21196 — Reconst Lwr Jaw W/fixation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RECONST LWR JAW W/FIXATION (CPT 21196) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/21196?code_type=CPT
MLA (9th ed.)
“RECONST LWR JAW W/FIXATION (CPT 21196) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/21196?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RECONST LWR JAW W/FIXATION (CPT 21196) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/21196?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,876–$8,629 (25th–75th percentile) across 1,512 hospitals · 2,493 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 21196 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$3,876
$6,211 typical
$8,629
The middle 50% of negotiated facility rates for this procedure, measured across 1,512 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $6,211 |
| Surgeon (professional fee) Estimate national typical Medicare $1,297 × 1.22 commercial. | $1,582 |
| Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $708 |
| Likely subtotal | $8,501 |
Surgical episode (typical)
~$8,501
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$12,286
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| VALLEY MEDICAL CENTER Outpatient | GREAT WEST [190102] | CIGNA.COMMERCIAL.FACILITY.VMC | $1.16 | $108,567.64 | $75,997.35 | 2026-03-12 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | VETERANS [99909] | UVA HB VETERANS CHOICE | $1.46 | $83,049.92 | $49,829.95 | 2026-03-24 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $8.16 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $8.30 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $8.31 | $129,985.98 | $25,997.20 | 2026-03-26 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 3&4 | $8.60 | $82,767.89 | $53,799.13 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $8.60 | $82,767.89 | $53,799.13 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $8.60 | $82,767.89 | $53,799.13 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $9.18 | $82,767.89 | $53,799.13 | 2024-12-30 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $16.83 | $9,350.00 | $5,862.53 | 2024-12-31 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-TN-LEB CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS MSCAN MLH-MS CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - Olive Branch | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - Olive Branch | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - Olive Branch | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - Olive Branch | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $23.46 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| COOPERMAN BARNABAS MEDICAL CENTER OutpatientFacility | Cigna | HMO | — | — | $6,839.00 | 2026-03-04 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $90.30 | $45.15 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $90.30 | $45.15 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $90.30 | $45.15 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $90.30 | $45.15 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $90.30 | $45.15 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $90.30 | $45.15 | 2026-05-13 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $29.33 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $29.33 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $29.33 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $29.33 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-MS CONTRACT | $29.33 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $29.33 | $165,075.34 | $36,316.57 | 2026-03-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | $12,211.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | $12,211.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $12,211.75 | 2024-12-08 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $91.96 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $91.96 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $91.96 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $91.96 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $91.96 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $91.96 | $181,289.01 | $72,515.60 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $91.96 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $91.96 | $181,289.01 | $72,515.60 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $91.96 | $181,289.01 | $72,515.60 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $92.13 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $92.13 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $92.13 | $181,289.01 | $72,515.60 | 2026-05-29 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $96.74 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $96.74 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $96.74 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $96.74 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $96.74 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $96.74 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $96.74 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $96.74 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $96.74 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $96.74 | $181,289.01 | $72,515.60 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $96.74 | $181,289.01 | $72,515.60 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $96.74 | $181,289.01 | $72,515.60 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $96.74 | $181,289.01 | $72,515.60 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $96.74 | $181,289.01 | $72,515.60 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $96.74 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | MOLINA CHIP [138201] | $101.35 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $101.35 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $101.35 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $101.35 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $101.35 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $101.35 | $181,289.01 | $72,515.60 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | MOLINA CHIP [138201] | $101.35 | $181,289.01 | $72,515.60 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | MOLINA CHIP [138201] | $101.35 | $181,289.01 | $72,515.60 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $101.35 | $181,289.01 | $72,515.60 | 2026-05-29 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $116.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $152.23 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $152.23 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $152.23 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $152.23 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $152.23 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $152.23 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $152.23 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $152.23 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $152.23 | — | — | 2026-04-14 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $153.88 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $153.88 | — | — | 2026-04-01 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $42,065.10 | $8,413.02 | 2026-03-31 | MRF ↗ |
| DRISCOLL CHILDRENS HOSPITAL Outpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $42,065.10 | $8,413.02 | 2025-10-06 | MRF ↗ |
| DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY Outpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $48,374.70 | $9,674.94 | 2025-10-06 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $166.84 | — | — | 2025-12-31 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | 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.