173851 — Hpylori Stool Eia
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HPYLORI STOOL EIA (CDM 173851) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/173851?code_type=CDM
MLA (9th ed.)
“HPYLORI STOOL EIA (CDM 173851) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/173851?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HPYLORI STOOL EIA (CDM 173851) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/173851?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $84–$123 (25th–75th percentile) across 4 hospitals · 94 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 173851 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION SETON NORTHWEST Outpatient | TRAVIS COUNTY INDIGENT | 4134_TRAVIS COUNTY INDIGENT (NW) 20240901 | $9.84 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | TRAVIS COUNTY INDIGENT | 4133_TRAVIS COUNTY INDIGENT (AUS) 20240901 | $12.30 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | COUNTY INDIGENT | 505_COUNTY INDIGENT (AUS) 20140701 | $12.30 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | 616_WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | $13.53 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | 616_WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | $13.53 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | COUNTY INDIGENT | 506_COUNTY INDIGENT (NW) 20140701 | $13.53 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | 618_WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | $14.76 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | 618_WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | $14.76 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | COUNTY INDIGENT | 501_COUNTY INDIGENT (BRK,DEL,SMV,BAS) 20140601 | $17.22 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | COUNTY INDIGENT | 501_COUNTY INDIGENT (BRK,DEL,SMV,BAS) 20140601 | $17.22 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $23.37 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $23.37 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $23.37 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $23.37 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | TRAVIS COUNTY INDIGENT | 4139_TRAVIS COUNTY INDIGENT (CHI,DCN) 20240901 | $24.60 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | TRAVIS COUNTY INDIGENT | 4139_TRAVIS COUNTY INDIGENT (CHI,DCN) 20240901 | $24.60 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | COUNTY INDIGENT | 502_COUNTY INDIGENT (CHI,DCN) 20140701 | $24.60 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | COUNTY INDIGENT | 502_COUNTY INDIGENT (CHI,DCN) 20140701 | $24.60 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WINGS | 902_WINGS | $27.06 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WINGS | 902_WINGS | $27.06 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UTMB | 530_UTMB PRISONS (CHI,DCN) 20140101 | $28.29 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | TEXAS REHAB | 603_TEXAS REHAB VOCATIONAL | $28.29 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | TEXAS REHAB | 603_TEXAS REHAB VOCATIONAL | $28.29 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UTMB | 530_UTMB PRISONS (CHI,DCN) 20140101 | $28.29 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | TX REHAB | 510_TEXAS REHAB (AUS,NW,SW) 20150101 | $33.21 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | TX REHAB | 510_TEXAS REHAB (AUS,NW,SW) 20150101 | $33.21 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | CORNERSTONE | 602_CORNERSTONE HOSPITAL | $36.90 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | CORNERSTONE | 602_CORNERSTONE HOSPITAL | $36.90 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WHOLE FOODS | 4512_WHOLE FOODS 20251001 | $39.36 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | $39.36 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | $39.36 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | $39.36 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | $39.36 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WHOLE FOODS | 4512_WHOLE FOODS 20251001 | $39.36 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | SENDERO IDEALCARE | 816_SENDERO IDEALCARE CHAP (CHI,DCN) 20180301 | $41.82 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | SENDERO IDEALCARE | 816_SENDERO IDEALCARE CHAP (CHI,DCN) 20180301 | $41.82 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS BAV EXCHANGE | 4093_BLUE CROSS BLUE SHIELD BAV EXCHANGE (CHI,DCN) 20250101 | $41.82 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS BAV EXCHANGE | 4093_BLUE CROSS BLUE SHIELD BAV EXCHANGE (CHI,DCN) 20250101 | $41.82 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | VISTA HEALTH | 594_VISTA 360 (CHI,DCN) HEALTHPLAN | $43.05 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | VISTA HEALTH | 594_VISTA 360 (CHI,DCN) HEALTHPLAN | $43.05 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 204_FIRST CARE PROVIDENCE EMPLOYEE 20101001 | $49.20 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 204_FIRST CARE PROVIDENCE EMPLOYEE 20101001 | $49.20 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $51.66 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $51.66 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AUSTIN STATE HOSPITAL | 500_AUSTIN STATE HOSPITAL | $55.35 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AUSTIN STATE HOSPITAL | 500_AUSTIN STATE HOSPITAL | $55.35 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA ACO PPO | 3438_AETNA ACO PPO 20240701 | $57.81 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA ACO PPO | 3438_AETNA ACO PPO 20240701 | $57.81 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA PPO EXCHANGE | 249_AETNA PPO EXCHANGE 20140101 | $59.04 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA PPO EXCHANGE | 249_AETNA PPO EXCHANGE 20140101 | $59.04 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $62.73 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $62.73 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HUMANA EXCHANGE | 387_HUMANA EXCHANGE 20160101 | $67.65 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HUMANA EXCHANGE | 387_HUMANA EXCHANGE 20160101 | $67.65 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA PPO | 4488_AETNA PPO 20250801 | $68.88 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA PPO | 4488_AETNA PPO 20250801 | $68.88 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $71.34 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $71.34 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | FIRST CARE PROVIDENCE | 205_FIRST CARE PROVIDENCE FOCUS 20100801 | $71.34 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | FIRST CARE PROVIDENCE | 205_FIRST CARE PROVIDENCE FOCUS 20100801 | $71.34 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA PPO EXCHANGE | 552_AETNA PPO EXCHANGE (CHI,DCN) 20170415 | $72.57 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA HMO EXCHANGE | 551_AETNA HMO EXCHANGE (CHI,DCN) 20170415 | $72.57 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA HMO EXCHANGE | 551_AETNA HMO EXCHANGE (CHI,DCN) 20170415 | $72.57 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA PPO EXCHANGE | 552_AETNA PPO EXCHANGE (CHI,DCN) 20170415 | $72.57 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HEALTHSMART ACCEL | 755_HEALTH SMART ACCEL (ADULT SITES) 20140101 | $73.80 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HEALTHSMART ACCEL | 755_HEALTH SMART ACCEL (ADULT SITES) 20140101 | $73.80 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 201_FIRST CARE PROVIDENCE EMPLOYEE (CHI,DCN) 20101001 | $73.80 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 201_FIRST CARE PROVIDENCE EMPLOYEE (CHI,DCN) 20101001 | $73.80 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UHC NEXUS CITY HMO | 4501_UNITED HEALTHCARE NEXUS CITY HMO (AUS,NW,SW,BAS) 20250701 | $75.03 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UHC NEXUS CITY PPO | 4504_UNITED HEALTHCARE NEXUS CITY PPO (AUS,NW,SW,BAS) 20250401 | $75.03 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UHC NEXUS CITY PPO | 4506_UNITED HEALTHCARE NEXUS CITY PPO (WIL,HAYS) 20250701 | $75.03 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UHC STANDARD NEXUS ACO | 4509_UNITED HEALTHCARE STANDARD NEXUS ACO (WIL,HAYS) 20250701 | $75.03 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UHC NEXUS CITY HMO | 4501_UNITED HEALTHCARE NEXUS CITY HMO (AUS,NW,SW,BAS) 20250701 | $75.03 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UHC NEXUS CITY HMO | 4503_UNITED HEALTHCARE NEXUS CITY HMO (WIL,HAYS) 20250701 | $75.03 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UHC STANDARD NEXUS ACO | 4507_UNITED HEALTHCARE STANDARD NEXUS ACO (AUS,NW,SW,BAS) 20250701 | $75.03 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UHC NEXUS CITY PPO | 4504_UNITED HEALTHCARE NEXUS CITY PPO (AUS,NW,SW,BAS) 20250401 | $75.03 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UHC STANDARD NEXUS ACO | 4509_UNITED HEALTHCARE STANDARD NEXUS ACO (WIL,HAYS) 20250701 | $75.03 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UHC NEXUS CITY PPO | 4506_UNITED HEALTHCARE NEXUS CITY PPO (WIL,HAYS) 20250701 | $75.03 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UHC NEXUS CITY HMO | 4503_UNITED HEALTHCARE NEXUS CITY HMO (WIL,HAYS) 20250701 | $75.03 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UHC STANDARD NEXUS ACO | 4507_UNITED HEALTHCARE STANDARD NEXUS ACO (AUS,NW,SW,BAS) 20250701 | $75.03 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC STANDARD NEXUS ACO | 3316_UNITED HEALTHCARE STANDARD NEXUS ACO (CHI,DCN) 20240101 | $77.49 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC STANDARD NEXUS ACO | 3316_UNITED HEALTHCARE STANDARD NEXUS ACO (CHI,DCN) 20240101 | $77.49 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS HPN | 4455_BLUE CROSS BLUE SHIELD HPN (CHI,DCN) 20250501 | $78.72 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS HPN | 4455_BLUE CROSS BLUE SHIELD HPN (CHI,DCN) 20250501 | $78.72 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA ACO HMO | 4461_AETNA ACO HMO (EBD,SHL) 20250701 | $82.41 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA SHA AISD | 3425_AETNA SHA AISD (EBD,SHL) 20240701 | $82.41 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA SHA AISD | 3425_AETNA SHA AISD (EBD,SHL) 20240701 | $82.41 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA ACO HMO | 4461_AETNA ACO HMO (EBD,SHL) 20250701 | $82.41 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HUMANA HMO CUST | 124_HUMANA HMO CUSTOM (CHI,DCN) 20130201 | $83.64 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA HMO EXCHANGE | 1468_AETNA HMO EXCHANGE (EBD,SHL) 20170415 | $83.64 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA SHA AISD | 3435_AETNA SHA AISD (CHI,DCN) 20240701 | $83.64 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HUMANA EXCHANGE | 415_HUMANA EXCHANGE (CHI,DCN) 20160101 | $83.64 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HUMANA EXCHANGE | 415_HUMANA EXCHANGE (CHI,DCN) 20160101 | $83.64 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | EMPHESYS | 605_EMPHESYS | $83.64 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | EMPHESYS | 605_EMPHESYS | $83.64 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA HMO EXCHANGE | 1468_AETNA HMO EXCHANGE (EBD,SHL) 20170415 | $83.64 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA SHA AISD | 3435_AETNA SHA AISD (CHI,DCN) 20240701 | $83.64 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HUMANA HMO CUST | 124_HUMANA HMO CUSTOM (CHI,DCN) 20130201 | $83.64 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | OSCAR HEALTH EXCHANGE | 3198_OSCAR HEALTH PLAN (CHI,DCN) 20240101 | $84.87 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | OSCAR HEALTH EXCHANGE | 3198_OSCAR HEALTH PLAN (CHI,DCN) 20240101 | $84.87 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS HMO ESSENTIALS | 4092_BLUE CROSS BLUE SHIELD HMO ESSENTIALS (CHI,DCN) 20250101 | $84.87 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS HMO ESSENTIALS | 4092_BLUE CROSS BLUE SHIELD HMO ESSENTIALS (CHI,DCN) 20250101 | $84.87 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA ACO PPO/HMO - CHI | 4483_AETNA ACO PPO/HMO (CHI,DCN) 20250801 | $86.10 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | COVENTRY HPN (EBD,SHL) 20140101 | 257_COVENTRY HPN (EBD,SHL) 20140101 | $86.10 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | SETON PERFORMANCE PLUS | 688_SETON PERFORMANCE EPO PPO (EBD,HL) HMO 20160101 | $86.10 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | COVENTRY HPN (EBD,SHL) 20140101 | 257_COVENTRY HPN (EBD,SHL) 20140101 | $86.10 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | SETON PERFORMANCE PLUS | 688_SETON PERFORMANCE EPO PPO (EBD,HL) HMO 20160101 | $86.10 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA ACO PPO/HMO - CHI | 4483_AETNA ACO PPO/HMO (CHI,DCN) 20250801 | $86.10 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | SETON PERFORMANCE PLUS | 732_SETON PERFORMANCE EPO PPO (CHI,DCN) HMO 20160901 | $88.56 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | SETON PERFORMANCE PLUS | 732_SETON PERFORMANCE EPO PPO (CHI,DCN) HMO 20160901 | $88.56 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA MULTI-TIER WHOLE HEALTH SHA | 4462_AETNA MULTI-TIER WHOLE HEALTH SHA (EBD,SHL) 20250701 | $91.02 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA MULTI-TIER WHOLE HEALTH SHA | 4462_AETNA MULTI-TIER WHOLE HEALTH SHA (EBD,SHL) 20250701 | $91.02 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | FIRST CARE HMO | 202_FIRST CARE HMO 20050801 | $92.25 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | FIRST CARE HMO | 258_FIRST CARE HMO (EBD,SHL) 20140101 | $92.25 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | FIRST CARE PPO | 203_FIRST CARE PPO 20050801 | $92.25 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WHOLE FOODS | 819_WHOLE FOODS (CAH) 20180301 | $92.25 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | WHOLE FOODS | 819_WHOLE FOODS (CAH) 20180301 | $92.25 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | FIRST CARE PPO | 259_FIRST CARE PPO (EBD,SHL) 20140101 | $92.25 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | FIRST CARE HMO | 202_FIRST CARE HMO 20050801 | $92.25 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | FIRST CARE PPO | 203_FIRST CARE PPO 20050801 | $92.25 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | FIRST CARE HMO | 258_FIRST CARE HMO (EBD,SHL) 20140101 | $92.25 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | FIRST CARE PPO | 259_FIRST CARE PPO (EBD,SHL) 20140101 | $92.25 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | CIGNA HMO | 4477_CIGNA HMO (CHI,DCN) 20250101 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC NEXUS CITY HMO | 3315_UNITED HEALTHCARE NEXUS CITY HMO (CHI,DCN) 20240101 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | CIGNA HMO | 4477_CIGNA HMO (CHI,DCN) 20250101 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC | 3303_UNITED HEALTHCARE (CHI,DCN) 20240101 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS PPO | 4091_BLUE CROSS BLUE SHIELD PPO (CHI,DCN) 20250101 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA MULTI-TIER WHOLE HEALTH SHA | 4484_AETNA MULTI-TIER WHOLE HEALTH SHA (CHI,DCN) 20250801 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | CIGNA PPO | 4478_CIGNA PPO (CHI,DCN) 20250101 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA MULTI-TIER WHOLE HEALTH SHA | 4484_AETNA MULTI-TIER WHOLE HEALTH SHA (CHI,DCN) 20250801 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC NEXUS CITY HMO | 3315_UNITED HEALTHCARE NEXUS CITY HMO (CHI,DCN) 20240101 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | CIGNA PPO | 4478_CIGNA PPO (CHI,DCN) 20250101 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC | 3303_UNITED HEALTHCARE (CHI,DCN) 20240101 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS PPO | 4091_BLUE CROSS BLUE SHIELD PPO (CHI,DCN) 20250101 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC NEXUS CITY PPO | 3317_UNITED HEALTHCARE NEXUS CITY PPO (CHI,DCN) 20240101 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC NEXUS CITY PPO | 3317_UNITED HEALTHCARE NEXUS CITY PPO (CHI,DCN) 20240101 | $94.71 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | FIRST HEALTH/COVENTRY | 260_FIRSTHEALTH/COVENTRY PPO 20140101 | $95.94 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | $95.94 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | $95.94 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | FIRST HEALTH/COVENTRY | 260_FIRSTHEALTH/COVENTRY PPO 20140101 | $95.94 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | TX TRUE CHOICE | 271_TEXAS TRUE CHOICE PPO (EBD,SHL) 20140101 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 | 2105_EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HEALTHSMART ACCEL | 263_HEALTH SMART ACCEL (EBD,SHL) 20140101 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | GREAT WEST | 598_GREAT WEST | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | PHCS | 150_PHCS 20111201 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HUMANA HMO | 2669_HUMANA HMO (SMV) 20230701 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | MULTIPLAN | 267_MULTIPLAN PPO (EBD,SHL) 20140101 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HEALTHSMART ACCEL | 263_HEALTH SMART ACCEL (EBD,SHL) 20140101 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AVERDE HEALTH | 252_AVERDE HEALTH (EBD,SHL) 20140101 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HUMANA HMO | 2669_HUMANA HMO (SMV) 20230701 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | PHCS | 268_PHCS PPO (EBD,SHL) 20140101 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | TX TRUE CHOICE | 271_TEXAS TRUE CHOICE PPO (EBD,SHL) 20140101 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 | 2105_EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AVERDE HEALTH | 252_AVERDE HEALTH (EBD,SHL) 20140101 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | MULTIPLAN | 267_MULTIPLAN PPO (EBD,SHL) 20140101 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | PHCS | 268_PHCS PPO (EBD,SHL) 20140101 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | GREAT WEST | 598_GREAT WEST | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | PHCS | 150_PHCS 20111201 | $98.40 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC STANDARD NEXUS ACO | 3450_UNITED HEALTHCARE STANDARD NEXUS ACO (EBD,SHL) 20240701 | $99.63 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC NEXUS CITY PPO | 3449_UNITED HEALTHCARE NEXUS CITY PPO (EBD,SHL) 20240701 | $99.63 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC | 3447_UNITED HEALTHCARE (EBD,SHL) 20240701 | $99.63 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC STANDARD NEXUS ACO | 3450_UNITED HEALTHCARE STANDARD NEXUS ACO (EBD,SHL) 20240701 | $99.63 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC NEXUS CITY HMO | 3448_UNITED HEALTHCARE NEXUS CITY HMO (EBD,SHL) 20240701 | $99.63 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC NEXUS CITY HMO | 3448_UNITED HEALTHCARE NEXUS CITY HMO (EBD,SHL) 20240701 | $99.63 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC NEXUS CITY PPO | 3449_UNITED HEALTHCARE NEXUS CITY PPO (EBD,SHL) 20240701 | $99.63 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | UHC | 3447_UNITED HEALTHCARE (EBD,SHL) 20240701 | $99.63 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA PPO | 4460_AETNA PPO (EBD,SHL) 20250701 | $100.86 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | COVENANT HEALTH | 4474_COVENANT MANAGEMENT SOLUTIONS-AETNA (EBD,SHL) 20250701 | $100.86 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | COVENANT HEALTH | 4474_COVENANT MANAGEMENT SOLUTIONS-AETNA (EBD,SHL) 20250701 | $100.86 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA PPO | 4460_AETNA PPO (EBD,SHL) 20250701 | $100.86 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA HMO | 4459_AETNA HMO (EBD,SHL) 20250701 | $100.86 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA HMO | 4459_AETNA HMO (EBD,SHL) 20250701 | $100.86 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HUMANA HMO | 3191_HUMANA HMO (CHI,DCN) 20240101 | $102.09 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HUMANA HMO | 3191_HUMANA HMO (CHI,DCN) 20240101 | $102.09 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | WELMED MEDICARE | 4369_MEDICARE ADVANTAGE WELLMED INPATIENT (CHI,DCN) 20250305 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | MEDICARE OON | 3139_MEDICARE ADVANTAGE 100% (CHI,DCN) OUTPATIENT 20231101 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | MEDICARE OON | 4366_MEDICARE ADVANTAGE 100% (CHI,DCN) INPATIENT 20250305 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | COVENANT HEALTH | 4485_COVENANT MANAGEMENT SOLUTIONS-AETNA (CHI,DCN) 20250801 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | ADDR CANCER TOGETHER | 4364_ADDR CANCER TOGETHER (CHI,DCN) INPATIENT 20250305 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | WELMED MEDICARE | 4361_MEDICARE ADVANTAGE WELLMED OUTPATIENT (CHI,DCN) 20230207 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | TRICARE | 3129_TRICARE (CHI,DCN) OUTPATIENT 20231101 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | TRICARE | 4372_TRICARE (CHI,DCN) INPATIENT 20250305 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | ADDR CANCER TOGETHER | 4364_ADDR CANCER TOGETHER (CHI,DCN) INPATIENT 20250305 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | UHC STUDENT RESOURCE | 625_UNITED HEALTHCARE STUDENT RESOURCE 20020401 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | VISTA HEALTH | 593_VISTA 360 HEALTHPLAN | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | ADDR CANCER TOGETHER | 4104_ADDR CANCER TOGETHER (CHI,DCN) OUTPATIENT 20250101 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | WELMED MEDICARE | 4369_MEDICARE ADVANTAGE WELLMED INPATIENT (CHI,DCN) 20250305 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | ADDR CANCER TOGETHER | 4104_ADDR CANCER TOGETHER (CHI,DCN) OUTPATIENT 20250101 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | COVENANT HEALTH | 4485_COVENANT MANAGEMENT SOLUTIONS-AETNA (CHI,DCN) 20250801 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | CIGNA HMO | 340_CIGNA HMO (EBD, SHL) 20140701 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | CIGNA HMO | 340_CIGNA HMO (EBD, SHL) 20140701 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | CIGNA HMO | 1188_CIGNA HMO (SMV,BAS) 20190501 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | CIGNA HMO | 1188_CIGNA HMO (SMV,BAS) 20190501 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | TRICARE | 3129_TRICARE (CHI,DCN) OUTPATIENT 20231101 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | TRICARE | 4372_TRICARE (CHI,DCN) INPATIENT 20250305 | $104.55 | $123.00 | $44.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | MEDICARE OON | 4366_MEDICARE ADVANTAGE 100% (CHI,DCN) INPATIENT 20250305 | $104.55 | $123.00 | $44.28 | 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.