15120 — Splt Agrft F/s/n/h/f/g/m 1st
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Splt agrft f/s/n/h/f/g/m 1st (OTHER 15120) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/15120?code_type=OTHER
MLA (9th ed.)
“Splt agrft f/s/n/h/f/g/m 1st (OTHER 15120) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/15120?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Splt agrft f/s/n/h/f/g/m 1st (OTHER 15120) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/15120?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,051–$4,390 (25th–75th percentile) across 263 hospitals · 786 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 15120 — 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 |
|---|---|---|---|---|---|---|---|
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna Better Health Of La | Managed Medicaid | $2.00 | $2,616.05 | $2,616.05 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene La Healthcare Connections | Managed Medica | $2.00 | $2,616.05 | $2,616.05 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerihealth Caritas Of La | Managed Medicaid | $2.00 | $2,616.05 | $2,616.05 | 2026-05-24 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $2.54 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $2.54 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $2.71 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $2.71 | — | — | 2026-05-23 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $24.98 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $60.08 | — | — | 2026-05-27 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $71.66 | $15,000.00 | $4,950.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $71.66 | $15,000.00 | $4,950.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $71.66 | $15,000.00 | $4,950.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $71.66 | $15,000.00 | $4,950.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $72.38 | $15,000.00 | $4,950.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $72.38 | $15,000.00 | $4,950.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $73.09 | $15,000.00 | $4,950.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $73.09 | $15,000.00 | $4,950.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $73.81 | $15,000.00 | $4,950.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $73.81 | $15,000.00 | $4,950.00 | 2026-05-13 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $94.81 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $98.61 | — | — | 2026-05-09 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Ambetter | Hmo | $130.00 | $4,113.00 | $3,496.05 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | — | $4,113.00 | $3,496.05 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | — | $4,113.00 | $3,496.05 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | — | $4,113.00 | $3,496.05 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | — | $4,113.00 | $3,496.05 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | — | $4,113.00 | $3,496.05 | 2026-05-08 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $132.97 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $132.97 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $132.97 | — | — | 2026-05-09 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $2,042.75 | $1,429.93 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $2,042.75 | $1,429.93 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $138.59 | $2,042.75 | $1,429.93 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $2,042.75 | $1,429.93 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $138.59 | $2,042.75 | $1,429.93 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $2,042.75 | $1,429.93 | 2026-05-22 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Alliant Health Plans | Default | $140.00 | $4,113.00 | $3,496.05 | 2026-05-08 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $140.95 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $143.61 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $143.61 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $143.61 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $146.27 | — | — | 2026-05-09 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $156.84 | $1,723.00 | $1,206.10 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $156.84 | $1,723.00 | $1,206.10 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $156.84 | $1,723.00 | $1,206.10 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $156.84 | $1,723.00 | $1,206.10 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene | Az Complete Health | $165.22 | $21,099.22 | $21,099.22 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene | Care 1St Health Plan Az | $165.22 | $21,099.22 | $21,099.22 | 2026-05-23 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $166.21 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $166.21 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $166.21 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $166.21 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $166.21 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $172.86 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $172.86 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $172.86 | — | — | 2026-05-06 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | United Healthcare | Commercial | $174.08 | — | — | 2026-05-08 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $186.16 | — | — | 2026-05-06 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $186.16 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $186.16 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $186.16 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $186.16 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $186.16 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $186.16 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $186.16 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Health Net] | $192.81 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Health Net] | $192.81 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $192.81 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $192.81 | — | — | 2026-05-06 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $201.86 | $588.50 | $441.38 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Cigna | Medicare Advantage | $201.86 | $588.50 | $441.38 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Aetna Better Health Of Il Illinicare | Medicaid Replacement | — | $588.50 | $441.38 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Meridian Health Plan Of Il Mcd Dos Gt 06302021 | Medicaid Replacement | — | $588.50 | $441.38 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Il | Medicaid Replacement | — | $588.50 | $441.38 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Molina Healthcare Of Il | Medicaid Replacement | — | $588.50 | $441.38 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $201.86 | $588.50 | $441.38 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Medicaid Illinois | Medicaid Replacement | — | $588.50 | $441.38 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Health Alliance Medical Plans Mcr Adv | Medicare Advantage | $201.86 | $588.50 | $441.38 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Health Alliance Medical Plans Mcr Adv | Medicare Advantage | $201.86 | $588.50 | $441.38 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Aetna Better Health Of Il Illinicare | Medicaid Replacement | — | $588.50 | $441.38 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Meridian Health Plan Of Il Mcd Dos Gt 06302021 | Medicaid Replacement | — | $588.50 | $441.38 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Medicare A Il J6 | Default | $201.86 | $588.50 | $441.38 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Il | Medicaid Replacement | — | $588.50 | $441.38 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $201.86 | $588.50 | $441.38 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Medicaid Illinois | Medicaid Replacement | — | $588.50 | $441.38 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Molina Healthcare Of Il | Medicaid Replacement | — | $588.50 | $441.38 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Cigna | Medicare Advantage | $201.86 | $588.50 | $441.38 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Medicare A Il J6 | Default | $201.86 | $588.50 | $441.38 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $201.86 | $588.50 | $441.38 | 2026-05-13 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $203.44 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Molina] | $203.44 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $203.44 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Molina] | $203.44 | — | — | 2026-05-09 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $4,791.00 | $2,395.50 | 2026-05-26 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $4,791.00 | $2,395.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $6,877.00 | $3,438.50 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $8,235.00 | $4,117.50 | 2026-05-14 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $8,235.00 | $4,117.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $4,614.00 | $2,307.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $4,614.00 | $2,307.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $6,877.00 | $3,438.50 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Aetna | Medicare Advantage | $205.98 | $588.50 | $441.38 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Aetna | Medicare Advantage | $205.98 | $588.50 | $441.38 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $4,791.00 | $2,395.50 | 2026-05-26 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $8,235.00 | $4,117.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $4,614.00 | $2,307.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $6,877.00 | $3,438.50 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Aetna | Better Health Wv Mgd Medicaid | $209.72 | $4,791.00 | $2,395.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $6,877.00 | $3,438.50 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $8,235.00 | $4,117.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $4,614.00 | $2,307.00 | 2026-05-13 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Healthfirst | Commercial | $225.00 | $8,297.00 | $8,297.00 | 2026-05-17 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Medicaid Rate | — | $250.00 | $6,090.00 | $4,567.50 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Medicaid Rate | — | $250.00 | $6,090.00 | $4,567.50 | 2026-05-13 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $1.00 | $0.70 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $1.00 | $0.70 | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Both | Humana Military | Tricare - Outpatient | $261.41 | $997.00 | $468.59 | 2026-05-08 | MRF ↗ |
| MCLAREN FLINT | Medicaid - Psych | — | $275.00 | $10,669.43 | $5,334.71 | 2026-05-06 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $285.30 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $285.30 | — | — | 2026-05-14 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Beacon Health Strategies | Medicaid | $300.00 | $8,297.00 | $8,297.00 | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna Better Health Of Ks | Managed Medicaid | $300.00 | $15,339.71 | $15,339.71 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna Better Health Of Ks | Managed Medicaid | $300.00 | $15,341.34 | $15,341.34 | 2026-05-17 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Alliance Coal Health Plan | Default | $308.97 | $588.50 | $441.38 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Alliance Coal Health Plan | Default | $308.97 | $588.50 | $441.38 | 2026-05-13 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Beacon Health Strategies | Medicare | $315.00 | $8,297.00 | $8,297.00 | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Capital District Health Plan | Commercial | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Humana | Tricare | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Stratose | Commercial | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Arkansas Total Care | Managed Medicaid | $320.00 | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Prime Health Services | Commercial | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Multiplan | Commercial | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Tx | Blue Advantage | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Tx | Blue Options.Prec. | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Amerihealth Caritas Of Nc | Managed Medicaid | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Capital District Health Plan | Managed Medicaid | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Tx | Hmo | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Vantage Health Plan | Commercial | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Wellcare Of New York | Managed Medicaid | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Molina Healthcare Of Ny | Managed Medicaid | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Wellcare Of North Carolina | Manage Medicaid | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Independence Blue Cross | Commercial | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Alliance Coal Health Plan | Commercial | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Health Smart | Preferred Care | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerigroup Tx | Managed Medicaid | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Prime Health Services | Commercial | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Cigna | Commercial | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Tx | Traditional | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Tx | Ppo | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Providence Health Plan | Commercial | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Arkansas Total Care | Managed Medicaid | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Meridian Health Of Mi | Managed Medicaid | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Buckeye Community Health Plan | Mgd Mcaid | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Providence Health Plan | Managed Medicaid | — | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Managed Health Services | Mgd. Medicaid | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Aetna National | Commercial | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Stratose | Commercial | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Sentara Health Administration | Commercial | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Health Smart | Preferred Care | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Cigna | Commercial | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Humana | Tricare | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Carolina Complete Health | Managed Medicai | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Multiplan | Commercial | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $320.00 | — | — | 2026-05-09 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Alliance Coal Health Plan | Commercial | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Providence Health Plan | Commercial | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Providence Health Plan | Managed Medicaid | — | $17,151.65 | $17,151.65 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $325.27 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $325.27 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $325.27 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $325.27 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $325.27 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $325.27 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $325.27 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $325.27 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $325.27 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $325.27 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $329.59 | — | — | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $331.87 | — | — | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $335.03 | — | — | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $343.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $343.11 | — | — | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $345.08 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $345.08 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $345.08 | — | — | 2026-05-08 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Ghi | Bmp | $350.00 | $8,297.00 | $8,297.00 | 2026-05-17 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Humana | Humanamedicaid | $351.26 | — | — | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $351.78 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $355.13 | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Texas Childrens Health Plan | Chip | $362.00 | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | United Healthcare | Community Plan Tx | $362.00 | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Texas Childrens Health Plan | Managed Medicaid | $362.00 | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Community Health Choice Of Tx | Managed Medicaid | $362.00 | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Superior Healthplan | Managed Medicaid | $362.00 | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Molina Healthcare Of Tx | Managed Medicaid | $362.00 | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna Better Health Of Tx | Managed Medicaid | $362.00 | $13,921.38 | $13,921.38 | 2026-05-24 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $367.99 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $367.99 | — | — | 2026-05-08 | 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.