2043 — Orth/matrx/bn Fill Drug-e
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Orth/matrx/bn fill drug-e (OTHER 2043) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2043?code_type=OTHER
MLA (9th ed.)
“Orth/matrx/bn fill drug-e (OTHER 2043) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2043?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Orth/matrx/bn fill drug-e (OTHER 2043) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2043?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,407–$10,522 (25th–75th percentile) across 119 hospitals · 223 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 2043 — 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 |
|---|---|---|---|---|---|---|---|
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | United | MGMCR | — | — | — | 2026-03-07 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | United | MGMCR | — | — | — | 2026-03-07 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Humana | Medicare | $21.11 | $110.00 | $88.00 | 2026-05-09 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $36.43 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Essential Plan 1,2,5,6 | $36.43 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $36.43 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Essential Plan 1,2,5,6 | $36.43 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $36.43 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | $36.43 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $36.43 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $36.43 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | $36.43 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $36.43 | — | — | 2026-05-22 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $44.64 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $44.64 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $44.64 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $44.64 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $44.64 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $44.64 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $51.03 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $51.03 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $51.03 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $52.05 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $52.56 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $53.59 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | United Healthcare | Commercial | $55.00 | $110.00 | $88.00 | 2026-05-09 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Caresource Medicaid | Mco | $61.12 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Humana Medicaid | Mco | $61.12 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Molina Medicaid | Mco | $61.12 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Buckeye Community Health Plan Medicaid | Mco | $61.12 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Uhc Community Plan Medicaid | Mco | $61.12 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Paramount Advantage Medicaid | Mco | $61.12 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Amerihealth Caritas Medicaid | Mco | $61.12 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Managed Health Services Medicaid | Mco Managed Health/Network Health Plans | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Mercy Care Medicaid | Mco Mercycare | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Icare Medicaid | Mco Icare | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | United Healthcare Medicaid | Mco United Healthcare | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Aetna Better Health Medicaid | Mco Aetna Better Health Il | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Meridian Medicaid | Mco Meridian Health Plan Il | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Il Medicaid | Mco Molina Il | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | My Choice Medicaid | Mco Hmo My Choice | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Ghc Eau Claire Medicaid | Mco Ghc Eau Claire | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Wi Medicaid | Mco Molina Healthcare Of Wi | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Anthem Medicaid | Mco Anthem | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Community Care Medicaid | Mco Community Care Family Care | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Dean Health Plan Medicaid | Mco Deancare | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Chorus Community Health Plan Medicaid | Mco Chorus Community Health Plan | $64.46 | — | — | 2026-05-06 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Ohio Medicaid Ffs | Medicaid | $67.67 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $67.67 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $69.70 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $69.70 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $69.70 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Amerihealth Caritas | Medicaid | $70.38 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Humana | Medicaid | $71.05 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Medicaid | $71.05 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Cigna | Commercial | $80.30 | $110.00 | $88.00 | 2026-05-09 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Traditional | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Medicaid Advantage | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Healthy Kids | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Prestige Health Choice | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Hmo | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Lighthouse Medicaid Advantage | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Simply Health Medicaid Advantage | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Youth Services | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicaid Advantage | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Magellan | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Florida Kid Care | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Medicaid Advantage | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Clear Alliance | Medicaid | $84.11 | — | — | 2026-05-08 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | United | MCR | — | — | — | 2026-03-01 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicaid | $86.82 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid | $86.82 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $86.82 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $86.82 | — | — | 2026-05-07 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid | $86.82 | — | — | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $87.00 | — | — | 2026-05-13 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $88.10 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $90.29 | — | — | 2026-05-07 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Blue Cross Nwb | Commercial | $90.75 | $110.00 | $88.00 | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Blue Cross Phs Ppo | Commercial | $90.75 | $110.00 | $88.00 | 2026-05-09 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Staywell | Wellcare Medicaid | $91.00 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Humana | Medicaid | $91.00 | — | — | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Staywell | Wellcare Medicaid | $91.16 | — | — | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Humana | Medicaid | $91.16 | — | — | 2026-05-06 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $91.55 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $91.55 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $91.55 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Vivada | Medicaid | $92.89 | — | — | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Vivada | Medicaid | $93.00 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Aetna | Medicaid | $93.76 | — | — | 2026-05-13 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid | $93.76 | — | — | 2026-05-07 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Aetna | Medicaid | $93.76 | — | — | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $95.00 | — | — | 2026-05-13 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Molina | Medicaid | $95.50 | — | — | 2026-05-07 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Sunshine State Health | Medicaid | $95.50 | — | — | 2026-05-06 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $95.62 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $99.85 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $99.85 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $101.84 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Simply | Medicaid | $104.00 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $104.00 | — | — | 2026-05-13 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Prestigehealth | Medicaid | $104.18 | — | — | 2026-05-07 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Simply | Medicaid | $104.18 | — | — | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $104.18 | — | — | 2026-05-06 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $105.72 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $105.72 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $105.72 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $109.25 | $117.47 | $88.10 | 2026-05-08 | MRF ↗ |
| PROVIDENCE HOLY FAMILY HOSPITAL OutpatientFacility | Community Health Plan Of Washington | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY FAMILY HOSPITAL OutpatientFacility | Community Health Plan Of Washington | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Sunshine | Medicaid | $130.63 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Lighthouse | Medicaid | $130.63 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Florida Community Care | Medicaid | $130.63 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Medicaid | Medicaid | $130.63 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Wellcare | Medicaid | $134.55 | — | — | 2026-05-09 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Outpatient | Wellmark Insurance | Hmo | $139.67 | — | — | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $150.39 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Outpatient | Wellmark Insurance | Ppo | $153.86 | — | — | 2026-05-09 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Tufts Health Together | Medicaid | $156.65 | — | — | 2026-05-13 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Fallon 365 / Wellforce | Medicaid | $156.65 | — | — | 2026-05-13 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Masshealth | — | $156.65 | — | — | 2026-05-13 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $158.30 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Hne | Medicaid | $161.36 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bmc | Healthnet Plan | $161.36 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bmc | Healthnet Plan | $161.36 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Hne | Medicaid | $161.36 | — | — | 2026-05-13 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $171.50 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $177.04 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicaid | All Plans | $191.24 | — | — | 2026-05-23 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Molina Healthcare Medicaid | All Plans | $191.24 | — | — | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Medicaid | All Plans | $191.24 | — | — | 2026-05-06 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicaid | All Plans | $191.24 | — | — | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Medicaid | All Plans | $191.24 | — | — | 2026-05-23 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medicaid | All Plans | $191.24 | — | — | 2026-05-06 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $211.07 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Molina | Molina Medicaid Managed Care (Op) | $221.58 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid Managed Care (Op) | $221.58 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Meridian | Meridian Medicaid Managed Care Op) | $221.58 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Meridian | Meridian Medicaid Managed Care Op) | $221.58 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Molina | Molina Medicaid Managed Care (Op) | $221.58 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid Managed Care (Op) | $221.58 | — | — | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $221.63 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | United | Medicaid | $229.11 | — | — | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | United | Medicaid | $229.11 | — | — | 2026-05-23 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Bcbs Managed Care | All Plans | $231.82 | — | — | 2026-05-06 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Bcbs Managed Care | All Plans | $231.82 | — | — | 2026-05-23 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $263.84 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $263.84 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $263.84 | $263.84 | $187.38 | 2026-05-08 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Medicaid | Medicaid | $272.12 | — | — | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Medicaid | Medicaid | $272.12 | — | — | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Badgercare | Medicaid | $272.12 | — | — | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Molina | Mychoice | $272.12 | — | — | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Chorus | Medicaid | $272.12 | — | — | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Chorus | Medicaid | $272.12 | — | — | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Molina | Mychoice | $272.12 | — | — | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Badgercare | Medicaid | $272.12 | — | — | 2026-05-23 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Amerihealth | Alliance Medicaid | $321.68 | — | — | 2026-05-23 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Amerigroup | Medicaid | $321.68 | — | — | 2026-05-23 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Unison Healthy Families | Medicaid | $321.68 | — | — | 2026-05-23 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Trusted Health | Medicaid | $321.68 | — | — | 2026-05-23 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Carefirst Blue Cross Blue Shield | Medicaid | $418.19 | — | — | 2026-05-23 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Medstar | Medicaid | $418.19 | — | — | 2026-05-23 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Medstar | Managed Care | $418.19 | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Centene Trillium Community Health Plan | Mgd Mcd | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Sutter Medical Foundation | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Multiplan | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Triwest Healthcare Alliance | Triwest | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Providence Health Plan | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Kaiser Permanente | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Health Smart | Preferred Care | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Sana Benefits | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Prime Health Services | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Stratose | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Uc Of Davis | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Northbay Healthcare | Medicare Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Alliance Coal Health Plan | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Centene Ambttr Slvr Smmit Hlth Pln | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Dignity Health | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| BERGER HOSPITAL OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Inpatient | Hotel Trades Council | Dental Or | $1,912.00 | — | — | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Multiplan | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Humana | Tricare | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Soonercare | Managed Medicaid | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Stratose | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Health Smart | Preferred Care | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Prime Health Services | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Alliance Coal Health Plan | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Sana Benefits | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Providence Health Plan | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Vantage Health Plan | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Sana Benefits | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Humana | Tricare | — | — | — | 2026-05-23 | 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.