1378484_1 — Operating Room Services - General Classification
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OPERATING ROOM SERVICES - GENERAL CLASSIFICATION (CDM 1378484_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1378484_1?code_type=CDM
MLA (9th ed.)
“OPERATING ROOM SERVICES - GENERAL CLASSIFICATION (CDM 1378484_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1378484_1?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“OPERATING ROOM SERVICES - GENERAL CLASSIFICATION (CDM 1378484_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1378484_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $258–$3,708 (25th–75th percentile) across 10 hospitals · 94 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 1378484_1 — 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 |
|---|---|---|---|---|---|---|---|
| DECATUR COUNTY HOSPITAL Outpatient | BLUE CROSS-ALL PLANS | BLUE CROSS-ALL PLANS | $96.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | BLUE CROSS-ALL PLANS | BLUE CROSS-ALL PLANS | $96.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CHAMPVA -ALL PLANS | CHAMPVA -ALL PLANS | $135.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CHAMPVA -ALL PLANS | CHAMPVA -ALL PLANS | $135.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | EVERYSTEP HOSPICE-ALL PLANS | EVERYSTEP HOSPICE-ALL PLANS | $156.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | EVERYSTEP HOSPICE-ALL PLANS | EVERYSTEP HOSPICE-ALL PLANS | $156.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | WELLMARK HMO | WELLMARK HMO | $159.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | WELLMARK PPO - ALL OTHER PLANS | WELLMARK PPO - ALL OTHER PLANS | $159.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | WELLMARK PPO - ALL OTHER PLANS | WELLMARK PPO - ALL OTHER PLANS | $159.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | WELLMARK HMO | WELLMARK HMO | $159.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $162.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AETNA MCR ADV-ALL PLANS | AETNA MCR ADV-ALL PLANS | $162.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $162.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AETNA MCR ADV-ALL PLANS | AETNA MCR ADV-ALL PLANS | $162.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | OPTUM VA | OPTUM VA | $180.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | OPTUM VA | OPTUM VA | $180.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | BENEFIT ADMIN SYSTEM-ALL PLANS | BENEFIT ADMIN SYSTEM-ALL PLANS | $195.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | BENEFIT ADMIN SYSTEM-ALL PLANS | BENEFIT ADMIN SYSTEM-ALL PLANS | $195.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $219.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MISC COMMERCIAL-ALL PLANS | MISC COMMERCIAL-ALL PLANS | $219.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MERITAIN HEALTH-ALL PLANS | MERITAIN HEALTH-ALL PLANS | $219.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $219.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MERITAIN HEALTH-ALL PLANS | MERITAIN HEALTH-ALL PLANS | $219.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MISC COMMERCIAL-ALL PLANS | MISC COMMERCIAL-ALL PLANS | $219.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | ALLIED BENEFIT SYSTEM-ALL PLANS | ALLIED BENEFIT SYSTEM-ALL PLANS | $225.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | ALLIED BENEFIT SYSTEM-ALL PLANS | ALLIED BENEFIT SYSTEM-ALL PLANS | $225.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | ALL SAVERS-ALL PLANS | ALL SAVERS-ALL PLANS | $225.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AMERICAN FAMILY INS GRP-ALL PLANS | AMERICAN FAMILY INS GRP-ALL PLANS | $225.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AMERICAN FAMILY INS GRP-ALL PLANS | AMERICAN FAMILY INS GRP-ALL PLANS | $225.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | ALL SAVERS-ALL PLANS | ALL SAVERS-ALL PLANS | $225.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | RURAL CARRIER BENEFIT PLAN-ALL PLANS | RURAL CARRIER BENEFIT PLAN-ALL PLANS | $231.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | RURAL CARRIER BENEFIT PLAN-ALL PLANS | RURAL CARRIER BENEFIT PLAN-ALL PLANS | $231.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AETNA LIFE INS | AETNA LIFE INS | $237.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $237.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AETNA LIFE INS | AETNA LIFE INS | $237.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $237.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MEDICA-ALL OTHER PLANS | MEDICA-ALL OTHER PLANS | $240.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CHRISTIAN HEALTHCARE -ALL PLANS | CHRISTIAN HEALTHCARE -ALL PLANS | $240.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CHRISTIAN HEALTHCARE -ALL PLANS | CHRISTIAN HEALTHCARE -ALL PLANS | $240.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MEDICA-ALL OTHER PLANS | MEDICA-ALL OTHER PLANS | $240.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | GOLDEN RULE-ALL PLANS | GOLDEN RULE-ALL PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | NTCA THE RURAL BROADBAND-ALL PLANS | NTCA THE RURAL BROADBAND-ALL PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UMR-ALL PLANS | UMR-ALL PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UHC RIVER VALLE | UHC RIVER VALLE | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | GOLDEN RULE-ALL PLANS | GOLDEN RULE-ALL PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UHC RIVER VALLE | UHC RIVER VALLE | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | NTCA THE RURAL BROADBAND-ALL PLANS | NTCA THE RURAL BROADBAND-ALL PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UMR-ALL PLANS | UMR-ALL PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $255.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CIGNA HEALTH AND LIFE | CIGNA HEALTH AND LIFE | $258.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CIGNA HEALTH AND LIFE | CIGNA HEALTH AND LIFE | $258.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $258.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $258.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MEDICAL MUTUAL-ALL PLANS | MEDICAL MUTUAL-ALL PLANS | $264.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MEDICAL MUTUAL-ALL PLANS | MEDICAL MUTUAL-ALL PLANS | $264.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | FARM BUREAU PROPERTY AND CA | FARM BUREAU PROPERTY AND CA | $270.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | FARM BUREAU FINANCIAL-ALL OTHER PLANS | FARM BUREAU FINANCIAL-ALL OTHER PLANS | $270.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | FARM BUREAU FINANCIAL-ALL OTHER PLANS | FARM BUREAU FINANCIAL-ALL OTHER PLANS | $270.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | FARM BUREAU PROPERTY AND CA | FARM BUREAU PROPERTY AND CA | $270.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MEDI SHARE-ALL PLANS | MEDI SHARE-ALL PLANS | $273.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MEDI SHARE-ALL PLANS | MEDI SHARE-ALL PLANS | $273.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UHSS-ALL PLANS | UHSS-ALL PLANS | $273.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | UHSS-ALL PLANS | UHSS-ALL PLANS | $273.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | HEALTH PARTNERS-ALL PLANS | HEALTH PARTNERS-ALL PLANS | $276.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | HEALTH PARTNERS-ALL PLANS | HEALTH PARTNERS-ALL PLANS | $276.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | LEWERMARK-ALL PLANS | LEWERMARK-ALL PLANS | $285.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | LEWERMARK-ALL PLANS | LEWERMARK-ALL PLANS | $285.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $294.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MAIL HANDLERS BENEFIT-ALL PLANS | MAIL HANDLERS BENEFIT-ALL PLANS | $294.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MAIL HANDLERS BENEFIT-ALL PLANS | MAIL HANDLERS BENEFIT-ALL PLANS | $294.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $294.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | PRIORITY HEALTH-ALL PLANS | PRIORITY HEALTH-ALL PLANS | $300.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Outpatient | PRIORITY HEALTH-ALL PLANS | PRIORITY HEALTH-ALL PLANS | $300.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | AETNA MCR ADV-ALL PLANS | AETNA MCR ADV-ALL PLANS | $405.50 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | CHOICECARE MCR ADV | CHOICECARE MCR ADV | $437.94 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $437.94 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | HOME STATE HLTH MCR | HOME STATE HLTH MCR | $437.94 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | HOME STATE HLTH EXCH - ALL OTHER PLANS | HOME STATE HLTH EXCH - ALL OTHER PLANS | $437.94 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | MT CARMEL HP-ALL PLANS | MT CARMEL HP-ALL PLANS | $437.94 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | AMERIGROUP MCR ADV-ALL OTHER PLANS | AMERIGROUP MCR ADV-ALL OTHER PLANS | $446.70 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | AMERICAN HP MCR ADV-ALL PLANS | AMERICAN HP MCR ADV-ALL PLANS | $459.84 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | HOME STATE HLTH MCAID | HOME STATE HLTH MCAID | $486.60 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | IOWA TOTAL CARE MCAID-ALL PLANS | IOWA TOTAL CARE MCAID-ALL PLANS | $496.33 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | MOLINA MCAID-ALL PLANS | MOLINA MCAID-ALL PLANS | $503.63 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | AMERIGROUP MCAID | AMERIGROUP MCAID | $506.06 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $512.04 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | MOLINA MCAID/CHIP - ALL PLANS | MOLINA MCAID/CHIP - ALL PLANS | $512.04 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | MERCY ONE - ALL PLANS | MERCY ONE - ALL PLANS | $512.04 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $517.16 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | AMERIGROUP MCR ADV - ALL OTHER PLANS | AMERIGROUP MCR ADV - ALL OTHER PLANS | $522.28 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $527.40 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $567.70 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | PREFERRED HLTH CHOICES - ALL PLANS | PREFERRED HLTH CHOICES - ALL PLANS | $608.25 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| DAVIS COUNTY HOSPITAL Outpatient | CHOICECARE COMM - ALL OTHER PLANS | CHOICECARE COMM - ALL OTHER PLANS | $770.45 | $811.00 | $811.00 | 2026-04-10 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | AETNA MCARE ADV - ALL PLANS | AETNA MCARE ADV - ALL PLANS | $793.10 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | HEALTH PARTNERS NEW BUS - ALL OTHER PLANS | HEALTH PARTNERS NEW BUS - ALL OTHER PLANS | $943.23 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $943.23 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,022.73 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | PREFERRED HEALTH - ALL PLANS | PREFERRED HEALTH - ALL PLANS | $1,145.35 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | MEDICAL ASSOCIATES - ALL PLANS | MEDICAL ASSOCIATES - ALL PLANS | $1,145.35 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | AETNA HMO | AETNA HMO | $1,253.15 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | AETNA PPO - ALL OTHER PLANS | AETNA PPO - ALL OTHER PLANS | $1,280.10 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $1,280.10 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | AETNA PPO RENTAL | AETNA PPO RENTAL | $1,307.05 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| KOSSUTH REGIONAL HEALTH CENTER Outpatient | HEALTH PARTNERS EXISITING BUS | HEALTH PARTNERS EXISITING BUS | $1,307.05 | $1,347.47 | $1,077.98 | 2026-03-31 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | IOWA TOTAL CARE MCAID | IOWA TOTAL CARE MCAID | $1,418.31 | $3,090.00 | $3,090.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | HUMANA MCARE ADV | HUMANA MCARE ADV | $1,421.40 | $3,090.00 | $3,090.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | AETNA MCR | AETNA MCR | $1,421.40 | $3,090.00 | $3,090.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | WELLMARK TRIWEST | WELLMARK TRIWEST | $1,435.61 | $3,090.00 | $3,090.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | AMERIGROUP MCAID - ALL OTHER PLANS | AMERIGROUP MCAID - ALL OTHER PLANS | $1,446.12 | $3,090.00 | $3,090.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | AMERIGROUP MCARE | AMERIGROUP MCARE | $1,449.83 | $3,090.00 | $3,090.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | IOWA TOTAL CARE MCARE | IOWA TOTAL CARE MCARE | $1,492.47 | $3,090.00 | $3,090.00 | 2026-01-24 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $1,516.59 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $1,516.59 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MEDIGOLD MCR ADV - ALL PLANS | MEDIGOLD MCR ADV - ALL PLANS | $1,516.59 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MERCY ONE / HUMANA MCR ADV - ALL PLANS | MERCY ONE / HUMANA MCR ADV - ALL PLANS | $1,562.09 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | BCBS MMAI | BCBS MMAI | $1,821.91 | $4,460.00 | $4,014.00 | 2026-05-07 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | MAGNOLIA COMM/EXCHANGE-ALL OTHER PLANS | MAGNOLIA COMM/EXCHANGE-ALL OTHER PLANS | $1,880.78 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $1,956.16 | $4,460.00 | $4,014.00 | 2026-05-07 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $1,956.16 | $4,460.00 | $4,014.00 | 2026-05-07 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | CENTIVO HMO - ALL PLANS | CENTIVO HMO - ALL PLANS | $1,965.86 | $3,090.00 | $3,090.00 | 2026-01-24 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $2,000.00 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | AMERIGROUP MCR ADV-ALL PLANS | AMERIGROUP MCR ADV-ALL PLANS | $2,079.05 | $4,835.00 | $3,868.00 | 2026-05-15 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $2,163.00 | $3,090.00 | $3,090.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $2,163.00 | $3,090.00 | $3,090.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $2,163.00 | $3,090.00 | $3,090.00 | 2026-01-24 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | ML HEALTHCARE-ALL PLANS | ML HEALTHCARE-ALL PLANS | $2,266.00 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | IOWA TOTAL CARE EXCH - ALL OTHER PLANS | IOWA TOTAL CARE EXCH - ALL OTHER PLANS | $2,274.24 | $3,090.00 | $3,090.00 | 2026-01-24 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | OSCAR - ALL PLANS | OSCAR - ALL PLANS | $2,274.89 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | WELLMARK HMO | WELLMARK HMO | $2,562.55 | $4,835.00 | $3,868.00 | 2026-05-15 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | WELLMARK PPO-ALL OTHER PLANS | WELLMARK PPO-ALL OTHER PLANS | $2,562.55 | $4,835.00 | $3,868.00 | 2026-05-15 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | IOWA TOTAL CARE MCAID-ALL PLANS | IOWA TOTAL CARE MCAID-ALL PLANS | $2,562.55 | $4,835.00 | $3,868.00 | 2026-05-15 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | COVENTRY HMO - ALL PLANS | COVENTRY HMO - ALL PLANS | $3,090.00 | $3,090.00 | $3,090.00 | 2026-01-24 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | PREFERRED HEALTH - ALL PLANS | PREFERRED HEALTH - ALL PLANS | $3,144.15 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MEDICAL ASSOCIATES HP - ALL PLANS | MEDICAL ASSOCIATES HP - ALL PLANS | $3,144.15 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | HEALTHSMART ACCEL | HEALTHSMART ACCEL | $3,255.12 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $3,295.94 | $4,460.00 | $4,014.00 | 2026-05-07 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | COMPRESULTS LLC-ALL PLANS | COMPRESULTS LLC-ALL PLANS | $3,329.10 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | AETNA PPO - ALL OTHER PLANS | AETNA PPO - ALL OTHER PLANS | $3,329.10 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | HOSPICE OF NORTH IOWA - ALL PLANS | HOSPICE OF NORTH IOWA - ALL PLANS | $3,329.10 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $3,337.20 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | HUMANA MILITARY-ALL PLANS | HUMANA MILITARY-ALL PLANS | $3,399.00 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | HEALTHSMART HPO/PPO - ALL OTHER PLANS | HEALTHSMART HPO/PPO - ALL OTHER PLANS | $3,403.08 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | HEALTHSMART WC/AUTO | HEALTHSMART WC/AUTO | $3,514.05 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $3,514.05 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $3,514.05 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $3,514.05 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | MOLINA MCR ADV - ALL PLANS | MOLINA MCR ADV - ALL PLANS | $3,565.86 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $3,588.03 | $3,699.00 | $2,774.25 | 2026-03-26 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | UNIVERSITY HEALTH CARE - ALL OTHER PLANS | UNIVERSITY HEALTH CARE - ALL OTHER PLANS | $3,605.00 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | SANFORD HEALTH-ALL PLANS | SANFORD HEALTH-ALL PLANS | $3,626.25 | $4,835.00 | $3,868.00 | 2026-05-15 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $3,708.00 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $3,708.00 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | UNIVERSITY HEALTH CARE MCR ADV | UNIVERSITY HEALTH CARE MCR ADV | $3,708.00 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $3,708.00 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $3,708.00 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $3,708.00 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | WELLCARE MCR ADV | WELLCARE MCR ADV | $3,708.00 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | AHS-ALL PLANS | AHS-ALL PLANS | $3,965.50 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | HEALTH DYNAMICS-ALL PLANS | HEALTH DYNAMICS-ALL PLANS | $4,014.00 | $4,460.00 | $4,014.00 | 2026-05-07 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $4,014.00 | $4,460.00 | $4,014.00 | 2026-05-07 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | ENCOMPASS-ALL PLANS | ENCOMPASS-ALL PLANS | $4,014.00 | $4,460.00 | $4,014.00 | 2026-05-07 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $4,014.00 | $4,460.00 | $4,014.00 | 2026-05-07 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | AMBETTER COMM/EXCH - ALL PLANS | AMBETTER COMM/EXCH - ALL PLANS | $4,078.80 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | BCBS HMO IP/OP ONLY | BCBS HMO IP/OP ONLY | $4,103.20 | $4,460.00 | $4,014.00 | 2026-05-07 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | PHCS-ALL PLANS | PHCS-ALL PLANS | $4,248.75 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | BCBS PPO-ALL OTHER PLANS | BCBS PPO-ALL OTHER PLANS | $4,370.80 | $4,460.00 | $4,014.00 | 2026-05-07 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | BCBS-ALL PLANS | BCBS-ALL PLANS | $4,532.00 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $4,593.25 | $4,835.00 | $3,868.00 | 2026-05-15 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | MEDICA COMM-ALL PLANS | MEDICA COMM-ALL PLANS | $4,689.95 | $4,835.00 | $3,868.00 | 2026-05-15 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $4,689.95 | $4,835.00 | $3,868.00 | 2026-05-15 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | AVERA-ALL PLANS | AVERA-ALL PLANS | $4,689.95 | $4,835.00 | $3,868.00 | 2026-05-15 | MRF ↗ |
| CRAWFORD COUNTY MEMORIAL HOSPITAL Outpatient | UHC COMM-ALL PLANS | UHC COMM-ALL PLANS | $4,738.30 | $4,835.00 | $3,868.00 | 2026-05-15 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | PPOPLUS-ALL PLANS | PPOPLUS-ALL PLANS | $4,815.25 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | MS HEALTH PARTNERS-ALL PLANS | MS HEALTH PARTNERS-ALL PLANS | $4,815.25 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | MHCI/HEALTHLINK OP ONLY-ALL PLANS | MHCI/HEALTHLINK OP ONLY-ALL PLANS | $4,815.25 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | UNITED PROVIDERS-ALL PLANS | UNITED PROVIDERS-ALL PLANS | $5,098.50 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | GEHA PPO-ALL PLANS | GEHA PPO-ALL PLANS | $5,098.50 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $5,098.50 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | HEALTHCARE ADVANTAGE-ALL PLANS | HEALTHCARE ADVANTAGE-ALL PLANS | $5,098.50 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | FIRST CHOICE-ALL OTHER PLANS | FIRST CHOICE-ALL OTHER PLANS | $5,098.50 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| HORN MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $5,362.80 | $8,938.00 | $7,150.40 | 2026-04-23 | MRF ↗ |
| HORN MEMORIAL HOSPITAL Outpatient | MOLINA MCR - ALL OTHER PLANS | MOLINA MCR - ALL OTHER PLANS | $5,362.80 | $8,938.00 | $7,150.40 | 2026-04-23 | MRF ↗ |
| HORN MEMORIAL HOSPITAL Outpatient | UHC MCARE | UHC MCARE | $5,362.80 | $8,938.00 | $7,150.40 | 2026-04-23 | MRF ↗ |
| HORN MEMORIAL HOSPITAL Outpatient | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $5,362.80 | $8,938.00 | $7,150.40 | 2026-04-23 | MRF ↗ |
| HORN MEMORIAL HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $5,362.80 | $8,938.00 | $7,150.40 | 2026-04-23 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | THREE RIVERS PROVIDER NETWORK-ALL PLANS | THREE RIVERS PROVIDER NETWORK-ALL PLANS | $5,381.75 | $5,665.00 | $5,665.00 | 2026-05-07 | MRF ↗ |
| HORN MEMORIAL HOSPITAL Outpatient | UHC MCAID | UHC MCAID | $5,630.94 | $8,938.00 | $7,150.40 | 2026-04-23 | MRF ↗ |
| HORN MEMORIAL HOSPITAL Outpatient | AMERIGROUP MCAID - ALL OTHER PLANS | AMERIGROUP MCAID - ALL OTHER PLANS | $5,630.94 | $8,938.00 | $7,150.40 | 2026-04-23 | MRF ↗ |
| HORN MEMORIAL HOSPITAL Outpatient | MOLINA MEDICAID | MOLINA MEDICAID | $5,630.94 | $8,938.00 | $7,150.40 | 2026-04-23 | MRF ↗ |
| HORN MEMORIAL HOSPITAL Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $6,703.50 | $8,938.00 | $7,150.40 | 2026-04-23 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | BLUE CROSS PATHWAY HMO | BLUE CROSS PATHWAY HMO | $7,228.54 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | BLUE CROSS PATHWAY HPN | BLUE CROSS PATHWAY HPN | $7,228.54 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| HORN MEMORIAL HOSPITAL Outpatient | AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $7,686.68 | $8,938.00 | $7,150.40 | 2026-04-23 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE - ALL PLANS | HUMANA CHOICECARE - ALL PLANS | $7,725.00 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | AETNA COMMERCIAL - ALL OTHER PLANS | AETNA COMMERCIAL - ALL OTHER PLANS | $7,725.00 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | BLUE CROSS PPO - ALL OTHER PLANS | BLUE CROSS PPO - ALL OTHER PLANS | $8,404.80 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | BLUE CROSS HMO | BLUE CROSS HMO | $8,404.80 | $10,300.00 | $5,150.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | BLUE CROSS TRAD | BLUE CROSS TRAD | $8,404.80 | $10,300.00 | $5,150.00 | 2026-03-24 | 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.