1577 — New Technology - Level 40
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). New Technology - Level 40 (OTHER 1577) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1577?code_type=OTHER
MLA (9th ed.)
“New Technology - Level 40 (OTHER 1577) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1577?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“New Technology - Level 40 (OTHER 1577) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1577?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $21,739–$23,913 (25th–75th percentile) across 225 hospitals · 328 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1577 — 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 | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $38.61 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $38.61 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $38.61 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $39.38 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $39.76 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $40.54 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $54.91 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $54.91 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $54.91 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $54.91 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $54.91 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $54.91 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $69.27 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $69.27 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $69.27 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $77.05 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $108.37 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $113.78 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $117.61 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $119.77 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $122.82 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $122.82 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $129.75 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $130.04 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $130.04 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $130.04 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $133.95 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $134.38 | $144.49 | $108.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $159.70 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $167.68 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $199.62 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $199.62 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $199.62 | $199.62 | $141.77 | 2026-05-08 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $3,610.99 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $3,610.99 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $4,184.89 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $11,767.76 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $11,767.76 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $11,767.76 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $11,767.76 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $11,767.76 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $11,767.76 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $11,767.76 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $11,767.76 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $11,767.76 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $11,767.76 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $12,143.83 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $12,143.83 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $12,143.83 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $12,143.83 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $12,143.83 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $12,143.83 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $12,143.83 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $12,143.83 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $12,143.83 | — | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $13,185.31 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $13,853.33 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $15,212.79 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $15,212.79 | — | — | 2026-03-12 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $16,124.08 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $16,228.08 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $17,391.26 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $17,391.26 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $17,391.26 | — | — | 2024-10-01 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $18,056.42 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $18,195.42 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $18,195.42 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $18,195.42 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $18,746.94 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $18,746.94 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $18,746.94 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $18,746.94 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $18,746.94 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $18,746.94 | — | — | 2024-10-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Health Net | FED | $18,791.31 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $18,952.22 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $18,952.22 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Health Net | FED | $19,137.02 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $19,157.86 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $19,157.86 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $19,157.86 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $19,157.86 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $19,157.86 | — | — | 2025-01-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Wellpoint | MGMCD | $19,261.87 | — | — | 2024-10-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Humana | MGMCR | $19,372.48 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | St Joseph Hospice | COMM | $19,372.48 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | United | VACCN | $19,372.48 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Regency Hospice | MCR | $19,372.48 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Devoted Health | MCR | $19,372.48 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $19,565.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Hospice of North Central FL | FEDERAL | $19,565.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Hospice of North Central FL | MCD | $19,565.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $19,565.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Hospice of North Central FL | MCR | $19,565.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Hospice of North Central FL | FEDERAL | $19,565.17 | — | — | 2024-10-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | MCR | $19,566.20 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | HealthSpring | PPO | $19,566.20 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | HealthSpring | PFFS | $19,566.20 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | HealthSpring | MCRHMO | $19,566.20 | — | — | 2026-03-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Healthspring | Healthspring | $19,597.94 | — | — | 2026-05-13 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | AMBETTER | AMBETTER | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC PYRAMID LIFE | MMC PYRAMID LIFE | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC BCBS | MMC BCBS | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WELLCARE | MMC WELLCARE | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC AETNA | MMC AETNA | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | AMBETTER | AMBETTER | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC CIGNA | MMC CIGNA | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC HUMANA GOLD CHOICE | MMC HUMANA GOLD CHOICE | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC HUMANA GOLD CHOICE | MMC HUMANA GOLD CHOICE | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC UNITED | MMC UNITED | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR EXTRA | MMC WINDSOR EXTRA | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR STERLING | MMC WINDSOR STERLING | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MISC | MMC MISC | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MAGNOLIA PPO | MMC MAGNOLIA | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC ALLWELL | MMC ALLWELL | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR STERLING | MMC WINDSOR STERLING | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MAGNOLIA PPO | MMC MAGNOLIA | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR EXTRA | MMC WINDSOR EXTRA | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CHAMPUS TRICARE | TRICARE | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC PYRAMID LIFE | MMC PYRAMID LIFE | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC UNITED | MMC UNITED | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC ALLWELL | MMC ALLWELL | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC AETNA | MMC AETNA | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WELLCARE | MMC WELLCARE | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC BCBS | MMC BCBS | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MISC | MMC MISC | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CHAMPUS TRICARE | TRICARE | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC CIGNA | MMC CIGNA | $19,598.01 | — | — | 2024-06-27 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $19,642.78 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $19,642.78 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $19,642.78 | — | — | 2024-10-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Outpatient | Tricare | Dha | $19,665.86 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Outpatient | Tricare | Dha | $19,665.86 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CHERAW Outpatient | Tricare | Dha | $19,665.86 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Outpatient | Tricare | Dha | $19,665.86 | — | — | 2026-05-14 | MRF ↗ |
| McLeod Health Seacoast Outpatient | Tricare | Dha | $19,665.86 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Outpatient | Tricare | Dha | $19,665.86 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Outpatient | Tricare | Dha | $19,665.86 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Outpatient | Tricare | Dha | $19,665.86 | — | — | 2026-05-13 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | WellMed | MCR | $19,678.45 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | WellMed | MCR | $19,678.45 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $19,678.45 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | WellMed | MCR | $19,678.45 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $19,678.45 | — | — | 2025-01-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | United | VACCN | $19,728.89 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Hospice Care Options | MCR | $19,728.89 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Hospice Care Options | MCD | $19,728.89 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Devoted Health | MCR | $19,728.89 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Humana | MGMCR | $19,728.89 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Southern Care Birmingham | COMM | $19,728.89 | — | — | 2026-03-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Aetna Medicare | Aetna Medicare | $19,744.92 | — | — | 2026-05-13 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $19,747.39 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Wellcare | MCR | $19,759.93 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | MCRHMO | $19,759.93 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | PFFS | $19,759.93 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | POS | $19,759.93 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Absolute Total Care | MCR | $19,759.93 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | SNP | $19,759.93 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | United | MCR | $19,759.93 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | PPO | $19,759.93 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Coventry | MGMCR | $19,759.93 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $19,782.57 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $19,782.57 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $19,782.57 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $19,782.57 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $19,782.57 | — | — | 2025-01-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | HealthSpring | PFFS | $19,926.18 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | HealthSpring | PPO | $19,926.18 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | HealthSpring | MCRHMO | $19,926.18 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Aetna | MCR | $19,926.18 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | BCBS | MCR | $19,953.65 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Outpatient | Sarah Cannon Research | COMM | $19,981.34 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $19,981.34 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Outpatient | Humana | ChoicecareMGMCR | $19,981.34 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $20,072.43 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Coventry | MGMCR | $20,123.47 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | United | MCR | $20,123.47 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Wellcare | MCR | $20,123.47 | — | — | 2026-03-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Uhc Medicare Advantage Ppo | Uhc Medicare Advantage Ppo | $20,185.87 | — | — | 2026-05-13 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Sarah Cannon Research | COMM | $20,275.65 | — | — | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Humana | ChoicecareMGMCR | $20,275.65 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Humana | MGMCR | $20,285.10 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | MGMCR | $20,285.10 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $20,285.10 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | United | VACCN | $20,285.10 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Eon Health DME | MCR | $20,285.10 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | BCBS | MCR | $20,285.10 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Vidalia Health | COMM | $20,285.10 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | FED | $20,285.10 | — | — | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Devoted Health | MGMCR | $20,294.55 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Humana | DualEligibles | $20,294.55 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Humana | MGMCRPOS | $20,294.55 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Coventry Health Care | MCR | $20,294.55 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Humana | MGMCRPFFS | $20,294.55 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Humana | MGMCRHMO | $20,294.55 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Humana | MGMCRPPO | $20,294.55 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Humana | MGMCRSNP | $20,294.55 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna Coventry | MCR | $20,294.55 | — | — | 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.