131105 — Head Biolox Delta Ceramic V40 32mm Plus0
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HEAD BIOLOX DELTA CERAMIC V40 32MM PLUS0 (CDM 131105) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/131105?code_type=CDM
MLA (9th ed.)
“HEAD BIOLOX DELTA CERAMIC V40 32MM PLUS0 (CDM 131105) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/131105?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HEAD BIOLOX DELTA CERAMIC V40 32MM PLUS0 (CDM 131105) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/131105?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $216–$1,998 (25th–75th percentile) across 16 hospitals · 115 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 131105 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION SETON NORTHWEST Both | BCBS CHIP/CHIP PERINATE | 3598_BLUE CROSS CHIP/STAR KIDS (NW) INPATIENT 20240901 | $15.24 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4161_WELLPOINT/AMERIGROUP CHIP (NW) OUTPATIENT 20241201 | $15.24 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS CHIP/CHIP PERINATE | 4172_BLUE CROSS CHIP (NW) OUTPATIENT 20241201 | $15.24 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS CHIP/CHIP PERINATE | 4172_BLUE CROSS CHIP/STAR KIDS (NW) OUTPATIENT 20241201 | $15.24 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WELLPOINT STAR PLUS | 4212_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (NW) OUTPATIENT 20241201 | $15.24 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WELLPOINT STAR KIDS | 4978_WELLPOINT/AMERIGROUP STAR KIDS (NW) OUTPATIENT 20241201 | $15.24 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS STAR KIDS | 5011_BLUE CROSS STAR KIDS (NW) OUTPATIENT 20241201 | $15.24 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WELLPOINT STAR PLUS | 4206_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (AUS) OUTPATIENT 20241201 | $17.78 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS CHIP/CHIP PERINATE | 4166_BLUE CROSS CHIP/STAR KIDS (AUS) OUTPATIENT 20241201 | $17.78 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WELLPOINT STAR KIDS | 4966_WELLPOINT/AMERIGROUP STAR KIDS (AUS) OUTPATIENT 20241201 | $17.78 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4155_AMERIGROUP CHIP/STAR KIDS (AUS) OUTPATIENT 20241201 | $17.78 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4155_WELLPOINT/AMERIGROUP CHIP (AUS) OUTPATIENT 20241201 | $17.78 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | BCBS CHIP/CHIP PERINATE | 3592_BLUE CROSS CHIP/STAR KIDS (AUS) INPATIENT 20240901 | $17.78 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | DELL CHIP/CHIP PERINATE | 3603_DELL CHIP/STAR KIDS (AUS) INPATIENT 20240901 | $17.78 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | DELL CHIP/CHIP PERINATE | 4177_DELL CHIP/STAR KIDS (AUS) OUTPATIENT 20241201 | $17.78 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS STAR KIDS | 4999_BLUE CROSS STAR KIDS (AUS) OUTPATIENT 20241201 | $17.78 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS CHIP/CHIP PERINATE | 4166_BLUE CROSS CHIP (AUS) OUTPATIENT 20241201 | $17.78 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HEALTHSMART | 808_HEALTHSMART PREFERRED CARE PPO | $17.95 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HEALTHSMART | 808_HEALTHSMART PREFERRED CARE PPO | $17.95 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | TRAVIS COUNTY INDIGENT | 4134_TRAVIS COUNTY INDIGENT (NW) 20240901 | $20.32 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | MCLENNAN COUNTY INDIGENT | 936_MCLENNAN COUNTY INDIGENT OUTPATIENT 20250601 | $23.34 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | MCLENNAN COUNTY INDIGENT | 936_MCLENNAN COUNTY INDIGENT OUTPATIENT 20250601 | $23.34 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | COUNTY INDIGENT | 505_COUNTY INDIGENT (AUS) 20140701 | $25.40 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | TRAVIS COUNTY INDIGENT | 4133_TRAVIS COUNTY INDIGENT (AUS) 20240901 | $25.40 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | 616_WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | $27.94 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | 616_WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | $27.94 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | COUNTY INDIGENT | 506_COUNTY INDIGENT (NW) 20140701 | $27.94 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | 618_WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | $30.48 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | 618_WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | $30.48 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SMARTHEALTH | 875_SMARTHEALTH OUTPATIENT 20250101 | $32.49 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SMARTHEALTH | 875_SMARTHEALTH OUTPATIENT 20250101 | $32.49 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SMARTHEALTH | 824_SMARTHEALTH INPATIENT 20241001 | $34.10 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SMARTHEALTH | 824_SMARTHEALTH INPATIENT 20241001 | $34.10 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | COUNTY INDIGENT | 501_COUNTY INDIGENT (BRK,DEL,SMV,BAS) 20140601 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | SUPERIOR AMBETTER | 3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | COUNTY INDIGENT | 501_COUNTY INDIGENT (BRK,DEL,SMV,BAS) 20140601 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | SUPERIOR AMBETTER | 3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901 | $35.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $48.26 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $48.26 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $48.26 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $48.26 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | TRAVIS COUNTY INDIGENT | 4139_TRAVIS COUNTY INDIGENT (CHI,DCN) 20240901 | $50.80 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | TRAVIS COUNTY INDIGENT | 4139_TRAVIS COUNTY INDIGENT (CHI,DCN) 20240901 | $50.80 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | COUNTY INDIGENT | 502_COUNTY INDIGENT (CHI,DCN) 20140701 | $50.80 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | COUNTY INDIGENT | 502_COUNTY INDIGENT (CHI,DCN) 20140701 | $50.80 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WINGS | 902_WINGS | $55.88 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WINGS | 902_WINGS | $55.88 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UTMB | 530_UTMB PRISONS (CHI,DCN) 20140101 | $58.42 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | TEXAS REHAB | 603_TEXAS REHAB VOCATIONAL | $58.42 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | TEXAS REHAB | 603_TEXAS REHAB VOCATIONAL | $58.42 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UTMB | 530_UTMB PRISONS (CHI,DCN) 20140101 | $58.42 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SELF PAY | 924_UNINSURED DISCOUNT 20250701 | $64.62 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SELF PAY | 924_UNINSURED DISCOUNT 20250701 | $64.62 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | TX REHAB | 510_TEXAS REHAB (AUS,NW,SW) 20150101 | $68.58 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | TX REHAB | 510_TEXAS REHAB (AUS,NW,SW) 20150101 | $68.58 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | AETNA | 935_AETNA 20250801 | $71.82 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | AETNA | 935_AETNA 20250801 | $71.82 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | CORNERSTONE | 602_CORNERSTONE HOSPITAL | $76.20 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | CORNERSTONE | 602_CORNERSTONE HOSPITAL | $76.20 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | UHC | 943_UNITED HEALTHCARE 20250701 | $80.00 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | UHC | 943_UNITED HEALTHCARE 20250701 | $80.00 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | $81.28 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WHOLE FOODS | 4512_WHOLE FOODS 20251001 | $81.28 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WHOLE FOODS | 4512_WHOLE FOODS 20251001 | $81.28 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | $81.28 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | $81.28 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | $81.28 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | SENDERO IDEALCARE | 816_SENDERO IDEALCARE CHAP (CHI,DCN) 20180301 | $86.36 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS BAV EXCHANGE | 4093_BLUE CROSS BLUE SHIELD BAV EXCHANGE (CHI,DCN) 20250101 | $86.36 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | SENDERO IDEALCARE | 816_SENDERO IDEALCARE CHAP (CHI,DCN) 20180301 | $86.36 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS BAV EXCHANGE | 4093_BLUE CROSS BLUE SHIELD BAV EXCHANGE (CHI,DCN) 20250101 | $86.36 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | VISTA HEALTH | 594_VISTA 360 (CHI,DCN) HEALTHPLAN | $88.90 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | VISTA HEALTH | 594_VISTA 360 (CHI,DCN) HEALTHPLAN | $88.90 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SWHP MANAGED CARE | 841_SCOTT & WHITE HEALTH PLAN 20241001 | $96.93 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | SWHP MANAGED CARE | 841_SCOTT & WHITE HEALTH PLAN 20241001 | $96.93 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | CIGNA | 930_CIGNA 20250701 | $100.89 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | CIGNA | 930_CIGNA 20250701 | $100.89 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | SUPERIOR STAR KIDS | 4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $101.60 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 204_FIRST CARE PROVIDENCE EMPLOYEE 20101001 | $101.60 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | SUPERIOR STAR FOSTER | 4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201 | $101.60 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 204_FIRST CARE PROVIDENCE EMPLOYEE 20101001 | $101.60 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | SUPERIOR STAR FOSTER | 4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201 | $101.60 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | SUPERIOR STAR KIDS | 4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $101.60 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $106.68 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $106.68 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AUSTIN STATE HOSPITAL | 500_AUSTIN STATE HOSPITAL | $114.30 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | SUPERIOR CHIP/CHIP PERINATE | 4190_SUPERIOR CHIP OUTPATIENT 20241201 | $114.30 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AUSTIN STATE HOSPITAL | 500_AUSTIN STATE HOSPITAL | $114.30 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | $114.30 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | $114.30 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | SUPERIOR CHIP/CHIP PERINATE | 4190_SUPERIOR CHIP OUTPATIENT 20241201 | $114.30 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA ACO PPO | 3438_AETNA ACO PPO 20240701 | $119.38 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA ACO PPO | 3438_AETNA ACO PPO 20240701 | $119.38 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA PPO EXCHANGE | 249_AETNA PPO EXCHANGE 20140101 | $121.92 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | $121.92 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA PPO EXCHANGE | 249_AETNA PPO EXCHANGE 20140101 | $121.92 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | $121.92 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HUMANA | 644_HUMANA HMO PPO 20230701 | $123.86 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HUMANA | 644_HUMANA HMO PPO 20230701 | $123.86 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HOSPICE COMMUNITY | 611_COMMUNITY HEALTHPLAN OF TEXAS-PROVIDENCE HOSPICE 20201105 | $125.65 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | FIRSTCARE PPO | 840_FIRSTCARE PPO 20241001 | $125.65 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | FIRSTCARE PPO | 840_FIRSTCARE PPO 20241001 | $125.65 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HOSPICE COMMUNITY | 611_COMMUNITY HEALTHPLAN OF TEXAS-PROVIDENCE HOSPICE 20201105 | $125.65 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | COVENTRY/FIRST HEALTH | 102_FIRSTHEALTH 20130101 | $131.03 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | COVENTRY/FIRST HEALTH | 102_FIRSTHEALTH 20130101 | $131.03 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | PHCS | 376_PHCS 20191001 | $134.63 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | PHCS | 376_PHCS 20191001 | $134.63 | $179.50 | $64.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HUMANA EXCHANGE | 387_HUMANA EXCHANGE 20160101 | $139.70 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HUMANA EXCHANGE | 387_HUMANA EXCHANGE 20160101 | $139.70 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA PPO | 4488_AETNA PPO 20250801 | $142.24 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA PPO | 4488_AETNA PPO 20250801 | $142.24 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $147.32 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | FIRST CARE PROVIDENCE | 205_FIRST CARE PROVIDENCE FOCUS 20100801 | $147.32 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $147.32 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | FIRST CARE PROVIDENCE | 205_FIRST CARE PROVIDENCE FOCUS 20100801 | $147.32 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA HMO EXCHANGE | 551_AETNA HMO EXCHANGE (CHI,DCN) 20170415 | $149.86 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | $149.86 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA HMO | 4486_AETNA HMO 20250801 | $149.86 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | $149.86 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA HMO EXCHANGE | 551_AETNA HMO EXCHANGE (CHI,DCN) 20170415 | $149.86 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA HMO | 4486_AETNA HMO 20250801 | $149.86 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA PPO EXCHANGE | 552_AETNA PPO EXCHANGE (CHI,DCN) 20170415 | $149.86 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA PPO EXCHANGE | 552_AETNA PPO EXCHANGE (CHI,DCN) 20170415 | $149.86 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | USA HEALTHNET | 128_USA HEALTHNET 20130101 | $150.48 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | USA HEALTHNET | 128_USA HEALTHNET 20130101 | $150.48 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 201_FIRST CARE PROVIDENCE EMPLOYEE (CHI,DCN) 20101001 | $152.40 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HEALTHSMART ACCEL | 755_HEALTH SMART ACCEL (ADULT SITES) 20140101 | $152.40 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HEALTHSMART ACCEL | 755_HEALTH SMART ACCEL (ADULT SITES) 20140101 | $152.40 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 201_FIRST CARE PROVIDENCE EMPLOYEE (CHI,DCN) 20101001 | $152.40 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC STANDARD NEXUS ACO | 3316_UNITED HEALTHCARE STANDARD NEXUS ACO (CHI,DCN) 20240101 | $160.02 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC STANDARD NEXUS ACO | 3316_UNITED HEALTHCARE STANDARD NEXUS ACO (CHI,DCN) 20240101 | $160.02 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC NEXUS CITY PPO | 4504_UNITED HEALTHCARE NEXUS CITY PPO (AUS,NW,SW,BAS) 20250401 | $161.00 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC NEXUS CITY HMO | 4503_UNITED HEALTHCARE NEXUS CITY HMO (WIL,HAYS) 20250701 | $161.00 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC STANDARD NEXUS ACO | 4507_UNITED HEALTHCARE STANDARD NEXUS ACO (AUS,NW,SW,BAS) 20250701 | $161.00 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC STANDARD NEXUS ACO | 4509_UNITED HEALTHCARE STANDARD NEXUS ACO (WIL,HAYS) 20250701 | $161.00 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC STANDARD NEXUS ACO | 4509_UNITED HEALTHCARE STANDARD NEXUS ACO (WIL,HAYS) 20250701 | $161.00 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC NEXUS CITY HMO | 4501_UNITED HEALTHCARE NEXUS CITY HMO (AUS,NW,SW,BAS) 20250701 | $161.00 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC NEXUS CITY PPO | 4506_UNITED HEALTHCARE NEXUS CITY PPO (WIL,HAYS) 20250701 | $161.00 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC NEXUS CITY PPO | 4504_UNITED HEALTHCARE NEXUS CITY PPO (AUS,NW,SW,BAS) 20250401 | $161.00 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC NEXUS CITY HMO | 4501_UNITED HEALTHCARE NEXUS CITY HMO (AUS,NW,SW,BAS) 20250701 | $161.00 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC NEXUS CITY PPO | 4506_UNITED HEALTHCARE NEXUS CITY PPO (WIL,HAYS) 20250701 | $161.00 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC NEXUS CITY HMO | 4503_UNITED HEALTHCARE NEXUS CITY HMO (WIL,HAYS) 20250701 | $161.00 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC STANDARD NEXUS ACO | 4507_UNITED HEALTHCARE STANDARD NEXUS ACO (AUS,NW,SW,BAS) 20250701 | $161.00 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS HPN | 4455_BLUE CROSS BLUE SHIELD HPN (CHI,DCN) 20250501 | $162.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS HPN | 4455_BLUE CROSS BLUE SHIELD HPN (CHI,DCN) 20250501 | $162.56 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA SHA AISD | 3425_AETNA SHA AISD (EBD,SHL) 20240701 | $170.18 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA ACO HMO | 4461_AETNA ACO HMO (EBD,SHL) 20250701 | $170.18 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA SHA AISD | 3425_AETNA SHA AISD (EBD,SHL) 20240701 | $170.18 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA ACO HMO | 4461_AETNA ACO HMO (EBD,SHL) 20250701 | $170.18 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $171.00 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HOSPICE COMPASSUS | 819_HOSPICE COMPASSUS 20241001 | $171.00 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | HOSPICE COMPASSUS | 819_HOSPICE COMPASSUS 20241001 | $171.00 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $171.00 | $171.00 | $61.56 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA SHA AISD | 3435_AETNA SHA AISD (CHI,DCN) 20240701 | $172.72 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HUMANA HMO CUST | 124_HUMANA HMO CUSTOM (CHI,DCN) 20130201 | $172.72 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | EMPHESYS | 605_EMPHESYS | $172.72 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HUMANA EXCHANGE | 415_HUMANA EXCHANGE (CHI,DCN) 20160101 | $172.72 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HUMANA HMO CUST | 124_HUMANA HMO CUSTOM (CHI,DCN) 20130201 | $172.72 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA HMO EXCHANGE | 1468_AETNA HMO EXCHANGE (EBD,SHL) 20170415 | $172.72 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA HMO EXCHANGE | 1468_AETNA HMO EXCHANGE (EBD,SHL) 20170415 | $172.72 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA SHA AISD | 3435_AETNA SHA AISD (CHI,DCN) 20240701 | $172.72 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | EMPHESYS | 605_EMPHESYS | $172.72 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HUMANA EXCHANGE | 415_HUMANA EXCHANGE (CHI,DCN) 20160101 | $172.72 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | OSCAR HEALTH EXCHANGE | 3198_OSCAR HEALTH PLAN (CHI,DCN) 20240101 | $175.26 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | OSCAR HEALTH EXCHANGE | 3198_OSCAR HEALTH PLAN (CHI,DCN) 20240101 | $175.26 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS HMO ESSENTIALS | 4092_BLUE CROSS BLUE SHIELD HMO ESSENTIALS (CHI,DCN) 20250101 | $175.26 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS HMO ESSENTIALS | 4092_BLUE CROSS BLUE SHIELD HMO ESSENTIALS (CHI,DCN) 20250101 | $175.26 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA ACO PPO/HMO - CHI | 4483_AETNA ACO PPO/HMO (CHI,DCN) 20250801 | $177.80 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | COVENTRY HPN (EBD,SHL) 20140101 | 257_COVENTRY HPN (EBD,SHL) 20140101 | $177.80 | $254.00 | $91.44 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | COVENTRY HPN (EBD,SHL) 20140101 | 257_COVENTRY HPN (EBD,SHL) 20140101 | $177.80 | $254.00 | $91.44 | 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.