220101 — Antivenin Micrurius Inj
Cite this view
HANK Price Transparency. (n.d.). ANTIVENIN MICRURIUS INJ (CDM 220101) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/220101?code_type=CDM
“ANTIVENIN MICRURIUS INJ (CDM 220101) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/220101?code_type=CDM. Accessed .
“ANTIVENIN MICRURIUS INJ (CDM 220101) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/220101?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,019–$2,912 (25th–75th percentile) across 6 hospitals · 72 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 220101 — 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 |
|---|---|---|---|---|---|---|---|
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Humana (Choice Care) | Commercial | $31.00 | $44.00 | $29.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $33.00 | $44.00 | $29.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $35.00 | $44.00 | $29.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | HMO | $35.00 | $44.00 | $29.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | Traditional | $35.00 | $44.00 | $29.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO | $35.00 | $44.00 | $29.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $37.00 | $44.00 | $29.00 | 2025-06-26 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna Medicare | MCR | $38.85 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $58.02 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Verity | FirstChoice | $77.70 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Verity | COMM | $77.70 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Cigna | HMOPPO | $81.07 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Humana | Commercial | $85.47 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna | HMO | $89.61 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna | PPO | $89.61 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | PPO Plus | PPO | $98.42 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | BCBS | MCRHMO | $103.60 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | BCBS | MCRPPO | $103.60 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Louisiana Workers Compensation Corporation | WCOMP | $126.91 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Gilsbar 360 | PPO | $137.27 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Multiplan | PHCS | $140.38 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Multiplan | MPI | $150.48 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Employers Health Network | PPO | $181.30 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | DMA Regional PPO | PPO | $181.30 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Healthsouth Corporation | COMM | $181.30 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | First Health | PPO | $181.30 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Humana Military | CHAMPUS/TRICARE | $194.25 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Plan Vista Solutions (NPPN) | COMM | $202.02 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Medical Development International | PPO | $207.20 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | BestComp | COMM | $209.79 | $259.00 | $259.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $262.45 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $262.45 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $262.45 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $262.45 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $734.86 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $734.86 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $782.10 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $892.33 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $892.33 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $892.33 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $918.58 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Imperial Insurance | MGMCR | $997.31 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | HIX | $1,007.81 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | HMO | $1,007.81 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | US HEALTH AND LIFE | 1991_BOMC, BOLE, BPHC US HEALTH AND LIFE 20200101 | $1,019.31 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | US HEALTH AND LIFE | 1991_BOMC, BOLE, BPHC US HEALTH AND LIFE 20200101 | $1,019.31 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | SMARTHEALTH | 3501_SMARTHEALTH 20230101 | $1,092.11 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | SMARTHEALTH | 3501_SMARTHEALTH 20230101 | $1,092.11 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | POS | $1,123.29 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | EPO | $1,123.29 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | PPO | $1,123.29 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MODA | HIX | $1,233.52 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | OptionsPPO | $1,307.00 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $1,432.98 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueEssentials | $1,432.98 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Covenant Management Systems | HMO | $1,511.71 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Healthcare Highways | EPO | $1,527.46 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | Traditional | $1,548.45 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | EPOSOA | $1,553.70 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Healthcare Highways | PPO | $1,574.70 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | IMO Med - Select Network | WC | $1,574.70 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PRIORITY HEALTH APPLE | 2606_BOMC, BPHC PRIORITY HEALTH APPLE 20200101 | $1,601.77 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH APPLE | 2606_BOMC, BPHC PRIORITY HEALTH APPLE 20200101 | $1,601.77 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | PPO | $1,674.43 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Sendero | ACHP | $1,679.68 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Nomi Health | COMMTier1OutofNetwork | $1,679.68 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | NewBusinessNetwork | $1,684.93 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY ADVANTAGE | 2002_COFINITY ADVANTAGE 20200101 | $1,783.79 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY ADVANTAGE | 2002_COFINITY ADVANTAGE 20200101 | $1,783.79 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | HMO | $1,795.16 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | OpenAccessPlus | $1,795.16 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | OpenAccess | $1,795.16 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Shared Health | MGMCR | $1,837.15 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | QHPExchange(HIX) | $1,873.89 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MODA Health | EPO | $1,889.64 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN MOLINA MEDICARE | 3123_BOAH MEDICARE MOLINA OUTPATIENT 20230215 | $1,929.40 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MEDICARE | 3127_BOAH MEDICARE OUTPATIENT 20231001 | $1,929.40 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AUTO MVA | 3452_BOAH AUTO MVA MEDICARE OUTPATIENT 20230215 | $1,929.40 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MOLINA MEDICARE | 3123_BOAH MEDICARE MOLINA OUTPATIENT 20230215 | $1,929.40 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN HUMANA MCR | 3130_BOAH MEDICARE HUMANA OUTPATIENT 20231001 | $1,929.40 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | AUTO MVA | 3452_BOAH AUTO MVA MEDICARE OUTPATIENT 20230215 | $1,929.40 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN MEDICARE | 3127_BOAH MEDICARE OUTPATIENT 20231001 | $1,929.40 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN HUMANA MCR | 3130_BOAH MEDICARE HUMANA OUTPATIENT 20231001 | $1,929.40 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Evry Health | BroadNetwork | $1,931.63 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MODA Health | PPO | $1,942.13 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | COMM | $1,942.13 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | WC | $1,942.13 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Nomi Health | Tier2OutofNetwork | $1,942.13 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Nomi Health | COMMTier1 | $1,942.13 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Workforce Commission | WCOMP | $2,047.11 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Curative Administrators | COMM | $2,099.60 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Harbor Health Team | COMMPPO | $2,099.60 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | PPO | $2,152.09 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH HMO/PPO | 2404_BOGI BOSU PRIORITY HEALTH 20200401 | $2,184.23 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA | 2827_BOGI BOSU CIGNA 20210912 | $2,184.23 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | CIGNA | 2827_BOGI BOSU CIGNA 20210912 | $2,184.23 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PRIORITY HEALTH HMO/PPO | 2404_BOGI BOSU PRIORITY HEALTH 20200401 | $2,184.23 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | MAGELLAN | 2050_BOMC, BPHC MAGELLAN 20210201 | $2,184.23 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MAGELLAN | 2050_BOMC, BPHC MAGELLAN 20210201 | $2,184.23 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | NarrowNetwork | $2,356.80 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Optum Health | COMM | $2,362.05 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Seven Corners | GVT | $2,362.05 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | NaphCare | MGMCR | $2,362.05 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $2,362.05 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Averde Health | COMM | $2,362.05 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | Meritain | $2,493.28 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | COMM | $2,493.28 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY | 1993_BOMC, BPHC COFINITY PPOM 20200101 | $2,511.86 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY | 1993_BOMC, BPHC COFINITY PPOM 20200101 | $2,511.86 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Comanche County | LOCALGOV | $2,624.50 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | National ChoiceCare | WC | $2,624.50 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Austin FC | WORKERSCOMP | $2,624.50 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | $2,730.28 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | $2,730.28 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1995_BOMC, BPHC PHCS 20200101 | $2,730.28 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PHCS | 1995_BOMC, BPHC PHCS 20200101 | $2,730.28 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN UHC | 3184_BOAH UNITED HEALTH CARE 20240701 | $2,803.09 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN UHC | 3184_BOAH UNITED HEALTH CARE 20240701 | $2,803.09 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | BCBS ALL OTHER | 3496_BOAH BLUE CROSS TRADITIONAL 20240701 | $2,839.50 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | $2,839.50 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BC OF MICH TRAD | 3494_BOAH BLUE CROSS TRUST 20240701 | $2,839.50 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | BC OF MICH TRAD | 3494_BOAH BLUE CROSS TRUST 20240701 | $2,839.50 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BCBS ALL OTHER | 3496_BOAH BLUE CROSS TRADITIONAL 20240701 | $2,839.50 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | $2,839.50 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN PRIORITY HEALTH HMO AND PPO | 3126_BOAH PRIORITY HEALTH HMO AND PPO 20100101 | $2,875.90 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN PRIORITY HEALTH HMO AND PPO | 3126_BOAH PRIORITY HEALTH HMO AND PPO 20100101 | $2,875.90 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Independent Medical Systems | COMM | $2,886.95 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Physicians Cooperative of Texas | WC | $2,886.95 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Accel | $2,886.95 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | ASA | $2,902.70 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | FIRST HEALTH | 1994_BOMC, BPHC, BOSU, BOGI FIRST HEALTH 20200101 | $2,912.30 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ASR CORP | 2588_BOMC, BPHC, BOLE ASR CORP 20200101 | $2,912.30 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | FIRST HEALTH | 1994_BOMC, BPHC, BOSU, BOGI FIRST HEALTH 20200101 | $2,912.30 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY | 1969_BOGI, BOSU COFINITY 20200101 | $2,912.30 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ASR CORP | 2588_BOMC, BPHC, BOLE ASR CORP 20200101 | $2,912.30 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY | 1969_BOGI, BOSU COFINITY 20200101 | $2,912.30 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | OON | $2,934.19 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | HEALTHSCOPE | 1989_BOMC, BOLE, BPHC HEALTHSCOPE 20200101 | $2,985.11 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | HEALTHSCOPE | 1989_BOMC, BOLE, BPHC HEALTHSCOPE 20200101 | $2,985.11 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PREFERRED CHOICES | 2605_PREFERRED CHOICES 20200101 | $3,094.32 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | DIRECT CARE AMERICA | 2581_DIRECT CARE AMERICA 20200101 | $3,094.32 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | DIRECT CARE AMERICA | 2581_DIRECT CARE AMERICA 20200101 | $3,094.32 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PREFERRED CHOICES | 2605_PREFERRED CHOICES 20200101 | $3,094.32 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Prime Health | WC | $3,149.40 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | MULTIPLAN | 2393_BOMC BPHC MULTIPLAN 20190101 | $3,203.53 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MULTIPLAN | 2393_BOMC BPHC MULTIPLAN 20190101 | $3,203.53 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY | 1975_BOLE COFINITY 20200101 | $3,276.34 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | HUMANA | 2623_BOMC, BOLE, BPHC HUMANA 20210401 | $3,276.34 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | HUMANA | 2623_BOMC, BOLE, BPHC HUMANA 20210401 | $3,276.34 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY | 1975_BOLE COFINITY 20200101 | $3,276.34 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | First Health | PPO | $3,280.63 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | CHA | 2589_BOMC, BPHC, BOLE CHA 20200101 | $3,349.15 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CHA | 2589_BOMC, BPHC, BOLE CHA 20200101 | $3,349.15 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | National Health Care | COMM | $3,411.85 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $3,411.85 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ASR 2 | 1970_BOGI, BOSU HEALTHSCOPE 98R 20200101 | $3,458.36 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | HEALTHSCOPE | 2601_BOSU, BOGI HEALTHSCOPE 20200101 | $3,458.36 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ASR CORP | 2602_BOSU, BOGI ASR CORP 20200101 | $3,458.36 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ASR CORP | 2602_BOSU, BOGI ASR CORP 20200101 | $3,458.36 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | HEALTHSCOPE | 2601_BOSU, BOGI HEALTHSCOPE 20200101 | $3,458.36 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ASR 2 | 1970_BOGI, BOSU HEALTHSCOPE 98R 20200101 | $3,458.36 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | First Health | PPO | $3,590.32 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $3,640.38 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $3,640.38 | $3,640.38 | $1,783.79 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Municipal League | COMM | $3,674.30 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | First Health | PPO | $3,726.79 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MedCorp Southwest | MCR | $3,936.75 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MedCorp Southwest | MCD | $3,936.75 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPRockportCommunityNetwork | $4,199.20 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | COMM | $4,199.20 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Medical Control Network Solutions | MedicalControlNetwork | $4,724.10 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCE Emergis Corporation | COMMPPO | $4,724.10 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Multiplan | COMMPPO | $4,724.10 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Beech Street | COMMPPO | $4,724.10 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPNewtonHealthcareNetwork | $4,724.10 | $5,249.00 | $5,249.00 | 2026-03-01 | MRF ↗ |
| UNION COUNTY GENERAL HOSPITAL Outpatient | Humana Inc. | Commercial | $10,822.00 | $12,024.00 | $8,417.00 | 2025-06-17 | MRF ↗ |
| UNION COUNTY GENERAL HOSPITAL Outpatient | Blue Cross and Blue Shield of New Mexico | Commercial | $10,822.00 | $12,024.00 | $8,417.00 | 2025-06-17 | MRF ↗ |
| UNION COUNTY GENERAL HOSPITAL Outpatient | Aetna | Commercial | $10,822.00 | $12,024.00 | $8,417.00 | 2025-06-17 | MRF ↗ |