220215 — Bupropion 100 Mg Tablet
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BUPROPION 100 MG TABLET (CDM 220215) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/220215?code_type=CDM
MLA (9th ed.)
“BUPROPION 100 MG TABLET (CDM 220215) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/220215?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“BUPROPION 100 MG TABLET (CDM 220215) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/220215?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6–$16,878 (25th–75th percentile) across 6 hospitals · 80 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 220215 — 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 |
|---|---|---|---|---|---|---|---|
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $1.68 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $1.68 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $1.79 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $2.04 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $2.04 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $2.04 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $2.10 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Imperial Insurance | MGMCR | $2.28 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | HIX | $2.30 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | HMO | $2.30 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | POS | $2.57 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | PPO | $2.57 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | EPO | $2.57 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MODA | HIX | $2.82 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | OptionsPPO | $2.99 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $3.28 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueEssentials | $3.28 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Covenant Management Systems | HMO | $3.46 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Healthcare Highways | EPO | $3.49 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | Traditional | $3.54 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | EPOSOA | $3.55 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | IMO Med - Select Network | WC | $3.60 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Healthcare Highways | PPO | $3.60 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | PPO | $3.83 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Nomi Health | COMMTier1OutofNetwork | $3.84 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Sendero | ACHP | $3.84 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | NewBusinessNetwork | $3.85 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | OpenAccessPlus | $4.10 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | HMO | $4.10 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | OpenAccess | $4.10 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Shared Health | MGMCR | $4.20 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | QHPExchange(HIX) | $4.28 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MODA Health | EPO | $4.32 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Evry Health | BroadNetwork | $4.42 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Nomi Health | COMMTier1 | $4.44 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | COMM | $4.44 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | WC | $4.44 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MODA Health | PPO | $4.44 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Nomi Health | Tier2OutofNetwork | $4.44 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Workforce Commission | WCOMP | $4.68 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Curative Administrators | COMM | $4.80 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Harbor Health Team | COMMPPO | $4.80 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | PPO | $4.92 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | NarrowNetwork | $5.39 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | NaphCare | MGMCR | $5.40 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Averde Health | COMM | $5.40 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Seven Corners | GVT | $5.40 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $5.40 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Optum Health | COMM | $5.40 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | Meritain | $5.70 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | COMM | $5.70 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Austin FC | WORKERSCOMP | $6.00 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Comanche County | LOCALGOV | $6.00 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | National ChoiceCare | WC | $6.00 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Physicians Cooperative of Texas | WC | $6.60 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Independent Medical Systems | COMM | $6.60 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Accel | $6.60 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | ASA | $6.64 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | OON | $6.71 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Prime Health | WC | $7.20 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | First Health | PPO | $7.50 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | National Health Care | COMM | $7.80 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $7.80 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | First Health | PPO | $8.21 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Municipal League | COMM | $8.40 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | First Health | PPO | $8.52 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MedCorp Southwest | MCD | $9.00 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MedCorp Southwest | MCR | $9.00 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | COMM | $9.60 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPRockportCommunityNetwork | $9.60 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Multiplan | COMMPPO | $10.80 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCE Emergis Corporation | COMMPPO | $10.80 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Medical Control Network Solutions | MedicalControlNetwork | $10.80 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPNewtonHealthcareNetwork | $10.80 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Beech Street | COMMPPO | $10.80 | $12.00 | $12.00 | 2026-03-01 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Humana (Choice Care) | Commercial | $13.00 | $18.00 | $12.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | HMO | $14.00 | $18.00 | $12.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $14.00 | $18.00 | $12.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | Traditional | $14.00 | $18.00 | $12.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO | $14.00 | $18.00 | $12.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $15.00 | $18.00 | $12.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $15.00 | $18.00 | $12.00 | 2025-06-26 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | MCR | $1,026.66 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | STAR | $2,013.05 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | CHIP | $2,013.05 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | CHIPPerinatal | $2,013.05 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | STAR+PLUS | $2,013.05 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | CSN | $2,291.78 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | OpenAccessPlus | $2,477.60 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | MyBlueHealth | $2,524.05 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | United | OptionsPPO | $2,601.48 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | EPO | $2,709.88 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | HMO | $2,709.88 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | BAV | $2,787.30 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | PPO | $2,942.15 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | ValueHMO | $3,066.03 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | HMO | $3,484.13 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | EPOSOA | $3,561.55 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | PPO | $3,623.49 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Molina Healthcare | HIX | $4,180.95 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | CHC Harris Health | Indigent | $4,645.50 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | US HEALTH AND LIFE | 1991_BOMC, BOLE, BPHC US HEALTH AND LIFE 20200101 | $5,250.99 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | US HEALTH AND LIFE | 1991_BOMC, BOLE, BPHC US HEALTH AND LIFE 20200101 | $5,250.99 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | Traditional | $5,419.75 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | SMARTHEALTH | 3501_SMARTHEALTH 20230101 | $5,626.06 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | SMARTHEALTH | 3501_SMARTHEALTH 20230101 | $5,626.06 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Coventry National First Health | COMM | $5,636.54 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Christus (USFHP) | TRICARE | $6,194.00 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | United | GlobalAppendix | $6,968.25 | $15,485.00 | $15,485.00 | 2026-03-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH APPLE | 2606_BOMC, BPHC PRIORITY HEALTH APPLE 20200101 | $8,251.55 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PRIORITY HEALTH APPLE | 2606_BOMC, BPHC PRIORITY HEALTH APPLE 20200101 | $8,251.55 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY ADVANTAGE | 2002_COFINITY ADVANTAGE 20200101 | $9,189.23 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY ADVANTAGE | 2002_COFINITY ADVANTAGE 20200101 | $9,189.23 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN HUMANA MCR | 3130_BOAH MEDICARE HUMANA OUTPATIENT 20231001 | $9,939.37 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN MEDICARE | 3127_BOAH MEDICARE OUTPATIENT 20231001 | $9,939.37 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | AUTO MVA | 3452_BOAH AUTO MVA MEDICARE OUTPATIENT 20230215 | $9,939.37 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN MOLINA MEDICARE | 3123_BOAH MEDICARE MOLINA OUTPATIENT 20230215 | $9,939.37 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MOLINA MEDICARE | 3123_BOAH MEDICARE MOLINA OUTPATIENT 20230215 | $9,939.37 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN HUMANA MCR | 3130_BOAH MEDICARE HUMANA OUTPATIENT 20231001 | $9,939.37 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MEDICARE | 3127_BOAH MEDICARE OUTPATIENT 20231001 | $9,939.37 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AUTO MVA | 3452_BOAH AUTO MVA MEDICARE OUTPATIENT 20230215 | $9,939.37 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | MAGELLAN | 2050_BOMC, BPHC MAGELLAN 20210201 | $11,252.12 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PRIORITY HEALTH HMO/PPO | 2404_BOGI BOSU PRIORITY HEALTH 20200401 | $11,252.12 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH HMO/PPO | 2404_BOGI BOSU PRIORITY HEALTH 20200401 | $11,252.12 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA | 2827_BOGI BOSU CIGNA 20210912 | $11,252.12 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | CIGNA | 2827_BOGI BOSU CIGNA 20210912 | $11,252.12 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MAGELLAN | 2050_BOMC, BPHC MAGELLAN 20210201 | $11,252.12 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY | 1993_BOMC, BPHC COFINITY PPOM 20200101 | $12,939.94 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY | 1993_BOMC, BPHC COFINITY PPOM 20200101 | $12,939.94 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | IFP | $13,855.73 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | $14,065.15 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1995_BOMC, BPHC PHCS 20200101 | $14,065.15 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | $14,065.15 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PHCS | 1995_BOMC, BPHC PHCS 20200101 | $14,065.15 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | QHP | $14,368.90 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN UHC | 3184_BOAH UNITED HEALTH CARE 20240701 | $14,440.22 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN UHC | 3184_BOAH UNITED HEALTH CARE 20240701 | $14,440.22 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | $14,627.75 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BCBS ALL OTHER | 3496_BOAH BLUE CROSS TRADITIONAL 20240701 | $14,627.75 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BC OF MICH TRAD | 3494_BOAH BLUE CROSS TRUST 20240701 | $14,627.75 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | $14,627.75 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | BCBS ALL OTHER | 3496_BOAH BLUE CROSS TRADITIONAL 20240701 | $14,627.75 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | BC OF MICH TRAD | 3494_BOAH BLUE CROSS TRUST 20240701 | $14,627.75 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN PRIORITY HEALTH HMO AND PPO | 3126_BOAH PRIORITY HEALTH HMO AND PPO 20100101 | $14,815.29 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN PRIORITY HEALTH HMO AND PPO | 3126_BOAH PRIORITY HEALTH HMO AND PPO 20100101 | $14,815.29 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY | 1969_BOGI, BOSU COFINITY 20200101 | $15,002.82 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ASR CORP | 2588_BOMC, BPHC, BOLE ASR CORP 20200101 | $15,002.82 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ASR CORP | 2588_BOMC, BPHC, BOLE ASR CORP 20200101 | $15,002.82 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY | 1969_BOGI, BOSU COFINITY 20200101 | $15,002.82 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | FIRST HEALTH | 1994_BOMC, BPHC, BOSU, BOGI FIRST HEALTH 20200101 | $15,002.82 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | FIRST HEALTH | 1994_BOMC, BPHC, BOSU, BOGI FIRST HEALTH 20200101 | $15,002.82 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | HEALTHSCOPE | 1989_BOMC, BOLE, BPHC HEALTHSCOPE 20200101 | $15,377.89 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | HEALTHSCOPE | 1989_BOMC, BOLE, BPHC HEALTHSCOPE 20200101 | $15,377.89 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PREFERRED CHOICES | 2605_PREFERRED CHOICES 20200101 | $15,940.50 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PREFERRED CHOICES | 2605_PREFERRED CHOICES 20200101 | $15,940.50 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | DIRECT CARE AMERICA | 2581_DIRECT CARE AMERICA 20200101 | $15,940.50 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | DIRECT CARE AMERICA | 2581_DIRECT CARE AMERICA 20200101 | $15,940.50 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | MULTIPLAN | 2393_BOMC BPHC MULTIPLAN 20190101 | $16,503.11 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MULTIPLAN | 2393_BOMC BPHC MULTIPLAN 20190101 | $16,503.11 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY | 1975_BOLE COFINITY 20200101 | $16,878.18 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | HUMANA | 2623_BOMC, BOLE, BPHC HUMANA 20210401 | $16,878.18 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | HUMANA | 2623_BOMC, BOLE, BPHC HUMANA 20210401 | $16,878.18 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY | 1975_BOLE COFINITY 20200101 | $16,878.18 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | CHA | 2589_BOMC, BPHC, BOLE CHA 20200101 | $17,253.25 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CHA | 2589_BOMC, BPHC, BOLE CHA 20200101 | $17,253.25 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ASR CORP | 2602_BOSU, BOGI ASR CORP 20200101 | $17,815.85 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | HEALTHSCOPE | 2601_BOSU, BOGI HEALTHSCOPE 20200101 | $17,815.85 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ASR CORP | 2602_BOSU, BOGI ASR CORP 20200101 | $17,815.85 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ASR 2 | 1970_BOGI, BOSU HEALTHSCOPE 98R 20200101 | $17,815.85 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ASR 2 | 1970_BOGI, BOSU HEALTHSCOPE 98R 20200101 | $17,815.85 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | HEALTHSCOPE | 2601_BOSU, BOGI HEALTHSCOPE 20200101 | $17,815.85 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | United | OptionsPPO | $17,858.49 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $18,753.53 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $18,753.53 | $18,753.53 | $9,189.23 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior | HMO | $20,527.00 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior | ValueHMO | $20,527.00 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior | EPO | $20,527.00 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | MyBlueHealth | $25,350.85 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | BlueAdvantageHMO | $25,350.85 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Molina Healthcare | HIX | $25,658.75 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | NewBusiness | $27,095.64 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | LocalPlus | $27,095.64 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | OpenAccessPlus | $30,277.33 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | NetworkBenefit | $30,277.33 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | HMO | $30,277.33 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | LifeCare Hospitals | MGMCR | $30,790.50 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | LifeCare Hospitals | MGMCD | $30,790.50 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | BlueEssentials | $32,740.56 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | BlueEssentialsAccess | $32,740.56 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | EPOSOA | $34,382.72 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Healthcare Highways | CityofPlano | $34,690.63 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | PPO | $35,922.25 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | AllOther | $38,282.85 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Prominence Health Plan | HIX | $41,054.00 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | Traditional | $45,569.94 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | City of McKinney | COMM | $46,185.75 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | National ChoiceCare | WCOMP | $51,317.50 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Aetna | ASA | $54,088.64 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Rockport Health Group | WORKERSCOMP | $56,449.25 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Aetna | WCOMP | $56,449.25 | $102,635.00 | $102,635.00 | 2026-03-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.