1613 — Trastuzumab Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Trastuzumab injection (CPT 1613) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1613?code_type=CPT
MLA (9th ed.)
“Trastuzumab injection (CPT 1613) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1613?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Trastuzumab injection (CPT 1613) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1613?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $77–$151 (25th–75th percentile) across 18 hospitals · 32 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 1613 — 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 |
|---|---|---|---|---|---|---|---|
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Uhc Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Uhc Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $72.81 | — | — | 2026-05-24 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $72.81 | — | — | 2026-05-06 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $72.81 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $72.81 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Caremore Health | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Caremore Health | Medicare | $77.05 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $77.05 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicare | $77.05 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $77.05 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Humana | Senioradvantage Medicare | $77.05 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Select Health | Medicare | $77.05 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Aetna | Medicare | $77.05 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Humana | Medicare | $77.05 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Prominence | Medicare | $77.05 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Prominence | Managed Care | $77.05 | — | — | 2026-05-06 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Humana | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Prominence | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Prominence | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Palomar | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Superior | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Superior | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Cigna | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Cigna | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Humana | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Humana | Senioradvantage Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Select Health | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Aetna | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Blue Shield | Promise Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Epic Health Plan | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Iehp | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Primecare | Medicare | $77.05 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Anthem Blue Cross Blue Shield | Medicare | $77.05 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Molina | Medicare | $77.05 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | United Healthcare | Medicare | $77.05 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Humana | Senioradvantage Medicare | $77.05 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Select Health | Medicare | $77.05 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Aetna | Medicare | $77.05 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Caremore Health | Medicare | $77.05 | — | — | 2026-05-13 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Epic Health Plan | Medicare | $77.05 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicaid | $77.05 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicare | $77.05 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicaid | $77.05 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Epic Health Plan | Medicare | $77.05 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicare | $77.05 | — | — | 2026-05-23 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Caremore Health | Medicare | $77.05 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Aetna | Medicare | $77.05 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Molina | Medicare | $77.05 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | United Healthcare | Medicare | $77.05 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Anthem Blue Cross Blue Shield | Medicare | $77.05 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Select Health | Medicare | $77.05 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Humana | Senioradvantage Medicare | $77.05 | — | — | 2026-05-24 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Heritage | Medicare | $78.59 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Kaiser | Medicaid | $78.59 | — | — | 2026-05-14 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $78.59 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Humana | Gold Medicare | $78.59 | — | — | 2026-05-13 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Aetna | Medicare | $78.59 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Molina | Medicare | $78.59 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Blue Cross Blue Shield Of Tx | Medicare | $78.59 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Kaiser | Medicare | $78.59 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Humana | Gold Medicare | $78.59 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Alignment Health | Medicare | $78.59 | — | — | 2026-05-13 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Blue Cross Blue Shield Of Tx | Medicare | $78.59 | — | — | 2026-05-08 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Humana | Gold Medicare | $78.59 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Alignment Health | Medicare | $78.59 | — | — | 2026-05-24 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $78.59 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Humana | Gold Medicare | $78.59 | — | — | 2026-05-06 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Kaiser | Medicaid | $78.59 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $78.59 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $78.59 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $78.59 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Heritage | Medicare | $78.59 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $78.59 | — | — | 2026-05-14 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Wellmed | Medicare | $78.62 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Wellmed | Medicare | $78.62 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Blue Shield | Medicaid | $78.98 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Blue Shield | Medicaid | $78.98 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $79.36 | — | — | 2026-05-14 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Aetna | Medicare | $79.36 | — | — | 2026-05-06 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Easy Choice | Medicare | $79.36 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Aetna | Medicare | $79.36 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Unitedhealthcare | Medicare | $79.36 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | United Healthcare | Medicare | $79.36 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Aetna | Medicare | $79.36 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Easy Choice | Medicare | $79.36 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $79.36 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $79.36 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Easy Choice | Medicare | $79.36 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $79.36 | — | — | 2026-05-14 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Brand New Day | Medicare | $79.75 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Medicare | $79.75 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $79.75 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $79.75 | — | — | 2026-05-23 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | United Healthcare | Medicare | $79.75 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Medicare | $79.75 | — | — | 2026-05-23 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Silver Summit | Medicare | $80.13 | — | — | 2026-05-24 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Medicare | $80.13 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Silver Summit | Medicare | $80.13 | — | — | 2026-05-13 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Medicare | $80.13 | — | — | 2026-05-06 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Medicare | $80.90 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Medicare | $80.90 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | United Healthcare | Medicare | $80.90 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Superior | Medicare | $80.90 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Amerigroup | Medicare | $80.90 | — | — | 2026-05-06 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Iehp | Medicaid | $82.44 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Iehp | Medicaid | $82.44 | — | — | 2026-05-23 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Qhp | $104.02 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Qhp | $104.02 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicaid | $106.33 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicaid | $106.33 | — | — | 2026-05-23 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Caprock Health Plan | Managed Care | $115.58 | — | — | 2026-05-06 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Aetna | Qhp | $134.84 | — | — | 2026-05-08 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Aetna | Qhp | $134.84 | — | — | 2026-05-24 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Aetna | Qhp | $134.84 | — | — | 2026-05-06 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Aetna | Qhp | $134.84 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Managed Care | $144.09 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Silver Summit | Managed Care | $144.09 | — | — | 2026-05-13 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Managed Care | $144.09 | — | — | 2026-05-06 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Silver Summit | Managed Care | $144.09 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Select Health | Managed Care | $147.94 | — | — | 2026-05-24 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Select Health | Managed Care | $147.94 | — | — | 2026-05-06 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Select Health | Managed Care | $147.94 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Select Health | Managed Care | $147.94 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Insurance Management Services | Managed Care | $154.10 | — | — | 2026-05-06 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $81,058.06 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $81,058.06 | — | — | 2026-05-13 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $85,085.23 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $85,085.23 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $85,085.23 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $85,085.23 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $85,085.23 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $85,085.23 | — | — | 2026-05-07 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Min | $86,301.55 | — | — | 2026-05-09 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $86,536.44 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Bh | $86,536.44 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Cook Childrens | Medicaid | $86,536.44 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $86,536.44 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Cook Childrens | Medicaid | $86,536.44 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Bh | $86,536.44 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Molina | Medicaid | $91,892.05 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Molina | Medicaid | $91,892.05 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Molina | Medicaid | $93,459.36 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Molina | Medicaid | $93,459.36 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Aetna | Medicaid | $95,190.08 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Aetna | Medicaid | $95,190.08 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Medicaid | $116,566.77 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Medicaid | $116,566.77 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Medicaid | $118,554.92 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Medicaid | $118,554.92 | — | — | 2026-05-24 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Min | $221,191.85 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Min | $221,191.85 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Awa | $275,254.56 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Awa | $275,254.56 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Awa | $297,006.41 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Awa | $297,006.41 | — | — | 2026-05-22 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Awa | $317,951.57 | — | — | 2026-05-09 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $436,375.10 | — | — | 2026-05-22 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $436,375.10 | — | — | 2026-05-14 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Ppo | $438,615.72 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Hmo | $438,615.72 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Ppo | $438,615.72 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Hmo | $438,615.72 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Ppo | $459,146.12 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Hmo | $459,146.12 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Ppo | $459,146.12 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Hmo | $459,146.12 | — | — | 2026-05-23 | MRF ↗ |
| AVERA QUEEN OF PEACE Inpatient | Wellmark Insurance | Ppo | $532,956.53 | — | — | 2026-05-09 | MRF ↗ |
| AVERA ST LUKES Inpatient | Wellmark Insurance | Ppo | $552,288.45 | — | — | 2026-05-09 | MRF ↗ |