1903 — New Technology - Level 50 ($115,001-$130,000)
Cite this view
HANK Price Transparency. (n.d.). New Technology - Level 50 ($115,001-$130,000) (CPT 1903) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1903?code_type=CPT
“New Technology - Level 50 ($115,001-$130,000) (CPT 1903) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1903?code_type=CPT. Accessed .
“New Technology - Level 50 ($115,001-$130,000) (CPT 1903) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1903?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,521–$124,951 (25th–75th percentile) across 24 hospitals · 79 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 1903 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Peak Health | Commercial | $323.86 | $431.81 | $431.81 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Commercial | $367.04 | $431.81 | $431.81 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Aetna | Commercial | $388.63 | $431.81 | $431.81 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Cigna | Commercial | $392.95 | $431.81 | $431.81 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | United Healthcare | Commercial | $408.49 | $431.81 | $431.81 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Zelis Network | Commercial | $410.22 | $431.81 | $431.81 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Caresource | Wv Marketplace | $410.22 | $431.81 | $431.81 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Firsthealth | Commercial | $410.22 | $431.81 | $431.81 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Healthsmart | Commercial | $410.22 | $431.81 | $431.81 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Phcs Multiplan | Commercial | $410.22 | $431.81 | $431.81 | 2026-05-06 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $4,005.00 | $2,002.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $4,005.00 | $2,002.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $4,005.00 | $2,002.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $4,005.00 | $2,002.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $4,005.00 | $2,002.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $4,005.00 | $2,002.50 | 2026-05-13 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Integra | Mltc | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Alphacare | Ma, Mltc, Fida | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Wellcare | Child Health Plus | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Wellcare | Exchange | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Wellcare | Medicaid | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Fidelis | Child Health Plus | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Fidelis | Medicare Advantage | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Fidelis | Medicaid Managed Care | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Fidelis | Managed Long Term Care | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Fidelis | Health Benefit Exchange | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | United Healthcare | Americhoice Ny Medicaid | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | United Healthcare | Medicaid/Fhp | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | United Healthcare | Chp | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Multiplan | Commercial | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Humana | Medicare Advantage | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Amerigroup | Map | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Amerigroup | Medicare Advantage | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Aetna | Exchange Program | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Aetna | Medicare Advantage | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Emblem Health | Hip Govt Lines Of Business Nonmcr | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Emblem Health | Ghi & Hip Medicare | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Emblem Health | Ghi Network Access | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Elderplan | Hmo | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Healthfirst | Medicare Advantage | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Healthfirst | Managed Medicaid/Child Health Plus | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Healthfirst | Qualified Health Plan | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Agewell | Medicare Advantage | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Senior Whole Health | Medicare Advantage | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Partners Health Plan | Medicare Advantage | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Hamaspik | Medicaid Managed Care | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Hamaspik | Medicare Advantage | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Metroplus | Gold/Qhp | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Metroplus | Exchange/Metroplus Gold | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Metroplus | Medicare Advantage/Fida | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Metroplus | Medicaid, Hiv, Child Health Plus, Harp | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Metroplus | Medicaid Advantage Plus (Map) | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Amida Care | Managed Medicaid | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Amida Care | Medicare Advantage | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Interga | Medicare Advantage | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Magnacare (Brighton Health Plan ) | Commercial | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Ny Essential Plans | Managed Medicaid | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Visiting Nurse Services | Medicare Advantage Progr | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Visiting Nurse Services | Mltc | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Visiting Nurse Services | Medicare Advantage Sn | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Visiting Nurse Services | Choice | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Mediblue Hmo/Ppo | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Somos | Medicaid/Harp/Child Health Plus | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Affinity Health | Hix Qhp | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Affinity Health | Medicaid, Harp, Child Health Plu | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Wellcare | Medicare Advantage | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Centers Plan For Health Living | Mapd/Medicare Adv | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Centers Plan For Health Living | Mltc | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield Amerigroup | Med Adv | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield Amerigroup | Medicai | — | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield Amerigroup | Chp | — | — | — | 2026-05-26 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Integrated Health Plan | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Aetna | Medicare Advantage | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Aetna | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Brand New Day | Medicare | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Choice Care Network | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Health Management Network | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Kaiser Foundation Hospitals | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Blue Shield | Hmo & Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | For Your Benefit | Medicare Advantage | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Alignment Healthcare | Medicare Advantage | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Central Health Plan Of California | Medicare Adv | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Health Net Of California | Medicare Advantage | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Health Net Of California | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Health Net Of California | Enhanced/Ambetter Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Champion Health Plan | Medicare Advantage | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Clever Care Health Plan | Medicare Advantage | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | L.A. Care Health Plan | Dnsp | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | L.A. Care Health Plan | Covered California | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Aids Foundation | Medicare Advantage | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Align Senior Care Ca | Medicare Advantage | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Ca State Prison | Government | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Health Net Of California - Medi | Cal | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Heritage Provider Network - Medi | Cal High Desert | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Heritage Provider Network - Sierra Medi | Cal | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Managed Health Network (Mental Health) | Senior | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Multiplan (Mpi/Phcs/Beech Street) | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Oscar Hp/Providence Health Network | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Mutual Of Omaha | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Citizens Choice Healthplan | Medicare Advantage | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Wellcare | Medicare Advantage | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Healthsmart | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | United Healthcare | Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | United Healthcare | Hmo | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Humana | Medicare Advantage | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Three Rivers Provider Network | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | First Health/Coventry | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $4,423.95 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $4,423.95 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Min | $4,710.12 | — | — | 2026-05-09 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $4,934.94 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $4,934.94 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $4,934.94 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $4,934.94 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $4,934.94 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $4,934.94 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Cook Childrens | Medicaid | $5,019.10 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Bh | $5,019.10 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Bh | $5,019.10 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $5,019.10 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Cook Childrens | Medicaid | $5,019.10 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $5,019.10 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Molina | Medicaid | $5,329.74 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Molina | Medicaid | $5,329.74 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Molina | Medicaid | $5,420.63 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Molina | Medicaid | $5,420.63 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Aetna | Medicaid | $5,521.01 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Aetna | Medicaid | $5,521.01 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Medicaid | $6,760.87 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Medicaid | $6,760.87 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Medicaid | $6,876.17 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Medicaid | $6,876.17 | — | — | 2026-05-24 | MRF ↗ |
| SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS Inpatient | Amerigroup Community Care | Managed Medicaid | $8,893.04 | $33,417.06 | — | 2026-05-06 | MRF ↗ |
| SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS Inpatient | Peachstate Health Plan | Managed Medicaid | $8,893.04 | $33,417.06 | — | 2026-05-06 | MRF ↗ |
| SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS Inpatient | Caresource Georgia Families | Managed Medicaid | $8,893.04 | $33,417.06 | — | 2026-05-06 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Min | $12,072.10 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Min | $12,072.10 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Awa | $15,022.71 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Awa | $15,022.71 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Awa | $16,209.87 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Awa | $16,209.87 | — | — | 2026-05-22 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $17,027.03 | — | — | 2026-05-14 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $17,027.03 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Ppo | $17,114.46 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Ppo | $17,114.46 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Hmo | $17,114.46 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Hmo | $17,114.46 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Awa | $17,353.01 | — | — | 2026-05-09 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Ppo | $17,915.54 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Ppo | $17,915.54 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Hmo | $17,915.54 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Hmo | $17,915.54 | — | — | 2026-05-13 | MRF ↗ |
| AVERA QUEEN OF PEACE Inpatient | Wellmark Insurance | Ppo | $20,795.57 | — | — | 2026-05-09 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Pathway Individual | $21,500.58 | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Pathway Small Grou | $21,500.58 | — | — | 2026-05-26 | MRF ↗ |
| AVERA ST LUKES Inpatient | Wellmark Insurance | Ppo | $21,549.89 | — | — | 2026-05-09 | MRF ↗ |
| AVERA ST LUKES Inpatient | Wellmark Insurance | Hmo | — | — | — | 2026-05-09 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Hmo/Epo/Blue Prior | $25,957.94 | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Indemnity | $30,554.13 | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Ppo | $30,554.13 | — | — | 2026-05-26 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $115,762.97 | — | — | 2026-05-06 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $115,762.97 | — | — | 2026-05-24 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $115,762.97 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $115,762.97 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Aetna | Medicare | $122,500.50 | — | — | 2026-05-13 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Prominence | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Prominence | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Humana | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Humana | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Cigna | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Cigna | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Select Health | Medicare | $122,500.50 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Humana | Senioradvantage Medicare | $122,500.50 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Superior | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Humana | Senioradvantage Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | United Healthcare | Medicare | $122,500.50 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Select Health | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Molina | Medicare | $122,500.50 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Aetna | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Anthem Blue Cross Blue Shield | Medicare | $122,500.50 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Caremore Health | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Superior | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Blue Shield | Promise Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Primecare | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Palomar | Medicare | $122,500.50 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Epic Health Plan | Medicare | $122,500.50 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicaid | $122,500.50 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicare | $122,500.50 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Epic Health Plan | Medicare | $122,500.50 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicaid | $122,500.50 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicare | $122,500.50 | — | — | 2026-05-23 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Molina | Medicare | $122,500.50 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Anthem Blue Cross Blue Shield | Medicare | $122,500.50 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | United Healthcare | Medicare | $122,500.50 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Humana | Senioradvantage Medicare | $122,500.50 | — | — | 2026-05-24 | 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.