1643 — Y90 Ibritumomab, Rx
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Y90 ibritumomab, rx (OTHER 1643) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1643?code_type=OTHER
MLA (9th ed.)
“Y90 ibritumomab, rx (OTHER 1643) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1643?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Y90 ibritumomab, rx (OTHER 1643) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1643?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $56,825–$68,750 (25th–75th percentile) across 233 hospitals · 327 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1643 — 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 |
|---|---|---|---|---|---|---|---|
| HARRIS HEALTH Both | Molina | Medicaid | $2.26 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicaid | $2.26 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Tx Childrens | Medicaid | $2.26 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $2.26 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Tx Childrens | Medicaid | $2.26 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $2.26 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $2.30 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $2.30 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $2.33 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $2.33 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $4.48 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $4.48 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $5.82 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $5.82 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Hmo | $5.82 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Marketplace | $5.82 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Hmo | $5.82 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Marketplace | $5.82 | $8.96 | $8.96 | 2026-05-22 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $8.38 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $8.38 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $8.38 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $8.55 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $8.63 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $8.80 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $15.04 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $15.04 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $15.04 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $16.73 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $24.70 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $26.00 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $28.17 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $29.08 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $34.67 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $36.41 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $43.34 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $43.34 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $43.34 | $43.34 | $30.78 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $55.69 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $55.69 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $55.69 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $55.69 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $55.69 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $55.69 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Humana | Humana Medicare Advantage | $105.28 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Aetna | Aetna Medicare Advantage | $105.28 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellcare Medicare Advantage | Wellcare Medicare Advantage By Ne Total Care | $105.28 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $105.28 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellcare Medicare Advantage | Wellcare Medicare Advantage By Ne Total Care | $105.28 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Humana | Humana Medicare Advantage | $105.28 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellmark Medicare Advantage | Wellmark Medicare Advantage | $106.33 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellmark Medicare Advantage | Wellmark Medicare Advantage | $106.33 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs Medicare Advantage | $106.82 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs Medicare Advantage | $106.82 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Medica | Medica Medicare Advantage | $106.82 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | United Healthcare | Uhc Medicare Advantage | $106.82 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Medica | Medica Medicare Advantage | $106.82 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | United Healthcare | Uhc Medicare Advantage | $106.82 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Molina Medicare Advantage | Molina Medicare Advantage | $107.39 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Molina Medicare Advantage | Molina Medicare Advantage | $107.39 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $109.91 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Humana | Humana Medicare Advantage | $114.41 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Wellcare Medicare Advantage | Wellcare Medicare Advantage By Ne Total Care | $114.41 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Bcbs | Bcbs Medicare Advantage | $114.41 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Medica | Medica Medicare Advantage | $114.41 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | United Healthcare | Uhc Medicare Advantage | $114.41 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Aetna | Aetna Medicare Advantage | $114.41 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Molina Medicare Advantage | Molina Medicare Advantage | $116.70 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $119.29 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $124.57 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $124.57 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $131.90 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $131.90 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $131.90 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $136.29 | $146.55 | $109.91 | 2026-05-08 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Uhc | Uhc Nexus | $203.22 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Uhc | Uhc Nexus | $203.22 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Elite Choice | Elite Choice | $221.46 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Elite Choice | Elite Choice | $221.46 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Ambetter By Ne Total Care | Ambetter By Ne Total Care | $221.47 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Ambetter By Ne Total Care | Ambetter By Ne Total Care | $221.47 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | United Healthcare | Uhc | $230.45 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | United Healthcare | Uhc | $230.45 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Ambetter By Ne Total Care | Ambetter By Ne Total Care | $236.83 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Elite Choice | Elite Choice | $237.19 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellmark | Wellmark Ppo | $285.76 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellmark | Wellmark Ppo | $285.76 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Aetna | Aetna | $443.74 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Aetna | Aetna | $443.74 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs | $493.77 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs Select | $493.77 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs | $493.77 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs Select | $493.77 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Alliance Nhn | Alliance Nhn | $986.49 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Ne Furniture Mart | Ne Furniture Mart | $1,037.30 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Ne Furniture Mart | Ne Furniture Mart | $1,037.30 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Inpatient | Wellmark | Wellmark Hmo | $1,127.50 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Inpatient | Wellmark | Wellmark Hmo | $1,127.50 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellmark | Wellmark Hmo | $1,240.25 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellmark | Wellmark Hmo | $1,240.25 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Midlands Choice | Midlands Choice | $1,578.50 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Midlands Choice | Midlands Choice | $1,578.50 | $2,255.00 | $811.80 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Elevate By Medica | Elevate By Medica | $1,705.95 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Ne Furniture Mart | Ne Furniture Mart | $3,146.53 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | United Healthcare | Uhc | $3,192.02 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Bcbs | Bcbs | $3,222.35 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Bcbs | Bcbs Select | $3,222.35 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Medica Choice | Medica Choice | $3,336.08 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Bcbs | Bcbs Select | $3,392.94 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Bcbs | Bcbs | $3,392.95 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Multiplan | Multiplan | $3,411.90 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | United Healthcare | Uhc | $3,415.69 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Midlands Choice | Midlands Choice | $3,563.54 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Aetna | Aetna | $3,639.36 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Aetna | Aetna | $3,639.36 | $3,791.00 | $1,402.67 | 2026-05-15 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $8,523.68 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $8,523.68 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $8,523.68 | — | — | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Heritage Provider Network, Inc. | Medicare Advantage | $18,397.33 | — | — | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Aetna Health of California Inc., a California corporation and Aetna Health Management, LLC. | Medicare Advantage | $18,397.33 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | Medicare Advantage | $18,397.33 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Heritage Provider Network, Inc. | Medi-Cal | $24,836.39 | — | — | 2025-11-26 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $29,719.24 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $29,719.24 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $29,719.24 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $29,719.24 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $29,719.24 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $29,719.24 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $29,719.24 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $29,719.24 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $29,719.24 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $29,719.24 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $35,815.69 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $35,815.69 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $35,815.69 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $35,815.69 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $35,815.69 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $35,815.69 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $35,815.69 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $35,815.69 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $35,815.69 | — | — | 2026-05-06 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $40,913.68 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $40,913.68 | — | — | 2026-03-12 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $42,559.78 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $43,869.31 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $45,459.64 | — | — | 2026-03-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $46,596.13 | — | — | 2026-01-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $48,295.19 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $48,295.19 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $48,300.87 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $49,107.43 | — | — | 2024-10-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $49,437.36 | — | — | 2026-01-01 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | United Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Passport Molina Ma | Ma | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Hospice of North Central FL | MCR | $51,142.10 | — | — | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Hospice of North Central FL | MCD | $51,142.10 | — | — | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Hospice of North Central FL | FEDERAL | $51,142.10 | — | — | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Hospice of North Central FL | FEDERAL | $51,142.10 | — | — | 2026-03-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $52,381.26 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $52,381.26 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $52,381.26 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $52,381.26 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $52,381.26 | — | — | 2024-10-01 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $53,699.20 | — | — | 2026-05-06 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | WellMed | MCR | $53,699.20 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $53,983.32 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $53,983.32 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $53,983.32 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Huron Valley Pace | Medicare Advantage | $53,983.32 | — | — | 2026-05-09 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $53,983.32 | — | — | 2026-03-01 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Thome Pace | Medicare Advantage | $53,983.32 | — | — | 2026-05-13 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicare | All Plans | $54,489.06 | — | — | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $54,489.06 | — | — | 2026-05-23 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Humana | MCRHMO | $54,551.57 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Humana | MCRHMO | $54,551.57 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | WellMed | MGMCR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Health Net | FED | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Humana | MCRHMO | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | WellMed | MGMCR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Health Net | FED | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Humana | MCRHMO | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | WellMed | MGMCR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | WellMed | MGMCR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | WellMed | MGMCR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | WellMed | MGMCR | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Humana | MCRHMO | $55,119.81 | — | — | 2026-03-01 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $55,378.93 | — | — | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medicare | All Plans | $55,378.93 | — | — | 2026-05-06 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | UnitedHealthcare AARP | $55,688.06 | — | — | 2026-02-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Oscar | MGMCR | $55,688.06 | — | — | 2026-03-01 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Medicare Advantage | $55,688.06 | — | — | 2026-02-12 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Oscar | MGMCR | $55,688.06 | — | — | 2026-03-01 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $55,688.06 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $55,688.06 | — | — | 2026-02-12 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | WellMed | MGMCR | $55,688.06 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Coventry Altius | MCR | $55,688.06 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Oscar | MGMCR | $55,688.06 | — | — | 2026-03-01 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Humana | $55,688.06 | — | — | 2026-02-12 | 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.