Ohio Network | Commercial | $18.20 | $26.00 | $360.00 | 2025-09-23 | MRF ↗ |
| Columbus Springs East Outpatient | Compsych | Commercial | $19.50 | $26.00 | $360.00 | 2025-09-23 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | CHC Harris Health | Indigent | $19.50 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Humana | HMO | $20.74 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Humana | PPO | $20.74 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | NBPPO | $20.86 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | NBHMO | $20.86 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | NBPOS | $20.86 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| Columbus Springs East Outpatient | Provider Networks of America | Commercial | $22.10 | $26.00 | $360.00 | 2025-09-23 | MRF ↗ |
| Columbus Springs East Outpatient | Velocity National Provider Network | Group Health-Commercial | $22.10 | $26.00 | $360.00 | 2025-09-23 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | COMMPPO | $22.23 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | COMMHMO | $22.23 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | COMMPOS | $22.23 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Kelsey Care (Boon-Chapman) | COMM | $22.75 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Imagine Health | PPO | $22.75 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | Traditional | $22.75 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| Columbus Springs East Outpatient | CareSource | Managed Medicaid | $26.00 | $26.00 | $360.00 | 2025-09-23 | MRF ↗ |
| Columbus Springs East Outpatient | Molina | Managed Medicaid | $26.00 | $26.00 | $360.00 | 2025-09-23 | MRF ↗ |
| Columbus Springs East Outpatient | Paramount | Managed Medicaid | $26.00 | $26.00 | $360.00 | 2025-09-23 | MRF ↗ |
| Columbus Springs East Outpatient | TriCare East | TriCare products | $26.00 | $26.00 | $360.00 | 2025-09-23 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Christus (USFHP) | TRICARE | $26.00 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Curative Administrators | COMM | $26.00 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | OONHMO | $26.07 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | OONPPO | $26.07 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | OONPOS | $26.07 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| Columbus Springs East Outpatient | Anthem | Managed Medicaid | $27.30 | $26.00 | $360.00 | 2025-09-23 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | HealthSmart Preferred Care | ACCEL | $27.95 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | ASAPPO | $28.14 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | ASAPOS | $28.14 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | ASAHMO | $28.14 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| Columbus Springs East Outpatient | Humana Behavioral Health | Managed Medicaid | $28.60 | $26.00 | $360.00 | 2025-09-23 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Fidelis SecureCare of TX | MGMCR | $29.25 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | United | GlobalAppendix | $29.25 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Averde Health | Commercial | $29.25 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Multiplan | SAVILITYNETWORK | $32.50 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Coventry National First Health | COMM | $34.65 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Rockport Workers Comp | COMM | $35.75 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Physicians Cooperative of Texas | WC | $35.75 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Independent Medical System | COMM | $39.00 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | SouthWest Medical | WORKERSCOMP | $39.00 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | National Healthcare Solutions | COMM | $39.00 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Beech Street | WCOMP | $39.00 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Coastal Comp | COMM | $42.25 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | TriWest Healthcare Alliance | Veterans | $52.00 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Beech Street | COMMPPO | $52.00 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL Inpatient | Wellmark | Hmo | $53.04 | $1,800.00 | $1,350.00 | 2026-09-21 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | HealthSmart Preferred Care | PPO | $53.30 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $55.25 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | USA Managed Care | COMM | $55.25 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Physicians, INC | COMM | $55.25 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL Inpatient | Wellmark | Ppo | $58.29 | $1,800.00 | $1,350.00 | 2026-09-21 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Multiplan | COMPLEMENTARYPPO | $58.50 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Affiliated PPO | COMM | $58.50 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | CHIP | $66.96 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $66.96 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | CHIP | $66.96 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | HEALTH OPTIONS | $66.96 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | STAR | $66.96 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | FIRSTCARE | STAR | $66.96 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | ALL PRODUCTS | $66.96 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w/o UHRIP | CHIP | $93.33 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $93.33 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w. UHRIP | STAR | $93.33 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | MDC S&W | $93.33 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | STAR | $93.33 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR | $98.01 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR | $98.01 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR PLUS | $98.01 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | CHIP | $98.01 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR KIDS | $98.01 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | CHIP | $98.01 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR PLUS | $98.01 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | BCBS TX STAR | $100.80 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP STAR KIDS | $100.80 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP | $100.80 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | CHIP | $103.23 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | STAR KIDS | $103.23 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | STAR | $103.23 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w. UHRIP | STAR | $106.08 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | ALL PRODUCTS | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | RIGHTCARE | STAR | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Optum | ALL PRODUCTS | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | STAR | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | HEALTH OPTIONS | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | CHIP | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | STAR | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | CHIP | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | STAR MEDICAID | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | CHIP | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | STAR PLUS | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | STAR | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | STAR KIDS | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | CHIP | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | STAR | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | RIGHTCARE | MDC S&W | $122.76 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | FIRSTCARE | STAR | $128.90 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH STAR Kids | $135.04 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH STAR UHRIP | $135.04 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH CHIP | $135.04 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | Aetna | EMPLOYEE | $139.50 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | Optum | ALL PRODUCTS | $161.82 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Aetna | EMPLOYEE | $167.40 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BCBS | HMO | $217.62 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | FIRSTCARE | ALL PRODUCTS | $223.20 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BCBS | PPO | $234.36 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | S&W HEALTH | ALL PRODUCTS | $234.36 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | CIGNA | CIGNA-MGD | $237.15 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | IMAGINE HEALTH | ALL PRODUCTS | $237.15 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTHSCOPE | ALL PRODUCTS | $237.15 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Aetna | ALL PRODUCTS | $237.15 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | UHC | MGD | $237.15 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MULTIPLAN | PHCS | $242.73 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HUMANA | CONCENTRIC PPO | $242.73 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MULTIPLAN | ALL PRODUCTS | $242.73 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HUMANA | CHOICECARE PPO | $245.52 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | FIRST HEALTH | PPO | $245.52 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $251.10 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | GALAXY HEALTH | ALL PRODUCTS | $251.10 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Healthsmart | ALL PRODUCTS | $251.10 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | USAMCO | ALL PRODUCTS | $256.68 | $279.00 | $209.25 | 2026-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Athletic Network | Premier | $300.00 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Imperial Insurance | MCR | $723.00 | $4,820.00 | $4,820.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRPPO | $723.00 | $4,820.00 | $4,820.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | MedCare Partners | MGMCR | $723.00 | $4,820.00 | $4,820.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRPOS | $723.00 | $4,820.00 | $4,820.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRHMO | $723.00 | $4,820.00 | $4,820.00 | 2024-10-01 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | — | $6.00 | $3.42 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | United Healthcare | All Managed Medicare | — | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Caresource | All Marketplace Plans | — | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Humana | All Managed Medicare | — | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Aetna | All Managed Medicare | — | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Corvel | All Managed Care Plans | — | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Health Alliance | All Managed Medicare | — | $6.00 | $3.42 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Government Medicaid HIP | — | $6.00 | $3.42 | 2024-12-03 | 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.