1504 — New Technology - Level 4
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). New Technology - Level 4 (OTHER 1504) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1504?code_type=OTHER
MLA (9th ed.)
“New Technology - Level 4 (OTHER 1504) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1504?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“New Technology - Level 4 (OTHER 1504) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1504?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $246–$357 (25th–75th percentile) across 249 hospitals · 448 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1504 — 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 | Ppoplus | Ppoplus | $1.21 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Humana Medicare Pffs/Hmo | Humana Medicare Pffs/Hmo | $2.84 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicare Blue Cross Advantage | Medicare Blue Cross Advantage | $2.84 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $4.52 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $5.78 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Hmo | $5.79 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Of La Blue Connect | Blue Cross Of La Blue Connect | $5.79 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Ppo | $5.79 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $6.81 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $6.81 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $6.81 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $6.94 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $7.01 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $7.15 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $20.06 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $22.88 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $23.62 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $28.16 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $35.20 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $35.20 | $35.20 | $25.00 | 2026-05-08 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $40.20 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $40.20 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $46.59 | — | — | 2026-03-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $59.64 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $59.64 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $59.64 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $59.64 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $59.64 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $59.64 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $117.72 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $127.77 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $131.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $131.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $131.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $131.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $131.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $131.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $131.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $131.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $131.01 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $131.01 | — | — | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $133.42 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $133.42 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $135.20 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $135.20 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $135.20 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $135.20 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $135.20 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $135.20 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $135.20 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $135.20 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $135.20 | — | — | 2026-05-06 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $141.26 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $141.26 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $141.26 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $145.97 | $156.96 | $117.72 | 2026-05-08 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $146.79 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $154.23 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $169.37 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $169.37 | — | — | 2026-03-12 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $179.51 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $180.67 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $193.62 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $193.62 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $193.62 | — | — | 2024-10-01 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $201.02 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $202.57 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $202.57 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $202.57 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $208.71 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $208.71 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $208.71 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $208.71 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $208.71 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $208.71 | — | — | 2024-10-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Health Net | FED | $209.21 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $211.00 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $211.00 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Health Net | FED | $213.05 | — | — | 2026-03-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $213.29 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $213.29 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $213.29 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $213.29 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $213.29 | — | — | 2025-01-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Wellpoint | MGMCD | $214.44 | — | — | 2024-10-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Humana | MGMCR | $215.68 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | United | VACCN | $215.68 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Regency Hospice | MCR | $215.68 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Devoted Health | MCR | $215.68 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | St Joseph Hospice | COMM | $215.68 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Hospice of North Central FL | FEDERAL | $217.82 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Hospice of North Central FL | FEDERAL | $217.82 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Hospice of North Central FL | MCD | $217.82 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $217.82 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Hospice of North Central FL | MCR | $217.82 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $217.82 | — | — | 2024-10-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | MCR | $217.83 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | HealthSpring | PPO | $217.83 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | HealthSpring | PFFS | $217.83 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | HealthSpring | MCRHMO | $217.83 | — | — | 2026-03-01 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | AMBETTER | AMBETTER | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | AMBETTER | AMBETTER | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CHAMPUS TRICARE | TRICARE | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MAGNOLIA PPO | MMC MAGNOLIA | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR STERLING | MMC WINDSOR STERLING | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC HUMANA GOLD CHOICE | MMC HUMANA GOLD CHOICE | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC CIGNA | MMC CIGNA | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC BCBS | MMC BCBS | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MISC | MMC MISC | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR EXTRA | MMC WINDSOR EXTRA | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC UNITED | MMC UNITED | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WELLCARE | MMC WELLCARE | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC PYRAMID LIFE | MMC PYRAMID LIFE | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC AETNA | MMC AETNA | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC ALLWELL | MMC ALLWELL | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR EXTRA | MMC WINDSOR EXTRA | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR STERLING | MMC WINDSOR STERLING | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC UNITED | MMC UNITED | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MAGNOLIA PPO | MMC MAGNOLIA | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC CIGNA | MMC CIGNA | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC HUMANA GOLD CHOICE | MMC HUMANA GOLD CHOICE | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC PYRAMID LIFE | MMC PYRAMID LIFE | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CHAMPUS TRICARE | TRICARE | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WELLCARE | MMC WELLCARE | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC ALLWELL | MMC ALLWELL | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MISC | MMC MISC | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC AETNA | MMC AETNA | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC BCBS | MMC BCBS | $218.18 | — | — | 2024-06-27 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Healthspring | Healthspring | $218.19 | — | — | 2026-05-13 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $218.68 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $218.68 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $218.68 | — | — | 2024-10-01 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Outpatient | Tricare | Dha | $218.94 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CHERAW Outpatient | Tricare | Dha | $218.94 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CHERAW Outpatient | Tricare | Dha | $218.94 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Outpatient | Tricare | Dha | $218.94 | — | — | 2026-05-14 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Outpatient | Tricare | Dha | $218.94 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Outpatient | Tricare | Dha | $218.94 | — | — | 2026-05-13 | MRF ↗ |
| McLeod Health Seacoast Outpatient | Tricare | Dha | $218.94 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Outpatient | Tricare | Dha | $218.94 | — | — | 2026-05-13 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $219.08 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | WellMed | MCR | $219.08 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | WellMed | MCR | $219.08 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | WellMed | MCR | $219.08 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $219.08 | — | — | 2025-01-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Devoted Health | MCR | $219.64 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | United | VACCN | $219.64 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Southern Care Birmingham | COMM | $219.64 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Hospice Care Options | MCD | $219.64 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Hospice Care Options | MCR | $219.64 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Humana | MGMCR | $219.64 | — | — | 2026-03-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Aetna Medicare | Aetna Medicare | $219.82 | — | — | 2026-05-13 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $219.85 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | PPO | $219.99 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Absolute Total Care | MCR | $219.99 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | United | MCR | $219.99 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | MCRHMO | $219.99 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Wellcare | MCR | $219.99 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | SNP | $219.99 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Coventry | MGMCR | $219.99 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | PFFS | $219.99 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | POS | $219.99 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $220.24 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $220.24 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $220.24 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $220.24 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $220.24 | — | — | 2025-01-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | HealthSpring | MCRHMO | $221.84 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | HealthSpring | PPO | $221.84 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Aetna | MCR | $221.84 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | HealthSpring | PFFS | $221.84 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | BCBS | MCR | $222.15 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $222.45 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Outpatient | Humana | ChoicecareMGMCR | $222.45 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Outpatient | Sarah Cannon Research | COMM | $222.45 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $223.47 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Wellcare | MCR | $224.04 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Coventry | MGMCR | $224.04 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | United | MCR | $224.04 | — | — | 2026-03-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Uhc Medicare Advantage Ppo | Uhc Medicare Advantage Ppo | $224.73 | — | — | 2026-05-13 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Humana | ChoicecareMGMCR | $225.73 | — | — | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Sarah Cannon Research | COMM | $225.73 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $225.84 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | FED | $225.84 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | MGMCR | $225.84 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | United | VACCN | $225.84 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Humana | MGMCR | $225.84 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Eon Health DME | MCR | $225.84 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Vidalia Health | COMM | $225.84 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | BCBS | MCR | $225.84 | — | — | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Devoted Health | MGMCR | $225.94 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Humana | DualEligibles | $225.94 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Humana | MGMCRSNP | $225.94 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna Coventry | MCR | $225.94 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Humana | MGMCRPFFS | $225.94 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Humana | MGMCRHMO | $225.94 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Humana | MGMCRPOS | $225.94 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Humana | MGMCRPPO | $225.94 | — | — | 2026-03-01 | 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.