1700073 — Ed Detailed 25
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ED DETAILED 25 (CDM 1700073) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1700073?code_type=CDM
MLA (9th ed.)
“ED DETAILED 25 (CDM 1700073) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1700073?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ED DETAILED 25 (CDM 1700073) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1700073?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $36–$105 (25th–75th percentile) across 6 hospitals · 92 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 1700073 — 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 |
|---|---|---|---|---|---|---|---|
| QUINCY VALLEY MEDICAL CENTER Outpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $4.50 | $8.50 | $8.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | MOLINA MEDICARE-ALL PLANS | MOLINA MEDICARE-ALL PLANS | $5.44 | $8.50 | $8.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | COORDINATED CARE-ALL PLANS | COORDINATED CARE-ALL PLANS | $5.44 | $8.50 | $8.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CASCADE-ALL PLANS | CASCADE-ALL PLANS | $5.53 | $8.50 | $8.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | HEALTH CARE AUTHORITY-ALL PLANS | HEALTH CARE AUTHORITY-ALL PLANS | $6.80 | $8.50 | $8.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA COMMERCIAL-ALL OTHER PLANS | PREMERA COMMERCIAL-ALL OTHER PLANS | $7.23 | $8.50 | $8.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $7.23 | $8.50 | $8.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA ACN | PREMERA ACN | $7.23 | $8.50 | $8.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $7.44 | $8.50 | $8.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $7.65 | $8.50 | $8.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $8.08 | $8.50 | $8.50 | 2026-03-12 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | BCBS CHIP/CHIP PERINATE | 4176_BLUE CROSS CHIP (WIL) OUTPATIENT 20241201 | $8.63 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WELLPOINT STAR KIDS | 4986_WELLPOINT/AMERIGROUP STAR KIDS (WIL) OUTPATIENT 20241201 | $8.63 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | BCBS STAR KIDS | 5019_BLUE CROSS STAR KIDS (WIL) OUTPATIENT 20241201 | $8.63 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WELLPOINT STAR PLUS | 4216_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (WIL) OUTPATIENT 20241201 | $8.63 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4165_WELLPOINT/AMERIGROUP CHIP (WIL) OUTPATIENT 20241201 | $8.63 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | UHC STAR KIDS | 4317_UHC STAR KIDS (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS CHIP/CHIP PERINATE | 4174_BLUE CROSS CHIP/STAR KIDS (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WELLPOINT STAR KIDS | 4982_WELLPOINT/AMERIGROUP STAR KIDS (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS CHIP/CHIP PERINATE | 4174_BLUE CROSS CHIP (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4163_WELLPOINT/AMERIGROUP CHIP (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WELLPOINT STAR PLUS | 4214_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | UHC STAR PLUS | 4270_CHIRP UHC STAR PLUS (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS STAR | 4225_CHIRP BLUE CROSS STAR (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WELLPOINT STAR | 4203_CHIRP AMERIGROUP STAR (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | UHC STAR | 4259_CHIRP UHC STAR (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS STAR KIDS | 5015_BLUE CROSS STAR KIDS (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TRAVIS COUNTY INDIGENT | 4138_TRAVIS COUNTY INDIGENT (HAY) 20240901 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WELLPOINT STAR PLUS | 4214_CHIRP AMERIGROUP STAR PLUS (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | DELL STAR | 4236_CHIRP DELL STAR (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | DELL CHIP/CHIP PERINATE | 4185_DELL CHIP/STAR KIDS (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WELLPOINT STAR | 4203_CHIRP WELLPOINT/AMERIGROUP STAR (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4163_AMERIGROUP CHIP/STAR KIDS (SMV) OUTPATIENT 20241201 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COUNTY INDIGENT | 504_COUNTY INDIGENT (HAY) 20140701 | $11.09 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | SENDERO CHAP | 4934_SENDERO CHAP 20250811 | $12.32 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | TRAVIS COUNTY INDIGENT | 4140_TRAVIS COUNTY INDIGENT (WIL) 20240901 | $12.32 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | AARP MC WELLMED | 4657_MEDICARE ADVANTAGE AARP WELLMED SMV 20250811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | UHC STAR | 3743_CHIRP UHC STAR (SMV) INPATIENT 20240901 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | UHC STAR KIDS | 4328_UHC STAR KIDS (SMV) INPATIENT 20240901 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | WELLPOINT STAR PLUS | 3688_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (SMV) INPATIENT 20240901 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Inpatient | MEDICARE OON | 4667_MEDICARE ADVANTAGE OON (SMV) 20250811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | SUPERIOR ALLWELL | 4685_MEDICARE ADVANTAGE SUPERIOR ALLWELL (SMV) 20250811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | 616_WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | $13.56 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | DELL CHIP/CHIP PERINATE | 3611_DELL CHIP/STAR KIDS (SMV) INPATIENT 20240901 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Inpatient | MEDICARE REPLACEMENT | 4924_MEDICARE ADVANTAGE SMV 20250811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | CONNECTED SENIOR CARE | 4917_MEDICARE ADVANTAGE CONNECTED SENIOR CARE (SMV) 20250811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | 616_WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | 616_WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | WELLPOINT CHIP/CHIP PERINATE | 3589_WELLPOINT CHIP/STAR KIDS (SMV) INPATIENT 20240901 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | AETNA MCR REPLACEMENT | 4658_MEDICARE ADVANTAGE AETNA (SMV) 20250811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WELLCARE MED ADVANTAGE | 4690_MEDICARE ADVANTAGE WELLCARE (SMV) 20250811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | BCBS CHIP/CHIP PERINATE | 3600_BLUE CROSS CHIP/STAR KIDS (SMV) INPATIENT 20240901 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | TRICARE | 4964_TRICARE SMV 20280811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WELMED MEDICARE | 4670_MEDICARE ADVANTAGE WELMED (SMV) 20250811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | BCBS STAR | 3699_CHIRP BLUE CROSS STAR (SMV) INPATIENT 20240901 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | UHC MCR REPLACEMENT | 4689_MEDICARE ADVANTAGE UNITED HEALTHCARE (SMV) 20250811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | ASCENSION COMPLETE MEDICARE REPLACEMENT | 4752_MEDICARE ADVANTAGE ASCENSION COMPLETE SMV 20250811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | 616_WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | ADDR CANCER TOGETHER | 4746_ADDR CANCER TOGETHER SMV 20250811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | DELL STAR | 3710_CHIRP DELL STAR (SMV) INPATIENT 20240901 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | SMARTHEALTH | 4959_SMARTHEALTH SMV 20280811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | HUMANA MCR REPLACEMENT | 4663_MEDICARE ADVANTAGE HUMANA (SMV) 20250811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Inpatient | DEVOTED HEALTH MCR REPLACEMENT | 4920_MEDICARE ADVANTAGE DEVOTED HEALTH SMV 20250811 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | UHC STAR PLUS | 3754_CHIRP UHC STAR PLUS (SMV) INPATIENT 20240901 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | WELLPOINT STAR | 3677_CHIRP WELLPOINT/AMERIGROUP STAR (SMV) INPATIENT 20240901 | $13.56 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | 618_WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | $14.79 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | 618_WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | $14.79 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | 618_WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | $14.79 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | TX INDEPENDENCE HP | 4744_TX INDEPENDENCE HP 20250811 | $14.79 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | TRAVIS COUNTY INDIGENT | 4141_TRAVIS COUNTY INDIGENT (SMV) 20240901 | $14.79 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | PPHP MCR ADVANTAGE | 4927_MEDICARE ADVANTAGE PPHP SMV 20250811 | $14.79 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | 618_WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | $14.79 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | DELL CHIP/CHIP PERINATE | 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COUNTY INDIGENT | 501_COUNTY INDIGENT (BRK,DEL,SMV,BAS) 20140601 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR AMBETTER | 3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT CHIP/CHIP PERINATE | 4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR PLUS | 4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | MDSAVE | 4915_MDSAVE SMV 20250811 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | WELLPOINT STAR PLUS | 4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | BCBS STAR | 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | BCBS STAR | 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | WELLPOINT STAR | 4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | DELL CHIP/CHIP PERINATE | 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | WELLPOINT STAR PLUS | 4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL CHIP/CHIP PERINATE | 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR | 4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR | 4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SUPERIOR AMBETTER | 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | WELLPOINT STAR PLUS | 4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | WELLPOINT STAR | 4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | DELL CHIP/CHIP PERINATE | 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | DELL CHIP/CHIP PERINATE | 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | SUPERIOR AMBETTER | 3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL CHIP/CHIP PERINATE | 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | WELLPOINT STAR | 4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SUPERIOR AMBETTER | 3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | DELL CHIP/CHIP PERINATE | 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | COUNTY INDIGENT | 501_COUNTY INDIGENT (BRK,DEL,SMV,BAS) 20140601 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | SUPERIOR AMBETTER | 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | WELLPOINT CHIP/CHIP PERINATE | 4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | BCBS STAR | 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | SUPERIOR AMBETTER | 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | COUNTY INDIGENT | 501_COUNTY INDIGENT (BRK,DEL,SMV,BAS) 20140601 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | SUPERIOR AMBETTER | 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | WELLPOINT CHIP/CHIP PERINATE | 4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | SUPERIOR AMBETTER | 3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | COUNTY INDIGENT | 501_COUNTY INDIGENT (BRK,DEL,SMV,BAS) 20140601 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | WELLPOINT CHIP/CHIP PERINATE | 4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | DELL CHIP/CHIP PERINATE | 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | WELLPOINT STAR | 4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS STAR | 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | WELLPOINT STAR | 4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | WELLPOINT STAR | 4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $17.25 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | COUNTY INDIGENT | 503_COUNTY INDIGENT (WIL) 20140701 | $19.72 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $23.42 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $23.42 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $23.42 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $23.42 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $23.42 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $23.42 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $23.42 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $23.42 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | TRAVIS COUNTY INDIGENT | 4139_TRAVIS COUNTY INDIGENT (CHI,DCN) 20240901 | $24.65 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | COUNTY INDIGENT | 502_COUNTY INDIGENT (CHI,DCN) 20140701 | $24.65 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | COUNTY INDIGENT | 502_COUNTY INDIGENT (CHI,DCN) 20140701 | $24.65 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | TRAVIS COUNTY INDIGENT | 4139_TRAVIS COUNTY INDIGENT (CHI,DCN) 20240901 | $24.65 | $123.25 | $86.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | TRAVIS COUNTY INDIGENT | 4139_TRAVIS COUNTY INDIGENT (CHI,DCN) 20240901 | $24.65 | $123.25 | $44.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COUNTY INDIGENT | 502_COUNTY INDIGENT (CHI,DCN) 20140701 | $24.65 | $123.25 | $44.37 | 2026-01-01 | 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.